Glendora Grand, INC
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 23 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (25 vs median 13.0)
Bottom 25% in CA · Critically understaffed (RN) · Low staff turnover (stable workforce) · Worst in ROLLINS-NELSON HEALTHCARE MANAGEMENT chain · $223,287 in fines
What this means for your family
This facility has shown a significant decline in quality, with recent reviews alleging dangerous levels of neglect and poor hygiene. While some past experiences with hospice care were positive, the current reports of unresponsive call buttons and unaddressed medical needs are critical red flags that require immediate investigation by any family.
Google Reviews
Google Reviews
23 reviews on Google“Families should exercise extreme caution, as recent reviews report severe issues including medical neglect, lack of responsiveness to call buttons, and poor hygiene. While some older reviews praise the hospice care and friendly staff, recent reports highlight significant concerns regarding cleanliness, patient dignity, and staff-patient interactions.”
Quality Themes
Tap a score for detailsStrengths
- Knowledgeable hospice care staff
- Friendly staff members
- Spacious facility layout
Concerns
- Medical neglect and failure to administer medication
- Unresponsive call buttons and night staff
- Poor facility cleanliness and unpleasant odors (mentioned by 2 reviewers)
- Inadequate hygiene and soiled patients (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 25 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1I noticed some wonderful feedback regarding your hospice team; could you tell me more about how that specialized care is integrated into daily resident life?
- 2With the facility being so spacious, how do you ensure that cleaning and hygiene standards are maintained consistently in every resident room?
- 3How does the nursing team manage medication schedules and ensure that every dose is administered accurately and on time?
- 4What is the protocol for responding to call buttons during the overnight shift to ensure residents aren't left waiting?
- 5Could you describe the variety of social activities and events available to help residents stay engaged and connected with one another?
- 6In the event of a medical emergency during the night, what specific steps does the on-duty staff take to coordinate care?
Personalized based on this facility's data
Key Review Excerpts
“Hospice patient was very well taken cared off up to the last breath. Staff are very knowledgeable and proficient in everything they do.”
“The staff is always friendly, they’re doing a great job of keeping the facility nice and clean.”
“Absolutely horrible they leave my mom for hours who's bed bound without a call button. Don't give her snacks with her meds.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
6
measures
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed numerous complaints, generating 33 of 123 total deficiencies across safety, care planning, and medication management issues. The facility shows recurring problems with accident prevention and safety supervision, which have persisted across multiple recent surveys. While all deficiencies are marked as corrected, the high volume of family-initiated complaints and repeated safety violations across multiple years suggest ongoing quality concerns that warrant careful consideration.
Nov 26, 2025Complaint3
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Aug 8, 2025Routine22
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Jun 26, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
May 15, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Apr 10, 2025Complaint3
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Feb 26, 2025Complaint5
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Jun 26, 2025
$14,505
Fine
Apr 10, 2025
$33,040
Fine
Feb 26, 2025
$30,167
Fine
Aug 2, 2024
$45,056
Fine
Apr 26, 2024
$45,422
Payment Denial
Apr 26, 2024
37-day denial
Fine
Jun 9, 2023
$55,097
Ownership & Operations
Who Operates This Facility
Glendora Grand, INC
for profit
Chain Affiliation
Rollins-Nelson Healthcare Management
10 facilities nationwide
Chain avg rating: 2.1/5 · Rank 8 of 10 (Worst)
Ownership & Management
Owners
Glendora Grand, INC.
Owner · Organization
Nelson, William
Owner
Rollins, Vicki
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
23 reviews from families & visitors
Official Website
Visit hcai.ca.gov
Medicare data downloads
Original nursing home datasets
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