See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Glendora Grand, INC

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

805 W. Arrow Hwy., Glendora, CA 91740342 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 23 Google reviews

5
4
3
2
1

Watch Glendora Grand, INC

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

3/ 10
moderate Risk

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

Source: Medicare data

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 details
FoodN/AStaff3.0Clean1.0Activities1.0Meds1.0MemoryN/AComms1.0ValueN/A

Strengths

  • 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

234'16(3)'18(2)'20(3)'22(1)'25(2)'26(1)

Distribution · 25 analyzed

5
10
4
2
3
3
2
1
1
9

How They Respond to Reviews

0%response rate

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.

Hospice family member · 2019★★★★★

The staff is always friendly, they’re doing a great job of keeping the facility nice and clean.

Resident family member · 2019★★★★★

Absolutely horrible they leave my mom for hours who's bed bound without a call button. Don't give her snacks with her meds.

Long-term resident's family · 2025☆☆☆☆
Source: 23 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.28hrs
37%
Registered nurses for medical care
Total Nursing
3.94hrs
96%
All nurses + aides combined
Staff Turnover
25%
Lower is better (< 30% = good)
RN Turnover
20%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

6

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility49.2%
Worse than Avg
Here
49.2%
US
15.4%
CA
11.6%
Los angeles
11.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility3.6%
Better than Avg
Here
3.6%
US
19.4%
CA
10.7%
Los angeles
9.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility20.1%
Worse than Avg
Here
20.1%
US
19.5%
CA
13.7%
Los angeles
10.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.2%
Better than Avg
Here
6.2%
US
15.3%
CA
10.5%
Los angeles
9.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.9%
Better than Avg
Here
99.9%
US
93.4%
CA
98.6%
Los angeles
99.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.8%
Better than Avg
Here
5.8%
US
12.1%
CA
7.0%
Los angeles
8.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
CA
93.2%
Los angeles
92.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.9%
Better than Avg
Here
97.9%
US
81.8%
CA
94.2%
Los angeles
94.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility15.4%
Worse than Avg
Here
15.4%
US
1.6%
CA
1.5%
Los angeles
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

22deficiencies
7penalties
Above state avg (15.4)
31 complaint-triggered
$223,287 in fines

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, 2025Complaint
3
0688Potential for harm · PatternCorrected

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.

0842Potential for harm · PatternCorrected

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.

0627Potential for harm · IsolatedCorrected

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, 2025Routine
22
0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0577Potential for harm · PatternCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0690Potential for harm · PatternCorrected

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.

0692Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · PatternCorrected

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.

0814Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0578Potential for harm · IsolatedCorrected

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.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0911Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

Jun 26, 2025Complaint
2
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0656Potential for harm · PatternCorrected

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, 2025Complaint
1
0740Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Apr 10, 2025Complaint
3
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0656Potential for harm · IsolatedCorrected

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.

0726Potential for harm · IsolatedCorrected

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, 2025Complaint
5
0687Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0580Potential for harm · IsolatedCorrected

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.

0656Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

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

Owner / Operator

Glendora Grand, INC

Organization Type

for profit

Chain Affiliation

Chain Name

Rollins-Nelson Healthcare Management

Chain Size

10 facilities nationwide

Chain avg rating: 2.1/5 · Rank 8 of 10 (Worst)

Ownership & Management

Owners

Glendora Grand, INC.

Owner · Organization

100%

Nelson, William

Owner

Rollins, Vicki

Owner

Key personnel

Glendora Grand Property, LLC5% or Greater Mortgage InterestNelson, William5% or Greater Mortgage InterestRollins, Vicki5% or Greater Mortgage InterestNelson, WilliamOfficer / DirectorRollins, VickiOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call