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Nursing HomeMedicaid Investigative

Mesa Glen Care Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

638 E Colorado Avenue, Glendora, CA 9174096 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.6/5

based on 52 Google reviews

5
4
3
2
1
Mesa Glen Care Center Nursing Home in Glendora, CA — Street View
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10/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Above-median deficiencies (59 vs median 13.0)
  • High staff turnover (64%)
  • High RN turnover (62%)

Bottom 25% in CA · Critically understaffed (RN) · $103,080 in fines · Special Focus Facility (CMS) · Abuse citation

Source: Medicare data

What this means for your family

While you may encounter exceptionally kind CNAs like Marissa or Julian, the facility has a documented pattern of severe neglect and safety failures. If you choose this facility, you must implement your own rigorous monitoring for medication administration and wound care, as multiple families have reported life-threatening lapses in basic care.

Google Reviews

Google Reviews

52 reviews on Google
Families should exercise extreme caution when considering Mesa Glen Care Center due to frequent reports of severe neglect, including medication errors, failure to provide water, and unsafe wandering. While some individual staff members and certain shifts receive praise for their kindness, the facility is plagued by recurring complaints regarding poor maintenance, unprofessional management, and inadequate communication.

Quality Themes

Tap a score for details
Food1.0Staff2.0Clean3.0Activities5.0Meds1.0MemoryN/AComms1.0ValueN/A

Strengths

  • Compassionate individual CNAs
  • Friendly night shift staff
  • Cleanliness in certain areas
  • Helpful admissions process

Concerns

  • Severe neglect and lack of basic care (water, food, wound care) (mentioned by 4 reviewers)
  • Unprofessional or rude nursing and management staff (mentioned by 6 reviewers)
  • Poor facility maintenance and dilapidated building (mentioned by 4 reviewers)
  • Failure to return phone calls or communicate with families (mentioned by 4 reviewers)
  • Safety issues including patient wandering and medication errors (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'19(7)'21(2)'23(2)'25(10)'26(7)

Distribution · 48 analyzed

5
13
4
3
3
1
2
3
1
28

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about the compassion of your CNAs and the friendliness of your night shift staff; how do you foster that kind of culture among your team?
  • 2What specific steps are being taken to address recent feedback regarding the maintenance and upkeep of the building?
  • 3How does the nursing team ensure that medication administration is handled accurately and safely every single day?
  • 4Can you walk us through your process for communicating with families, especially regarding updates on a resident's daily needs like hydration and nutrition?
  • 5What is your protocol for managing resident safety and preventing wandering within the facility?
  • 6What kind of daily activities or social programs are available to keep residents engaged and active?

Personalized based on this facility's data


Key Review Excerpts

As soon as I got here, I couldn't believe how nice the staff was to me and how they remembered my name

Rehab patient · 2025★★★★

My uncle was staying in 23 a before they moved him to a different room recently just a couple rooms down and he was telling me his lvn gabby was refusing to give him water and wasn’t giving him his meds when it was time.

Long-term resident's family · 2025☆☆☆☆

The name, Marissa, is synonymous with the 'Ultimate Patient Care' you receive at Mesa Glen Care Center. When Marissa is your CNA, all you have to do is worry about getting well; she takes care of everything else.

Resident · 2025☆☆☆☆
Source: 52 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.29hrs
39%
Registered nurses for medical care
Total Nursing
4.12hrs
OK
All nurses + aides combined
Staff Turnover
62%
Lower is better (< 30% = good)
RN Turnover
67%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility32.0%
Worse than Avg
Here
32.0%
US
15.5%
CA
11.7%
Los angeles
11.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility2.6%
Better than Avg
Here
2.6%
US
19.4%
CA
10.7%
Los angeles
9.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility3.8%
Better than Avg
Here
3.8%
US
15.3%
CA
10.5%
Los angeles
9.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility21.6%
Worse than Avg
Here
21.6%
US
19.5%
CA
13.7%
Los angeles
10.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility16.8%
Worse than Avg
Here
16.8%
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.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.0%
Better than Avg
Here
6.0%
US
14.4%
CA
10.4%
Los angeles
12.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.2%
Better than Avg
Here
96.2%
US
79.8%
CA
93.2%
Los angeles
92.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.8%
Better than Avg
Here
97.8%
US
81.8%
CA
94.2%
Los angeles
94.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility14.3%
Worse than Avg
Here
14.3%
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

62deficiencies
3penalties
Well above state avg (15.4)
76 complaint-triggered
$103,080 in fines

Mesa Glen Care Center has a concerning pattern of repeated deficiencies, including multiple recent abuse and neglect violations that families have reported to authorities. The most frequent problems involve protection from abuse and neglect, care planning failures, and accident prevention issues. While the facility corrects violations when cited, the same serious problems persist across multiple surveys, indicating ongoing systemic care quality concerns that families should carefully consider.

Apr 16, 2026Complaint
1
0842Potential for harm · IsolatedCorrected

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.

Apr 1, 2026Complaint
5
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0919Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0836Potential for harm · IsolatedCorrected

Administration Deficiencies

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Mar 16, 2026Complaint
1
0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Feb 3, 2026Complaint
2
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Jan 29, 2026Complaint
2
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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.

Jan 5, 2026Complaint
1
0732Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Federal Penalties

Fine

Mar 7, 2025

$66,576

Payment Denial

Mar 7, 2025

33-day denial

Fine

Jul 18, 2024

$36,504

Ownership & Operations

Who Operates This Facility

Owner / Operator

Mesa Glen Care Center

Organization Type

for profit

Ownership & Management

Owners

Friedman, Bernard

Owner

5%

Mahan, Marylynn

Owner

10%

Weinberger, Philip

Owner

10%

Weiss, Hadassah

Owner

9%

Wolmark, Diana

Owner

19%

Zeffren, David

Owner

19%

Key personnel

Urbina, ChristianManaging Control - Governing BodyWeinberger, PhilipManaging Control - Governing BodyRenew Health Consulting Services LLCManagerSharma, VatsalaManagerTolentino, Ma RowenaManager
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.

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