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Nursing HomeMedicaid

Villa Mesa Care Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

867 E. 11th St, Upland, CA 9178699 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
2.4/5

based on 43 Google reviews

5
4
3
2
1
Villa Mesa Care Center Nursing Home in Upland, CA — Street View
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What this means for your family

This facility presents significant risks regarding medical neglect and hygiene. While some families have had positive experiences with specific staff members, the recurring patterns of medication errors and improper wound care are critical red flags that require immediate investigation during any facility visit.

Google Reviews

Google Reviews

43 reviews on Google
Families should exercise extreme caution when considering Villa Mesa Care Center due to frequent and severe reports of medical neglect, including failure to manage pain medication, improper wound care, and inadequate hygiene. While some individual staff members and specific periods of rehab are praised for being friendly and professional, the recurring themes of understaffing and poor communication present significant risks.

Quality Themes

Tap a score for details
Food1.0Staff2.0Clean2.0ActivitiesN/AMeds1.0MemoryN/AComms1.0ValueN/A

Strengths

  • Friendly and respectful frontline staff
  • Ease of arranging video calls with residents
  • Cleanliness in certain rehab/short-term stays

Concerns

  • Severe neglect regarding hygiene and diaper changes (mentioned by 3 reviewers)
  • Failure to administer medications or manage pain (mentioned by 3 reviewers)
  • Inadequate wound care and development of bed sores (mentioned by 3 reviewers)
  • Poor communication from administration and social workers (mentioned by 4 reviewers)
  • Understaffing and overcrowded rooms (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(6)'20(11)'22(19)'24(9)'26(6)

Distribution · 91 analyzed

5
11
4
19
3
2
2
0
1
59

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard wonderful things about how friendly and respectful the frontline staff is; how do you foster that culture of kindness among the team?
  • 2Since we value staying connected, could you tell us more about how the facility facilitates video calls and communication between residents and their families?
  • 3What specific protocols do you have in place to ensure medication is administered accurately and that pain management is closely monitored?
  • 4How does the nursing team manage hygiene routines and skin care, especially for residents who may be at higher risk for pressure sores?
  • 5Could you describe the meal service and how the dining experience is organized for the residents throughout the day?
  • 6In the event of a medical emergency after hours, what is the immediate process for contacting physicians and notifying the family?

Personalized based on this facility's data


Key Review Excerpts

My husband had a stroke and is at this facility. It is a nightmare. They left my husband in a shitty diaper for 4 hours. The next night he needed to be changed and the male night nurse came in and turned the light off.

Long-term resident's family · 2024☆☆☆☆

Nursing staff did not feed or provide any pain medications to my terminally ill mother for over 30 hours before she called me crying in pain and hungry.

Terminally ill resident's family · 2021☆☆☆☆

My brothers case worker Sana goes above and beyond all the time. She is on top of everything. They genuinely care.

Long-term resident's family · 2023★★★★
Source: 43 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.34hrs
45%
Registered nurses for medical care
Total Nursing
3.69hrs
90%
All nurses + aides combined
Staff Turnover
51%
Lower is better (< 30% = good)
RN Turnover
56%
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

3

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility27.1%
Worse than Avg
Here
27.1%
US
12.1%
CA
7.0%
San bernardino
10.5%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility32.4%
Worse than Avg
Here
32.4%
US
19.5%
CA
13.7%
San bernardino
16.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.1%
Better than Avg
Here
4.1%
US
19.4%
CA
10.7%
San bernardino
8.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
15.4%
CA
11.6%
San bernardino
8.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.9%
Better than Avg
Here
6.9%
US
14.4%
CA
10.4%
San bernardino
11.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.2%
Better than Avg
Here
8.2%
US
15.3%
CA
10.5%
San bernardino
10.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.3%
Better than Avg
Here
97.3%
US
81.8%
CA
94.2%
San bernardino
97.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.8%
Mixed vs Avgs
Here
93.8%
US
79.7%
CA
93.2%
San bernardino
94.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.1%
Worse than Avg
Here
3.1%
US
1.6%
CA
1.5%
San bernardino
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
Near state avg (15.4)
5 complaint-triggered

Villa Mesa Care Center has significant recurring issues with emergency preparedness, medication management, and fire safety systems appearing repeatedly across multiple surveys spanning five years. While families have filed complaints triggering 8 investigations related to safety hazards, communication failures, and care quality, all deficiencies have reportedly been corrected by the facility, though the pattern of repeat violations in critical safety areas warrants careful consideration.

Jan 23, 2026Routine
19
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0912Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0031Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0039Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Dec 13, 2024Complaint
1
0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

Oct 28, 2024Complaint
1
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.

Oct 3, 2024Routine
5
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0645Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Oct 19, 2023Complaint
1
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.

Jun 22, 2023Complaint
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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Villa Mesa Care Center

Organization Type

for profit

Ownership & Management

Owners

Mahan, Marylynn

Owner

30%

Weinberger, Philip

Owner

30%

Weiss, Hadassah

Owner

20%

Weiss, Martin

Owner

20%

Lopez, Kimberly

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Powers, Greg

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Powers, Katherine

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Powers, Michael

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Powers, Scott

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Strom, Kristina

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Mahan, MarylynnOfficer / DirectorWeinberger, PhilipOfficer / DirectorWeiss, HadassahOfficer / DirectorWeiss, MartinOfficer / DirectorGharibian, PatricOfficer / Director
Source: Medicare provider data

Contact

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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.

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