Complaint Investigation

Arbor Glen Care Center

April 11, 2025 · Glendora, CA · 1033 E. Arrow Highway

Citations 2

CMS Rating 2/5

Beds 98

Provider ID 056360

Healthcare Facility

Arbor Glen Care Center

Glendora, CA · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov) · 6 pages

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

ARBOR GLEN CARE CENTER in GLENDORA, CA — inspection on April 11, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF550

Minimal harm or a brief change. Resident 2 stated staff (in general) would take 30 minutes to answer Resident 2 ' s call light Few stated staff (in general) would sometimes tell Resident 2 that Resident 2 needed to wait until staff finished affected

During a review of Resident 2's Minimum Data Set (MDS, a resident assessment tool), dated 3/8/25, the MDS indicated Resident 2 had intact cognition (ability to think, learn, and remember).

The MDS indicated Resident 2 required substantial/maximal assistance (helper does more than half the effort) with toileting hygiene, showering/bathing self, and upper and lower body dressing and partial/moderate assistance (helper does less than half the effort) with personal hygiene.

The MDS indicated Resident 2 was frequently incontinent of urine and bowel.

During a review of Resident 2 ' s care plan (CP) titled, Care Plan Report, revised on 3/24/25, the CP indicated Resident 2 had ADL Self Care Performance Deficit and required assistance completing ADLs.

The CP goal indicated Resident 2 would safely perform . dressing, grooming, toilet use and personal hygiene with assistance through the review date.

The CP interventions included for staff to encourage Resident 2 to fully participate with each interaction.

During a review of another Resident 2 ' s CP titled, Care Plan Report, revised 3/24/25, the CP indicated Resident 2 was at risk for falls related to episodes of incontinence.

The CP interventions included for staff to anticipate and meet Resident 2 ' s needs and ensure the call light was within reach and encourage Resident 2 to use it to call for assistance as needed.

056360

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 056360 B.

Wing 04/11/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Arbor Glen Care Center 1033 E.

Arrow Highway Glendora, CA 91740

FF677

During a review of Resident 2's Minimum Data Set (MDS, a resident assessment tool), dated 3/8/25, the MDS indicated Resident 2 had intact cognition (ability to think, learn, and remember).

The MDS indicated Resident 2 was frequently incontinent of urine and bowel.

During a review of Resident 2 ' s care plan (CP) titled, Care Plan Report, revised 3/24/25, the CP indicated Resident 2 was at risk for falls related to episodes of incontinence.

The CP interventions included for staff to anticipate and meet Resident 2 ' s needs and ensure the call light was within reach and encourage Resident 2 to use it to call for assistance as needed.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

056360

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 056360 B.

Wing 04/11/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Arbor Glen Care Center 1033 E.

Arrow Highway Glendora, CA 91740

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GLENDORA, CA, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ARBOR GLEN CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.