Mesa Glen Care Center
Inspection Findings
F-Tag F0740
F 0740 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
behavioral health services to Resident 1, that included counseling for Resident 1's alcoholism, such as a referral to Alcoholic Anonymous (AA). The DON stated, not having a plan of care, and behavioral services such as AA, Resident 1 had the potential risk for worsening alcoholic condition, alcoholic behavior or even possible elopement. During the same interview with DON on 8/13/2025 at 3:30 PM, DON stated, Resident 1 should have been supervised, should have a care plan and discussed during IDT, and should be monitored frequently, and the need for behavioral health services such as psych counseling or AA should have been addressed, because of the potential for complications from alcoholism, potential for accidents or any type of incidents. During a concurrent interview with SSD1 on 8/14/2025 at 9:15 AM, SSD1 stated Resident 1 did not have a behavioral contract, and that services such as counseling or referrals were not made. Per the SSD, Resident 1 did mention the use of drugs and alcohol during SSDs assessments. SSD1 stated she wasn't sure if she should have referred Resident 1 for any counseling for drug or alcohol abuse even after the IDT was done. Per the SSD, the IDT meeting was for the incident regarding Resident 1 having the marijuana pens in her possession. During a review of the facility's policy and procedure (P&P) titled, Behavior Assessment, Interventions and Monitoring revised March 2019, the P&P indicated, the facility will provide, and residents will receive behavioral health services as needed to attain or maintain the highest practicable physical, mental and psychosocial well-being in accordance with the comprehensive assessment and plan of care. As part of the initial assessment, the nursing staff and attending physician will identify individuals with a history or impaired cognition, altered behavior, substance use disorder, or mental disorder.Management:The interdisciplinary team will evaluate behavioral symptoms in residents to determine the degree of severity, distress and potential safety risk to the resident, and develop a plan of care accordingly. Safety strategies will be implemented immediately if necessary to protect the resident and others from harm. During a review of the facility's policy and procedure (P&P) titled, Care Plan Comprehensive, dated 8/25/2021, the P&P indicated a comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. Care plan interventions are chosen only after data gathering, proper sequencing of events, careful consideration of the relationship between the resident's problem areas and their causes, and relevant clinical decision making.
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Mesa Glen Care Center in GLENDORA, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Mesa Glen Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.