Mesa Glen Care Center
Mesa Glen Care Center in GLENDORA, CA — inspection on August 13, 2025.
Found 1 citation. 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
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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