Mesa Glen Care Center
Mesa Glen Care Center in GLENDORA, CA — inspection on November 21, 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
During an interview on 11/21/2025 at 9:52 AM with the Director of Nursing (DON), the DON stated residents (in general) should not need to wait longer than 5 minutes for assistance in changing soiled briefs.
The DON stated this was necessary to maintain the residents' (in general) dignity.
During a review of the facility's P&P titled, Dignity, revised February 2021, the P&P indicated, Each resident shall be cared for in a manner that promotes and enhances his or her sense of well-being, level of satisfaction with life, and feelings of self-worth and self-esteem.
The P&P indicated, Demeaning -practices and standards of care that compromise dignity is prohibited.
Staff are expected to promote dignity and assist residents; for example. promptly responding to a resident's request for toileting assistance.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/21/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Mesa Glen Care Center
638 E Colorado Avenue Glendora, CA 91740
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 11/20/2025 at 12:23 PM with the Director of Nursing (DON), the DON stated a resident's (in general) healthcare provider who prescribed psychotropic medications was responsible for obtaining an informed consent for the psychotropic medications.
The DON confirmed an informed consent must be obtained for psychotropic medications when a resident (in general) was readmitted to the facility with orders psychotropic medications.
During a review of the facility's Policy and Procedure (P&P) titled, Psychoactive Medication Informed Consent, undated, the P&P indicated, It is the policy of this facility to ensure that an informed consent is obtained for each resident's psychoactive medication .
The P&P indicated, If a resident was admitted with orders for psychoactive medication: a.
Verify that prior informed consent was obtained by discharging physician through a verified documentation was provided by discharging facility or hospital. b. If no documentation is present to verify informed consent has been obtained by discharging physician, the admitting physician will obtain informed consent for psychoactive medication from resident or resident's representative.
Facility ID:
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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.