Mesa Glen Care Center
Mesa Glen Care Center in GLENDORA, CA — inspection on December 30, 2025.
Found 3 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 a review of Resident 2's medical records with SSD, there were no other notes from October 2025 to November 2025 regarding assisting or encouraging Resident 2 to remove the clutter from Resident 2's room.
During a review of Nursing Progress Notes, dated 12/22/2025, the progress note indicated Resident 2 refused for the room to be deep cleaned. Resident 2 was educated on proper cleaning and hygiene, but continued to refuse.
During a review of Resident 2's Care Plan Report, titled Hoarding: Resident exhibits hoarding behavior as evidenced by overflow of belonging in a disorganized manner, the care plan's Goal section indicated the following goals: (1) Resident will be free of injuries related to clutter; and (2) Resident will maintain a safe and clean living area with assistance of the staff.
The care plan report had initiation date of 7/31/2025 and target date of 3/22/2026.
The care plan indicated the following interventions:Encouraged resident to place belongings in a secure place and assigned space area. (Date initiated: 8/10/2025.
Revision on: 8/10/2025).Offer to clean and organize Resident 2's belongings (Date initiated: 7/31/2025; no revision date).Staff explain the risks and benefits of hoarding belongings and food. (Date initiated: 7/31/2025; no revision date).Staff will assist the resident with cleaning out any old and expired food products. (Date initiated: 7/31/2025, no revision date).Staff will monitor any new or increased behaviors associated with hoarding. (Date initiated: 7/31/2025, no revision date).
During a review of Resident 2's Care Plan Report, titled Hoarding: Resident exhibits hoarding behavior as evidenced by overflow of belonging in a disorganized manner,, the care plan report did not indicate any reevaluation, revision, or date of update for the following interventions since the initiation date, after Resident 2 refused assistance and continued to have clutter in the room:Encouraging Resident 1 to place belongings in a secure place.Offer to clean and organize Resident 1's belongings.Staff will assist Resident 1 with cleaning out any old and expired food products.Staff will monitor any new or increased behaviors associated with hoarding.
During a review of the facility's current Policy & Procedure (P&P), titled Care Plans, Comprehensive Person-Centered, with the revision date of December 2016, the P&P indicated, Policy Statement: 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.
The P&P's Policy Interpretation and Implementation section indicated: Areas of concern that are identified during the resident assessment will be evaluated before interventions are added to the care plan.Identifying problem areas and their causes, and developing interventions that are targeted and meaningful to the resident, are the endpoint of an interdisciplinary process.Care plan interventions are chosen only after careful 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.When possible, interventions address the underlying source(s) of the problem area(s), not just addressing only symptoms or triggers.Assessments of residents are ongoing and care plans are revised as information about the residents and the residents' conditions change.The P&P further indicated, The Interdisciplinary Team must review and update the care plan:a.
When there has been a significant change in the resident's condition;b.
When the desired outcome is not met.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/30/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Mesa Glen Care Center
638 E Colorado Avenue Glendora, CA 91740
SUMMARY STATEMENT OF DEFICIENCIES
During a review of the facility's Policy & Procedure (P&P), titled Homelike Environment, with the revision date of February 2021, the P&P indicated residents are provided with a safe, clean, comfortable and homelike environment and encourage to use their personal belongings to the extent possible.
The P&P's Policy Interpretation and Implementation section further indicated the facility staff and management maximize, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting.
These characteristics include: clean, sanitary and orderly environment; inviting colors and decor.
During a review of the facility's Policy & Procedure (P&P), titled Infection Control: Standard Precautions, with the revision date of October 2018, the P&P indicated Standard Precautions are used in the care of all residents regardless of their diagnoses or suspected or confirmed infection status.
The P&P's Policy Interpretation and Implementation section indicated: Environmental Control - Environmental surfaces, beds, bedrails, bedside equipment and other frequently touched surfaces are appropriately cleaned.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/30/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Mesa Glen Care Center
638 E Colorado Avenue Glendora, CA 91740
SUMMARY STATEMENT OF DEFICIENCIES
During an observation on [DATE] at 1:05 p.m. in the facility kitchen with the Dietary Manager (DM), an expired water filter, dated [DATE], was observed connected to the icemaker.
During an observation and concurrent interview with the Dietary Manager (DM) on [DATE] at 1:14 p.m. in the kitchen, DM stated he was new and was unsure when the water filter needed to be changed for the icemaker.
Reviewed a log sheet on the side of the icemaker with DM.
Observed the log was dated December, but no year was indicated.
During an observation with the Dietary Manager (DM) on [DATE] at 1:14 p.m. in the kitchen, a manufacturer's water filter specifications sheet was reviewed.
The manufacturer's water filter specifications sheet indicated under Operations Tips: Replace cartridge when flow rate becomes inconveniently slow or before rated capacity is reached. It is recommended to replace cartridge at least once per year.
During a review of the facility's current Policy & Procedure (P&P), titled Maintenance Service, with the revision date of [DATE], the P&P indicated, Policy: Maintenance service shall be provided to all areas of the building, grounds and equipment.
The P&P's Policy Interpretation and Implementation section further inidcated:The Maintenance Department is responsible for maintaining the buildings, grounds, and equipment in a safe and operable manner at all times.Functions of maintenance personnel include but are not limited to maintaining the building in compliance with current federal, state, and local laws, regulations, and guidelines and maintaining the building in good repair and free from hazards.The Maintenance Director is responsible for developing and maintaining a schedule of maintenance service to assure that the buildings, grounds, and equipment are maintained in a safe and operable manner.Maintenance personnel shall follow the manufacturer's recommended maintenance schedule.
Maintenance personnel shall follow established safety regulations to ensure the safety and well-being of all concerned.
Facility ID: