Mesa Glen Care Center

    638 E Colorado Ave, Glendora, CA, 91740
    2.7 · 49 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Compassionate staff, dangerously inconsistent care

    I've seen both sides: warm, compassionate CNAs, varied activities and often a clean facility - night staff can be amazing. But care is wildly inconsistent: missed meds, pressure ulcers, dropped residents, poor/limited rehab, botched appointments, unresponsive social workers and management. Safety and cleanliness sometimes slip into dangerous territory (plumbing, wiring, pests reported), plus HIPAA and coordination failures. Overall I would not trust this place for reliable, safe long-term care.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.65 · 49 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.1
    • Staff

      2.7
    • Meals

      2.2
    • Amenities

      2.4
    • Value

      1.0

    Pros

    • Attentive and compassionate CNAs and many nurses
    • Some nurses and night-shift staff praised as excellent
    • Dedicated, hands-on EVS/housekeeping manager
    • New administrator/management reported improving conditions
    • Active activities program (bingo, movies, varied options)
    • Admissions staff described as helpful and knowledgeable
    • Mobility/therapy services available (when scheduled)
    • Facility described as clean by multiple reviewers (some areas)
    • Two patios/outdoor spaces and smoking area
    • Food quality reported to have improved in some accounts
    • Friendly, smiling staff and comforting personal care noted
    • Some residents experienced improved health and quality of life

    Cons

    • Filthy/unsanitary conditions reported (roaches, dirty curtains)
    • Plumbing problems (hot water issues, clogged toilets)
    • Exposed live wiring and unsafe electrical outlets
    • Lack of or inadequate air conditioning and overheating
    • Limited/insufficient portable AC units
    • Maintenance neglect and delayed repairs
    • Allegations of neglect and abandonment of residents
    • Reports of violence or lack of supervision among patients
    • Suspected on-site drug use by residents
    • Medication errors and alleged false medication documentation
    • Missed medical appointments and poor doctor coordination
    • Wound care neglected and pressure ulcers reported
    • Catheters and IVs not removed promptly as required
    • Long gaps between checks (reports up to 5 hours)
    • Front-desk and staff slow or distracted in responding
    • Understaffing / few CNAs doing heavy workloads
    • Unprofessional or rude staff (nurses, DON, rehab worker)
    • Social workers unhelpful, unresponsive, or unprofessional
    • Improper discharge procedures and disputed AMA claims
    • Instances of residents left without food, water, clothing, money
    • HIPAA violations and inappropriate disclosure of information
    • Failure to file missing persons reports when needed
    • Resistance to sharing staff names and lack of transparency
    • Inconsistent care quality across shifts and staff members
    • Rehab services described as small or inadequate by some
    • Medication not administered and meds left on the floor
    • Poor coordination with outside specialists and appointments
    • Reports of being written up/fined and ombudsman involvement
    • Allegations of patient falls, dropped transfers, and injuries
    • Claims of death or serious harm due to lack of care
    • Mixed reports on cleanliness vs. grossly dirty areas
    • Three-person rooms and crowded living conditions
    • Mixed dining reports — meals sometimes disliked or poor
    • Some residents described as having inappropriate mixes (homeless/mentally ill)
    • Registry staff described as focused on revenue over care
    • Night vs day shift inconsistency in care quality
    • Slow call response on weekends and evenings
    • Loss or missing personal items (cell phone) reported
    • Perception of a depressing or unpleasant environment
    • Overall uncertainty about facility safety and oversight

    Summary review

    Overall sentiment is highly polarized and inconsistent: reviews range from glowing accounts of dedicated caregivers and clear improvements under new management to severe allegations of neglect, unsafe conditions, and administrative failures. Multiple reviewers praise specific staff members (CNAs, some nurses, night-shift personnel, an EVS manager, and admissions staff) and note meaningful improvements in cleanliness and food quality in certain periods. At the same time, a substantial number of reviews describe critical safety hazards, regulatory lapses, and failures in basic care. The pattern is one of uneven performance where pockets of strong, compassionate care coexist with alarming reports of neglect and unsanitary or hazardous facility conditions.

    Care quality and clinical concerns form the most serious and recurrent theme. Numerous reviewers allege missed medications, false medication documentation, delayed removal of catheters and IVs, neglected wound care, and the development of pressure ulcers. Several accounts describe long gaps between resident checks (reports up to five hours), missed pain-management or vascular appointments, and poor coordination with outside physicians. Some reviewers explicitly attribute harm—falls, repeated transfers, and in the most serious claims even death—to inadequate attention and understaffing. However, other reviewers emphasize competent, attentive CNAs and nurses who provide reliable, comforting care; this suggests large variability by unit, shift, or individual staff members rather than uniform performance.

    Staff behavior and responsiveness show a wide spectrum. Positive comments highlight kind, patient, and professional caregivers who provided excellent hands-on care, helpful admissions guidance, and an active activities program that improved residents’ quality of life. Negative reports describe rude or unprofessional nurses (particularly certain day-shift staff), apathetic social workers, a dismissive director, and front-desk personnel distracted from assisting visitors and residents. Several reviews call out failures to return calls, to share staff names, and to act transparently. There are repeated mentions of night-shift staff being strong, while day/AM shifts were sometimes criticized—indicating inconsistency across schedules.

    Facility upkeep, safety, and environment are another starkly mixed area. Some reviewers describe the building as clean, comfortable, and well-run in places; others report severe maintenance and sanitation problems: presence of roaches, dirty curtains, plumbing issues (lack of hot water, clogged toilets), exposed live wiring, unsafe outlets, inadequate or absent air conditioning, and general maintenance neglect. These safety and sanitation complaints are particularly alarming because they point to systemic facility issues beyond individual caregiver performance. Several reviewers also raise concerns about resident mix and security (reports of violence, drug use on-site, and homeless individuals), which contribute to a perception of an unsafe or depressing environment for some families.

    Dining, activities, and rehabilitation services receive mixed feedback. The activities program (bingo, movie nights, varied daily options) is frequently cited as a positive, and outdoor spaces such as patios are appreciated. Dining quality was described as below average by some but noted to have improved to acceptable levels by others. Rehab offerings appear available but limited: some reviewers had positive therapy experiences and mobility programs after hospital referrals, while others say the rehab services are small, inadequate, or poorly coordinated with outside specialists.

    Management, transparency, and regulatory concerns arise repeatedly. Several reviewers praise recent management changes (named administrator 'Monica' and other managers) and describe potential turnaround efforts. Conversely, many reviewers accuse leadership of dismissiveness, dishonesty about discharges or AMA claims, resistance to sharing staff identities, and poor handling of complaints. There are multiple mentions of ombudsman involvement, facility fines or write-ups, and allegations that registry or administrative priorities are financially driven rather than patient-centered. Claims of HIPAA violations and failure to file missing-persons reports are particularly serious and indicate risks in privacy and regulatory compliance.

    In summary, Mesa Glen Care Center presents a deeply mixed profile: committed, caring frontline staff and some clear improvements under new management coexist with severe, recurring complaints about safety, sanitation, staffing levels, clinical neglect, and administrative dysfunction. The reviews indicate high variability in resident experience depending on which staff members, shifts, or units are involved. For prospective residents and families this means the facility may offer exceptional care in some circumstances but also carries documented risks and red flags that warrant careful, up-to-date vetting. Key patterns to confirm before placement include current staffing ratios, most recent inspection and deficiency reports, maintenance and infection-control practices, medication administration and documentation procedures, incident reporting (falls, missing-persons), and concrete evidence of sustained improvements under current management.

    Location

    Map showing location of Mesa Glen Care Center

    About Mesa Glen Care Center

    Mesa Glen Care Center is a medium-sized skilled nursing facility located in Glendora, California, offering care for up to 96 residents. This center operates under a for-profit, individually owned structure and is not part of a larger continuing care retirement community. Mesa Glen Care Center serves both short-term and long-term residents, accommodating individuals who require rehabilitation after a hospital stay as well as those needing ongoing nursing care due to chronic conditions or functional limitations. The facility participates in both Medicare and Medicaid programs, allowing a range of payment options for residents who meet specific eligibility criteria.

    Residents at Mesa Glen Care Center benefit from an average level of clinical care in both rehabilitation and long-term assistance, with ratings reflecting this standard across multiple recent reporting cycles. For short-term rehabilitation, residents here may recover following hospitalizations for events such as strokes, heart attacks, infections, or injuries. The care team provides necessary medical and supportive services with nearly four hours of nurse staffing per resident per day, ensuring foundational medical oversight and everyday assistance. Data indicate that the center maintains a consistent nurse staffing pattern on weekends, aligning with weekday care levels.

    For those requiring long-term care, Mesa Glen Care Center focuses on supporting residents in daily activities such as eating, dressing, moving around, and personal hygiene, aiming to preserve as much independence as possible. Reports suggest that a high percentage of residents retained their self-care abilities during their stay, and the vast majority received annual influenza vaccinations. Emergency preparedness and medical protocols are integral parts of the facility’s operations, with routine administration of medications and monitoring of resident well-being.

    Mesa Glen Care Center is subject to regular health, fire, and safety inspections. The center has made continual efforts to address identified concerns and has rapidly corrected areas requiring attention, according to inspection records. The facility is committed to providing a safe, clean environment for its residents and upholds quality standards in food safety, pressure ulcer management, respiratory care, and protection from hazards and accidents. The nursing home encourages care planning, accommodates preferences within its capabilities, and aims to foster a supportive environment in which residents’ rights and dignity are upheld.

    Overall, Mesa Glen Care Center offers a balance between medical oversight and personal care in a mid-sized setting, focusing on both restoring function and supporting long-term quality of life for its residents. The care center is an option for individuals and families seeking skilled nursing care with the flexibility of participating in Medicare and Medicaid.

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