Villa Mesa Care Center

    867 E 11th St, Upland, CA, 91786
    2.4 · 38 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Neglectful, unsafe care; investigate urgently

    I had a mixed, ultimately alarming experience. While some staff were kind, responsive, and the place could be clean, I also saw serious lapses: unresponsive nurses, missed medications, residents left soiled, bed sores, falls, overcrowded/under-staffed rooms, poor communication, mismanaged/missing belongings and evasive management - issues that felt neglectful and unsafe. I would not recommend this facility without a full, independent investigation.

    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

    2.45 · 38 reviews

    Overall rating

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

      2.0
    • Staff

      2.3
    • Meals

      1.0
    • Amenities

      2.0
    • Value

      2.4

    Pros

    • Some staff are genuinely caring and attentive
    • Helpful and friendly front desk personnel
    • Clean and sanitized facility reported by some reviewers
    • Courteous and respectful treatment in several accounts
    • Proactive caseworker / social worker noted by some families
    • Quick and easy video call scheduling available
    • Staff who go above and beyond for individual residents
    • Some residents reported no bed sores and good hygiene
    • Pleasant atmosphere and good vibes mentioned
    • Facility described as nicer than many competitors by some
    • Certain nurses and caregivers praised for excellent care
    • Some reviewers satisfied with overall care and would recommend

    Cons

    • Frequent reports of neglect and unattended care
    • Serious medication problems (missed or delayed meds)
    • Bed sores reported in multiple cases
    • Falls and repeated unaddressed falls for residents
    • Nurses unresponsive or slow to respond
    • Staff sleeping on duty alleged
    • Residents left in soiled diapers or clothing for hours
    • Failure to reposition bed‑ridden patients
    • Poor communication and unreturned phone calls
    • Disorganized administration and vague answers
    • Incompetent or uncaring administration cited
    • Allegations of elder abuse and life‑threatening neglect
    • Facility described as unsafe and potentially needing shut down
    • Overcrowded rooms and privacy violations
    • Understaffed and overfilled with residents
    • Heavily soiled environment and urine/cleanliness concerns
    • Inconsistent quality—care varies widely by staff/shift
    • Front desk or admissions staff rude or unprofessional
    • Theft or mismanagement of residents' belongings alleged
    • Refusal or delay in releasing patients / transfer issues
    • No pain medications for extended periods reported
    • Failure to feed patients and poor feeding assistance
    • Physical therapy described as ineffective or inadequate
    • Misinformation from management and lack of follow up
    • Food quality inconsistent (some say terrible)
    • Maintenance delays and cramped living spaces
    • Restricted visitation and COVID‑related transfer confusion
    • Racial bias and discriminatory behavior reported by some
    • Hot indoor temperatures and discomfort from heat
    • Concerns about insurance‑focused, for‑profit administration
    • Potential legal and regulatory concerns raised by families
    • Some reviews describe the facility as dehumanizing
    • Some staff reported unhappy or poorly trained

    Summary review

    Overall sentiment across the reviews for Villa Mesa Care Center is highly polarized but leans heavily toward serious concern. Many reviewers report severe lapses in basic care and safety—missed medications, bed sores, untreated pain, residents left in soiled conditions, repeated falls, and even allegations of life‑threatening neglect or death. These are not isolated, low‑severity gripes: multiple accounts describe patterns that suggest chronic understaffing, inadequate monitoring, and failures of basic nursing duties (feeding, repositioning, bathing, administering medications). Several reviewers explicitly call for regulatory inspection or facility closure, indicating the perceived gravity of problems.

    At the same time, a notable minority of reviews praise individual staff members and specific services. Reviewers mention caring, attentive nurses or aides, a proactive caseworker, friendly front desk staff, efficient video call scheduling, and instances of clean, pleasant rooms with no bed sores. Some families say the facility is nicer than competitors and that staff went above and beyond. This split suggests significant inconsistency—quality appears to vary substantially by shift, unit, or individual caregiver rather than being uniformly good or bad.

    Staff behavior and responsiveness are central themes. Negative accounts emphasize rude or unprofessional front desk staff, unreturned phone calls, evasive management, and vague answers from administrators. Multiple reviews report that complaints are ignored or not followed up by directors. Positive accounts, however, highlight courteous interactions, respectful treatment, and staff who are available to answer questions. The contrast implies variable training, morale, or leadership effectiveness; the facility may have pockets of competent, committed employees alongside systemic administrative problems.

    Facility conditions and operational issues also recur. Several reviewers describe overcrowded rooms, cramped spaces, maintenance delays, and poor cleanliness in specific instances (heavy soiling, urine, odors). Conversely, other reviewers report a clean, sanitized environment and a pleasant smell. Food quality is another split area—some call the food terrible while others praise meals. There are also reports of no TV in some rooms and a general feeling of dehumanization for some residents. Heat and indoor temperature complaints are mentioned as a comfort concern.

    Clinical care and safety-related themes are the most alarming. Repeated references to missed or delayed medications (including long periods without pain medication), failure to feed or reposition patients, bed sores, and falls point to clinical care deficits. Reports that physicians do not see patients regularly and that physical therapy was ineffective or insufficient add to concerns about medical oversight and rehabilitation services. Several reviews mention that residents were not properly registered or documented after admission, and that transfer and discharge paperwork were mishandled.

    Management, staffing, and organizational culture emerge as root issues in many reports. Reviewers describe the facility as understaffed and overfilled, with unhappy or poorly trained staff, and an administration perceived as prioritizing insurance or profit over care. Allegations of theft or mismanagement of belongings and refusal to release patients further illustrate perceived governance failures. A few reviews explicitly reference racial bias, and several call out the social worker or case management as either unhelpful or, in some cases, exceptionally proactive—again underscoring inconsistency.

    Taken together, the reviews present a facility with deeply mixed performance: some families had positive, even exemplary experiences with specific caregivers and services, while many others experienced serious neglect, safety failures, and poor responsiveness from management. The most frequent and severe complaints—medication errors, bed sores, falls, soiling, and communication breakdowns—are red flags that warrant careful attention by prospective families and regulators alike. If considering Villa Mesa Care Center, families should prioritize direct verification: review the latest health department inspections, ask for staffing ratios and medication administration protocols, observe multiple shifts, confirm transfer and documentation procedures, and maintain close monitoring (including frequent visits or video check‑ins) until they are confident in consistent, safe care.

    Location

    Map showing location of Villa Mesa Care Center

    About Villa Mesa Care Center

    Villa Mesa Care Center is a medium-sized nursing facility that offers both short-term rehabilitation and long-term care for seniors. With a capacity of 99 beds, it operates as a for-profit partnership and is not part of a continuing care retirement community. The center participates in both Medicare and Medicaid programs, making it accessible to a broader population in need of skilled nursing services. Residents at Villa Mesa Care Center can benefit from a range of care options, whether they are recovering from a recent hospital stay or require ongoing support with daily activities and medical needs.

    The care provided at Villa Mesa Care Center is designed to support residents with various health conditions and recovery goals. For those in short-term rehabilitation, the facility focuses on helping individuals regain strength and function after hospitalizations due to events such as stroke, heart attack, infection, or injury. Approximately 40.7% of these residents have been able to return home following their stay. The staff works with each resident to facilitate recovery, offering nursing support around the clock, and residents receive an average of 3 hours and 49 minutes of nurse staffing per day. The facility is also noted for its consistency in weekend staffing, ensuring care is maintained at the same level every day of the week.

    Health and safety are ongoing priorities at Villa Mesa Care Center, with regular inspections conducted to uphold standards. The most recent government health inspections have noted areas for improvement, but overall, the facility has not been subjected to fines or denied payments in recent years. The team at Villa Mesa Care Center emphasizes infection prevention, diligent medication management, accurate resident assessments, and maintaining residents’ rights to dignity, respect, and personal possessions. Furthermore, all residents receive yearly influenza vaccinations, and the vast majority are able to maintain self-care skills such as moving, eating, and using the bathroom independently.

    Villa Mesa Care Center provides a supportive environment that addresses not only the medical but also the personal and social needs of its residents. The dedicated staff is trained to assist individuals who need daily help with both medical concerns and daily living activities. The center strives to foster a sense of community while focusing on each person’s well-being, safety, and comfort during their rehabilitation or extended care stay.

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