I moved my mom into Rose Garden and I'm very pleased - the units and common areas are clean, rooms spacious and home-like, and the grounds are beautiful. The staff and administration are caring, family-focused and responsive, they handle medical concerns quickly and truly go above and beyond. Activities are engaging and varied (dancing, crafts, gardening, church, games), residents stay active and social, and the food/nutrition has been good - I would recommend this community.
Loved one of resident
Jul 2026
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Reviews
3.51·(55)
Overall rating
5
4
3
2
1
Care
3.0
Staff
3.5
Meals
3.0
Amenities
3.7
Value
2.1
Pros
Well-maintained grounds and garden-style layout
Accessible outdoor spaces and courtyard
Engaging activities program (music, dancing, crafts, games, church services)
Dementia-focused programming and memory activities
Compassionate and friendly direct-care staff
Responsive nursing and administrative staff
Home-like atmosphere and family-focused service
Clean and attractive common areas and updated rooms
Good food with generous meal portions
Strong housekeeping and laundry service
Opportunities for resident autonomy and socialization
PACE partnership and infection-control practices
Cons
Chronic understaffing and high staff turnover
Inconsistent cleanliness and sanitation across units
Gaps in supervision for residents with wandering or behavioral risks
Gaps in clinical-incident response and family notification
Rooming configuration with small shared rooms and limited privacy
Aging facility areas requiring renovation and uneven walkways
Variable management responsiveness and leadership instability
Billing and discharge coordination issues
Dining setup that can be noisy and institutional
Inconsistent personal-care routines and bathing schedules
Inconsistent medication and personal-item management
Limited transportation and organized outings
Summary of reviews
Reviewers describe a facility with clear strengths and notable weaknesses. Positive comments consistently highlight the campus and outdoor spaces: landscaped grounds, a central courtyard and garden-style layout are repeatedly praised and appear to support outdoor activity and resident autonomy. Many families compliment the activities program, citing music, dancing, crafts, memory games and weekly worship services as meaningful daily engagement. Multiple accounts indicate the community operates a dementia-focused program with memory-oriented activities and partnerships (including a PACE relationship) that some families find beneficial.
Staff performance is reported variably. Numerous reviews emphasize compassionate, friendly and helpful direct-care staff, attentive caregivers, and instances of responsive nursing or administrative leadership who provide individualized communication and family-focused service. At the same time, other reviewers describe younger or less experienced staff, long gaps between caregivers, and frequent leadership turnover. A recurring operational weakness is staffing levels: understaffing and high turnover are linked in reviews to delayed assistance, rushed care, and inconsistent follow-through on personal-care tasks.
Care quality and safety impressions are mixed. Positive accounts note attentive care, good nutrition and improvements in resident social engagement. Conversely, several reviews raise concerns about supervision for residents with behavioral risks, inconsistency in personal-care routines (including bathing and clothing changes), and sanitation or odor concerns in specific areas. There are also multiple descriptions that point to gaps in clinical-incident response and family notification following falls or other events, as well as reported problems around medication and personal-item management. These accounts suggest variability in clinical oversight and operational reliability across shifts or units.
Dining and daily life present contrasts. Many families praise the food quality and portion sizes and describe active communal dining and social opportunities. Other reviewers find the dining room large and noisy, with an institutional feel when all residents eat together. Transportation and organized outings are available in some instances but are described as limited or inconsistent by other families.
Facility condition is similarly mixed: reviewers note updated rooms, hardwood flooring and clean common areas, while others point to older building sections undergoing renovation, small shared rooms with limited privacy, uneven walkways and localized sanitation issues. Housekeeping receives both praise and critique, indicating variability across units or time.
Management and administrative themes include both strong, communicative leaders and instability or variable responsiveness. Several families commend administrators and nurses for being proactive and family-oriented; other accounts describe frequent leadership turnover, difficulty resolving billing or discharge questions, and instances where family communication around incidents was inadequate. Billing and discharge coordination are specifically identified as an operational pain point in some reviews.
Overall pattern: the Rose Garden Residential Care environment offers notable strengths in outdoor spaces, activity programming and, for many residents, compassionate direct care and good meals. At the same time, patterns of understaffing, inconsistent cleanliness and supervision, variability in incident communication, and room/privacy limitations create uneven experiences. Prospective families should verify current staffing ratios, observe dining and activity periods, ask about incident-notification protocols and review room configurations and housekeeping practices during a tour to assess suitability for a particular resident's clinical and safety needs.
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Location
Rose Garden Residential Care is located at 1350 Wabash Ave., Mentone, CA, 92359.
About Rose Garden Residential Care
Rose Garden Residential Care sits on a quiet two-acre property in Mentone, California, offering both assisted living and memory care, and it's got space for up to 63 residents, so you won't feel crowded but you'll have people around if you want to talk or join in with things, and there's always something going on since the place is known for its active schedule with stretching classes, art groups, movie nights, gardening clubs, music programs, Wii bowling, and even karaoke, and there's an activities director who plans these things out including intergenerational programs with younger folks visiting. The building has indoor and outdoor common areas, so you can relax inside or take a stroll along the secure walking paths in the gardens, and there are amenities you'd expect like a game room, a library that stays stocked with books, a spa, and spaces you can use for visits with family or other residents.
Rooms come in a few styles-semi-private, private, or one-bedroom options with average shared rooms starting at $3,800 a month and private rooms between $4,200 and $4,500, with care fees that go up if you need more help than basic support, and they have aging in place so you can stay if your needs change as you get older, which is something folks appreciate since moving can get hard over the years. The staff is around 24 hours a day with a nurse on staff and a doctor on call, and they can handle most care needs whether that's help with bathing and dressing, medication management, blood sugar checks and insulin shots for diabetes, incontinence care, mechanical lifts for transfers, or reminding you to get to meals or appointments. There's also help for residents who might wander or have more challenging behaviors or need special memory care, since they've got a secured memory care building out back, bracelets that set off alarms at exits if someone is likely to get lost, and staff trained to work with dementia and Alzheimer's-plus, they run memory programs like reminiscence activities and have dementia waiver services.
Meals get cooked by a professional chef and you can eat anytime, and they do special diets like gluten-free, vegan, low salt, or low sugar, and yes, they'll make sure the food is both healthy and tasty, and if you want, your guest can have meals too for an extra fee. Pets are welcome, and the place is non-smoking everywhere indoors. When you need to go somewhere, there's complimentary transportation for some trips, though longer rides may cost extra. You'll see visiting podiatrists, physical, occupational, and speech therapists, along with dentists and nurses who drop by, but there's also a wellness room on site, and they do fitness classes and nutrition talks, so there's help with both body and mind. Hospice and respite care are available, and families often come for visits thanks to the pleasant walking paths and activity rooms.
Residents can get medical equipment as needed, and care works on a light, medium, and heavy level system, making the support pretty customizable-staff can also help with reminders for toileting, grooming, or more complex medicines, and if you have behavioral changes, there are services for that as well. The place is wheelchair accessible, most rooms have full bathroom tubs, and the activities stretch across seasons with birthday celebrations, milestones, and events tailored to what residents actually like, not just what's on a list. The facility is licensed by the state of California, license number 366426422, and has a 3.5 out of 5-star rating from reviews, so it's considered pretty good, and people mention that while it's not the fanciest, it's comfortable, clean, friendly, and feels like home with enough extra touches to make daily living easier and more social, with the goal always being to help residents stay as independent and active as possible for as long as they want.
People often ask...
Rose Garden Residential Care offers memory care and skilled nursing.
There are 20 photos of Rose Garden Residential Care on Mirador.
The full address for this community is 1350 Wabash Ave., Mentone, CA 92359.
No, Rose Garden Residential Care does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In California, the Department of Social Services' Community Care Licensing Division licenses residential care facilities for the elderly, conducting inspections and investigating complaints.
Investigated an allegation that staff mismanaged a resident's medications.
15 Apr 2026Complaint
15 Apr 2026Complaint
Investigated a complaint alleging a resident sustained fractures while in care and another alleging illegal eviction; findings linked the injuries to elopement with a fall outside the premises, and there was no evidence to support the eviction claim.
Type B1569.2(c)(c)
30 Mar 2026Complaint
30 Mar 2026Complaint
Investigated an allegation that a staff member provided a THC drink to a resident; interviews and records showed cannabis possession by staff and the staff member was terminated.
Type A1569.625(c)(7)
24 Mar 2026Inspection
24 Mar 2026Inspection
Initiated an unannounced complaint investigation and observed no deficiencies.
24 Mar 2026Inspection
24 Mar 2026Inspection
Identified missing CCLD complaint posters and visiting policy during a prelicensing readiness assessment. Hot water temperature issues were noted, and the rest of the premises were clean and in good repair.
19 Feb 2026Complaint
19 Feb 2026Complaint
Investigated three allegations about injuries due to staff neglect, inadequate supervision, and residents left on the floor; interviews and observations showed no evidence to support the claims.
03 Feb 2026Inspection
03 Feb 2026Inspection
Identified two deficiencies from a complaint investigation related to food quality and health-related needs of residents.
Type B87555(b)(8)
Type B80092.1(n)
30 Jan 2026Complaint
30 Jan 2026Complaint
Investigated the allegation of neglect/lack of care and supervision resulting in hospitalization. The investigation found no evidence to support the allegation.
30 Jan 2026Complaint
30 Jan 2026Complaint
Investigated a complaint about a resident's death and related concerns; found no evidence of neglect or abuse by staff.
23 Dec 2025Complaint
23 Dec 2025Complaint
Found that the allegation that a resident sustained multiple injuries while in care and the allegation that staff failed to seek timely medical attention were not supported by the evidence.
19 Dec 2025Complaint
19 Dec 2025Complaint
Investigated three allegations about staff notifying the resident's responsible party of changes in condition and responding to calls; found no preponderance of evidence to support the allegations.
16 Dec 2025Complaint
16 Dec 2025Complaint
Investigated a complaint alleging staff left a resident in soiled diapers/clothes, did not follow a special diet ordered by a physician, and did not assist with feeding; findings determined these allegations were unsubstantiated.
12 Dec 2025Complaint
12 Dec 2025Complaint
Observed that a resident sustained an unwitnessed fall with head injury and staff did not seek medical attention, and mold was found on bread served to a resident.
Type A87465(g)
Type B87555(a)
05 Dec 2025Inspection
05 Dec 2025Inspection
Identified deficiencies in medication orders and labeling, and in a signal system that did not identify the specific resident unit.
Type A87465(e)(2)
Type B87303(i)(1)(C)
01 Oct 2025Complaint
01 Oct 2025Complaint
Investigated a complaint that staff did not follow infection control protocols; found the infection control plan not updated and no infection control training for Covid-19 PPE completed.
Type B87470(c)
Type B87208
08 Aug 2025Complaint
08 Aug 2025Complaint
Identified problems related to maintenance and operation, theft and loss of resident property, and resident records, along with concerns about care, activities, and accommodations for residents.
Type B87303(a)
Type B87218(a)(1)(2)
Type B87506(a)(1)
Type B1569.153
16 May 2025Complaint
16 May 2025Complaint
Found capacity was not exceeded; medications were administered on time, and residents reported their care needs were met.
08 Apr 2025Complaint
08 Apr 2025Complaint
Investigated a complaint that staff did not provide a resident's records to the responsible party promptly.
Type B87468.2(a)(19)
26 Mar 2025Complaint
26 Mar 2025Complaint
Investigated allegation that staff did not ensure residents' care needs were met. Interviews with residents and staff indicated care needs were being met.
14 Jan 2025Complaint
14 Jan 2025Complaint
Investigated allegations that staff did not intervene during resident aggression and that staffing was insufficient; found that staff intervened promptly and there was sufficient staffing to meet residents' needs.
30 Dec 2024Inspection
30 Dec 2024Inspection
Found overall compliance with safety, food service, and staffing standards; four resident files and four staff files were reviewed and current; no deficiencies cited.
23 Dec 2024Complaint
23 Dec 2024Complaint
Investigated the allegation that staff did not provide records to the resident's authorized person. Found the allegation unfounded.
23 Dec 2024Complaint
23 Dec 2024Complaint
Investigated a complaint alleging staff did not alert residents about the license change and yelled at residents. The evidence did not establish the allegations.
23 Dec 2024Complaint
23 Dec 2024Complaint
Investigated allegations of inadequate staffing and bed bugs; found staffing recently sufficient and pest control addressed the problem.
19 Dec 2024Inspection
19 Dec 2024Inspection
Investigated specific complaints by interviewing residents and staff and reviewing documents during an unannounced case-management visit.
04 Sept 2024Complaint
04 Sept 2024Complaint
Investigated an allegation that a staff member slapped a resident; interviews and records did not provide evidence to confirm or deny the incident.
26 Mar 2024Complaint
26 Mar 2024Complaint
Identified issues with safeguarding a resident's personal property and a missing antenna, and reviewed a lack of supervision related to a fall.
Type B87217(j)
01 Mar 2024Inspection
01 Mar 2024Inspection
Observed a patio fence door in disrepair that did not operate properly, posing immediate safety risks to residents.
Type A87303(a)
01 Mar 2024Complaint
01 Mar 2024Complaint
Investigated allegations that staff neglected a resident, failed to meet medical needs, did not administer medications as prescribed, and did not meet hygiene needs, and investigators did not find evidence to corroborate these allegations.
30 Jan 2024Inspection
30 Jan 2024Inspection
Observed that conditions were within required limits, with adequate food supplies and sufficient staff to meet resident needs. Safety systems, including detectors, were tested and functioning properly.
30 Jan 2024Complaint
30 Jan 2024Complaint
Investigated allegations that staff physically abused residents and did not treat residents with dignity. Interviews with eight residents and staff found no evidence of abuse and residents reported receiving respectful care.
18 Jan 2024Complaint
18 Jan 2024Complaint
Investigated two allegations: a staff member left a resident unattended in a bathtub with running water, and staff did not isolate residents with scabies. Found evidence supporting the first issue and found no evidence of scabies outbreaks or related isolations.
Type A80072(3)(1)
15 Dec 2023Inspection
15 Dec 2023Inspection
Initiated a case management office visit to address missing information in an amended complaint investigation.
06 Dec 2023Complaint
06 Dec 2023Complaint
Investigated a complaint that a resident eloped due to inadequate supervision; the resident was later found outside the premises and escorted back.
Type A87705(4)(A)
Type A87415
16 Nov 2023Complaint
16 Nov 2023Complaint
Investigated an allegation that staff did not safeguard a resident's personal items and failed to inform the resident's authorized representative about broken glasses.
Type B87218(a)(a)
Type B87211(1)A
16 Nov 2023Complaint
16 Nov 2023Complaint
Investigated allegations that a resident was left soiled for an extended period and that hygiene needs and clean clothing were not provided; interviews and records showed hygiene needs were met and residents were checked regularly.
06 Nov 2023Complaint
06 Nov 2023Complaint
Investigated the allegation that staff did not ensure the living areas were free of bed bugs; interviews, observations, and pest-control records showed beds appeared free of bed bugs.
31 Oct 2023Inspection
31 Oct 2023Inspection
Conducted an unannounced visit to amend a prior complaint; staff signed the amended documents during the visit.
30 Oct 2023Complaint
30 Oct 2023Complaint
Investigated an allegation that a resident sustained an unexplained bruise while in care; interviews and records could not explain how the bruising occurred.
Type B87705(l)(5)
30 Oct 2023Complaint
30 Oct 2023Complaint
Investigated the allegation that staff did not meet a resident's hygiene needs. Observations showed the resident's room and linens were clean, and a hygiene schedule was in place.
30 Oct 2023Complaint
30 Oct 2023Complaint
Investigated Allegation 1 about preventing a scabies outbreak, Allegation 2 about residents left in soiled diapers causing a rash, and Allegation 3 about not seeking medical attention for residents. Found no evidence to support these allegations.
02 Oct 2023Complaint
02 Oct 2023Complaint
Investigated concerns that residents' rights were violated, including visitation access, grooming, supervision, retaliation, eviction, and feeding. Interviews and observations found no evidence to support these allegations.
22 Aug 2023Complaint
22 Aug 2023Complaint
Identified three specific allegations: resident records were not kept up-to-date, staff did not assist with scheduling medical appointments, and medical attention to a resident was not provided in a timely manner.
07 Aug 2023Inspection
07 Aug 2023Inspection
Conducted an unannounced visit to amend a prior complaint record, discussed the purpose with the business office manager, and completed an exit interview.
06 Jul 2023Inspection
06 Jul 2023Inspection
Observed an unannounced licensing visit to amend a previously issued complaint report.
21 Jun 2023Complaint
21 Jun 2023Complaint
Investigated an allegation that staff handled a resident roughly, causing bruising. Interviews and records reviewed found no preponderance of evidence to prove the violation.
21 Jun 2023Complaint
21 Jun 2023Complaint
Investigated an allegation that staff did not adequately supervise residents. Found sufficient staffing and measures were in place to prevent residents' personal items from being thrown over the gate.
21 Jun 2023Complaint
21 Jun 2023Complaint
Investigated two allegations—preventing a scabies outbreak and adequacy of cleaning—based on interviews and observations.
27 Jan 2023Complaint
27 Jan 2023Complaint
Investigated allegations that a resident sustained injuries, belongings were not safeguarded, and hygiene services were inadequate; found there was not enough evidence to prove the allegations.
25 Jan 2023Complaint
25 Jan 2023Complaint
Investigated a complaint alleging resident bruising and improper reporting; interviews and documentation indicated staff used redirection and one-on-one supervision as needed, and reporting procedures were followed.
28 Dec 2022Inspection
28 Dec 2022Inspection
Observed infection control measures at the location, including required postings, hand hygiene supplies, PPE, and cleaning/disinfecting provisions. Current census was 59 with no residents suspected of having COVID; staff monitored for changes, and fire drills were conducted monthly with carbon monoxide alarms tested and operational.
14 Dec 2022Complaint
14 Dec 2022Complaint
Investigated an allegation that the air conditioning unit was not working.
14 Dec 2022Inspection
14 Dec 2022Inspection
Confirmed a complaint investigation was amended during the visit, after initial initiation in August 2022. No deficiencies were cited at the time of the visit.
16 Nov 2022Complaint
16 Nov 2022Complaint
Investigated three allegations of medication dispensing, entry denial, and resident ADL assistance. Found that medications were dispensed to residents, visitors were not denied entry, and one resident handles their own ADLs.
14 Sept 2022Complaint
14 Sept 2022Complaint
Investigated four allegations related to grooming, feeding, telephone availability, and visiting practices. Found that grooming and feeding needs were met, the telephone was working, and visiting procedures were followed.
06 Sept 2022Inspection
06 Sept 2022Inspection
Observed no deficiencies or safety hazards during an unannounced visit; food and water supplies were adequate and temperatures were maintained.
03 Aug 2022Complaint
03 Aug 2022Complaint
Investigated an allegation that staff did not answer phone lines; evidence showed calls were answered and the phone was operational.
22 Jul 2022Inspection
22 Jul 2022Inspection
Identified the allegation that a person was not associated with the site, posing an immediate health and safety risk to clients in care.
03 May 2022Inspection
03 May 2022Inspection
Identified no imminent health and safety concerns, but a deficiency related to reporting the death of a client was cited.
25 Mar 2022Inspection
25 Mar 2022Inspection
Observed an unannounced visit to address a complaint; no deficiencies were cited.
07 Mar 2022Complaint
07 Mar 2022Complaint
Investigated allegations of neglect and lack of care and supervision. Investigated claims that a resident was not allowed to transfer and that fees were charged for services not provided; interviews indicated insufficient evidence to prove these allegations.
24 Nov 2021Complaint
24 Nov 2021Complaint
Investigated four specific allegations—incident reporting, preventing a physical altercation, camouflaging medications without a prescription, and suspected scabies—and found insufficient evidence to prove the allegations.
24 Nov 2021Inspection
24 Nov 2021Inspection
Observed no active COVID-19 cases and verified infection control measures, including daily symptom screening and ongoing staff testing.
30 Aug 2021Complaint
30 Aug 2021Complaint
Investigated four specific allegations involving staff restraint, staff yelling at a resident, cleanliness, and safeguarding residents' personal property; investigators found no conclusive evidence to prove or disprove the claims.
23 Aug 2021Complaint
23 Aug 2021Complaint
Investigated the allegation that the phone was in disrepair and that staff were not allowing family visitations. No deficiencies were cited.
19 Aug 2021Complaint
19 Aug 2021Complaint
Investigated two specific allegations regarding medication handling and safeguarding personal belongings; evidence showed the medication list was provided to the hospital/SNF and belongings were stored by staff until pickup.
23 Jul 2021Complaint
23 Jul 2021Complaint
Investigated the allegation that staffing was insufficient and found there were enough qualified staff to meet residents' needs across shifts.
23 Jul 2021Complaint
23 Jul 2021Complaint
Investigated Allegations 1-4 about staff contacting the authorized representative in a timely manner, safeguarding residents' belongings, cleaning resident rooms, and an altercation; found all four unsubstantiated.
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of Rose Garden Residential Care. The information above has not been verified or approved by the owner or operator. For exact information, please contact Rose Garden Residential Care directly. There is no cost for this service. We are compensated by the community you select.
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