Nursing homeFAID #13841
Mesa Glen Care Center
638 E COLORADO AVENUE, GLENDORA, CA, 91740
(626) 963-6091
96 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
96
CMS facility ID
555854
Care type
Nursing home
County
Los Angeles
Facility name
Mesa Glen Care Center
Street address
638 E COLORADO AVENUE
City / state / ZIP
Glendora, CA 91740
Phone
(626) 963-6091
About this facility — Mesa Glen Care Center
Mesa Glen Care Center is a Medicare/Medicaid-certified skilled nursing facility in Glendora, California. It is licensed for 96 beds — close to the median for skilled nursing facilities in California (98 beds).
It is one of 50 senior care facilities in Glendora and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Mesa Glen Care Center 176 times across 42 inspections in the last three years, including 7 food-safety citations, and CMS has imposed $103,080 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Ownership type
For profit - Limited Liability company
Registered owners & officers
Wolmark, Diana
Direct owner — 19% stake — since 2023
Zeffren, David
Direct owner — 19% stake — since 2023
Mahan, Marylynn
Direct owner — 10% stake — since 2008
Weinberger, Philip
Direct owner · Governing body — 10% stake — since 2008
Weiss, Hadassah
Direct owner — 9% stake — since 2023
Friedman, Bernard
Direct owner — 5% stake — since 2023
Gateways Rehabilitation Center Ii Llc
Additional disclosable party — since 2023
Renew Health Consulting Services Llc
Operational control · Additional disclosable party — since 2023
Sharma, Vatsala
Operational control · Additional disclosable party — since 2023
Tolentino, Ma Rowena
Operational control · Additional disclosable party — since 2024
Urbina, Christian
Governing body · Operational control · Additional disclosable party — since 2025
Velasquez, Jose
Operational control · Additional disclosable party — since 2025
Regulatory standing
Licensed / certified since
2008-11-07
CMS overall rating
1 of 5 stars
Health deficiencies
56 at the last standard inspection
Federal fines
$103,080 total
Last standard inspection
2026-05-08
Nurse staffing
4.1 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$352 per day (≈ $10,700/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
75% Medicaid · 16% Medicare · 8% private/other
Occupancy
93% (fiscal year 2023)
Vs. state median
32% below the CA median of $514/day — full state cost breakdown
Services & coverage
Licensed beds
96
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 7 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-28Health inspectionComplaint-triggered1 citation
F-0573
D · No harm foundFrom a complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2026-06-20
2026-05-08Health inspection26 citations
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-05-26
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2026-06-01
F-0584
D · No harm found
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2026-05-29
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2026-06-01
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-05-26
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-05-25
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-06-01
F-0676
D · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2026-06-01
F-0686
E · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-05-25
F-0688
D · No harm found
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2026-06-01
F-0690
E · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-05-11
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-06-01
F-0694
E · No harm found
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2026-05-11
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-05-25
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2026-06-01
F-0700
D · No harm found
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2026-06-01
F-0726
D · No harm found
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2026-06-01
F-0732
E · No harm found
Post nurse staffing information every day.
Corrected 2026-05-11
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2026-06-01
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2026-06-01
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2026-06-01
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-05-29
F-0814
E · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2026-05-26
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-05-12
F-0924
D · No harm found
Put firmly secured handrails on each side of hallways.
Corrected 2026-05-29
F-0925
D · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2026-05-26
39 earlier / fire-safety inspections (149 citations)
2026-04-16Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-05-02
2026-04-01Health inspectionComplaint-triggered5 citations
F-0584
D · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2026-04-24
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-04-24
F-0836
D · No harm foundFrom a complaint
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2026-04-24
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-04-24
F-0919
E · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2026-04-24
2026-03-16Health inspectionComplaint-triggered1 citation
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-04-03
2026-02-03Health inspectionComplaint-triggered2 citations
F-0604
D · No harm foundFrom a complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2026-02-04
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-04
2026-01-29Health inspectionComplaint-triggered2 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-02-21
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-02-21
2026-01-05Health inspectionComplaint-triggered1 citation
F-0732
E · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2026-01-06
2025-12-30Health inspectionComplaint-triggered3 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-23
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-23
F-0812
D · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-23
2025-12-11Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-12
2025-12-01Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-10
2025-11-21Health inspectionComplaint-triggered2 citations
F-0550
E · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-12-15
F-0552
E · No harm foundFrom a complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-12-15
2025-09-10Health inspectionComplaint-triggered2 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-09-16
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-19
2025-09-05Health inspectionComplaint-triggered7 citations
F-0550
E · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-10-01
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-09-07
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2025-09-25
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-06
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-25
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-25
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-09-25
2025-08-13Health inspectionComplaint-triggered1 citation
F-0740
D · No harm foundFrom a complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-09-05
2025-07-25Health inspectionComplaint-triggered3 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-08-15
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-18
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-08-18
2025-07-02Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-25
2025-06-23Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-07-09
2025-06-05Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-06
2025-05-22Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-05
2025-04-15Health inspectionComplaint-triggered4 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-07
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-07
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-07
F-0726
D · No harm foundFrom a complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-05-07
2025-03-25Health inspectionComplaint-triggered1 citation
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-11
2025-03-07Health inspection27 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-28
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-05-05
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-03-28
F-0578
E · No harm found
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-03-28
F-0584
E · No harm found
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-03-28
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-28
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-03-28
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-28
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-28
F-0686
E · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-03-28
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-29
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-03-28
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-28
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-28
F-0697
E · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-03-28
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-03-28
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-03-28
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-03-28
F-0726
D · No harm found
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-03-28
F-0732
B · No harm found
Post nurse staffing information every day.
Corrected 2025-03-28
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-05
F-0758
E · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2025-05-05
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-28
F-0760
E · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2025-03-28
F-0801
E · No harm foundFood safety
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2025-03-28
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-28
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-05-05
2025-01-23Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-03
2025-01-07Health inspectionComplaint-triggered3 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-31
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-31
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-31
2024-12-11Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-12-27
2024-12-03Health inspectionComplaint-triggered2 citations
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-23
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-12-23
2024-11-26Health inspectionComplaint-triggered2 citations
F-0624
D · No harm foundFrom a complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2024-12-22
F-0660
D · No harm foundFrom a complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-12-22
2024-11-20Health inspectionComplaint-triggered5 citations
F-0622
D · No harm foundFrom a complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-12-13
F-0623
D · No harm foundFrom a complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-12-13
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-12-13
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-12-13
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-12-13
2024-08-09Health inspectionComplaint-triggered2 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-27
F-0727
D · No harm foundFrom a complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-08-16
2024-08-02Health inspectionComplaint-triggered2 citations
F-0584
D · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-08-06
F-0600
H · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-29
2024-07-18Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-08
2024-04-26Health inspectionComplaint-triggered3 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-05-31
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-26
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-28
2024-04-11Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-22
2024-03-23Health inspectionComplaint-triggered1 citation
F-0626
E · No harm foundFrom a complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2024-03-31
2024-03-22Health inspectionComplaint-triggered2 citations
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-03-31
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-31
2024-03-05Health inspectionComplaint-triggered19 citations
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-04-03
F-0578
E · No harm found
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-04-03
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-04-03
F-0582
E · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-04-03
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-04-03
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-03
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-04-03
F-0636
E · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-04-03
F-0638
E · No harm found
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-04-03
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-03
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-04-03
F-0686
E · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-03
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-04-03
F-0693
D · No harm found
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-04-03
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-03
F-0726
E · No harm found
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-04-03
F-0732
D · No harm found
Post nurse staffing information every day.
Corrected 2024-04-03
F-0757
E · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-04-03
F-0758
E · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-04-03
2023-10-08Health inspectionComplaint-triggered4 citations
F-0600
E · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-11-13
F-0609
E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-13
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-13
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-11-13
2026-05-08Fire-safety inspection12 citations
E-0007
C · No harm found
Address patient/client population and determine types of services needed.
Corrected 2026-05-15
K-0223
D · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2026-05-20
K-0271
D · No harm found
Have exits that are accessible at all times.
Corrected 2026-05-14
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-05-29
K-0346
C · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2026-05-28
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2026-05-29
K-0352
F · No harm found
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2026-05-20
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-05-29
K-0354
C · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2026-05-28
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2026-05-29
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-05-26
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-05-14
2025-03-07Fire-safety inspection10 citations
K-0342
D · No harm found
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2025-03-28
K-0345
E · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-28
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-28
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-03-28
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-03-28
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-03-28
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-03-28
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-28
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-03-28
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-03-28
2024-03-05Fire-safety inspection10 citations
E-0041
C · No harm found
Implement emergency and standby power systems.
Corrected 2024-04-03
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2024-04-03
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-04-03
K-0331
E · No harm found
Construct fire resistant interior walls.
Corrected 2024-04-03
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-04-03
K-0352
F · No harm found
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2024-04-03
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-04-03
K-0911
D · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-04-03
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-03
K-0925
D · No harm found
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
Corrected 2024-04-03
Federal penalties
2025-03-07Fine$66,576
2024-07-18Fine$36,504
2025-03-07Medicare payment denial — 33 days
Total fines$103,080
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 555854.
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Inspection citations — last 5 years
LockedThe 176 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
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Original records
Sources we pull for this facility.
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CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
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pacer.uscourts.gov
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