Starfile / California

ARBOR GLEN CARE CENTER

1033 E. ARROW HIGHWAY, GLENDORA, CA 91740 · CCN 056360

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

1

Payment denials

1

Chain

Chain

THE ENSIGN GROUP

Facilities in chain

329

Chain avg overall

3.20 / 5

Inspection citations (94)2 actual harm

1. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2026-01-20 · Health

   Potential for more than minimal harm

2. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-18 · Health · corrected 2026-01-07

   Potential for more than minimal harm

3. DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-12-18 · Health · corrected 2026-01-07

   Potential for more than minimal harm

4. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-18 · Health · corrected 2026-01-14

   Potential for more than minimal harm

5. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-11 · Health · corrected 2025-05-01

   Potential for more than minimal harm

6. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-11 · Health · corrected 2025-05-01

   Potential for more than minimal harm

7. DF0693Ensure 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.2025-03-20 · Health · corrected 2025-04-03

   Potential for more than minimal harm

8. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-03-20 · Health · corrected 2025-04-03

   Potential for more than minimal harm

9. DF0880Provide and implement an infection prevention and control program.2025-03-20 · Health · corrected 2025-04-03

   Potential for more than minimal harm

10. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-02-06 · Health · corrected 2025-02-28

    Potential for more than minimal harm

11. DF0558Reasonably accommodate the needs and preferences of each resident.2025-02-06 · Health · corrected 2025-03-03

    Potential for more than minimal harm

12. DF0641Ensure each resident receives an accurate assessment.2025-02-06 · Health · corrected 2025-03-03

    Potential for more than minimal harm

13. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-02-06 · Health · corrected 2025-02-28

    Potential for more than minimal harm

14. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-02-06 · Health · corrected 2025-03-03

    Potential for more than minimal harm

15. DF0679Provide activities to meet all resident's needs.2025-02-06 · Health · corrected 2025-03-03

    Potential for more than minimal harm

16. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-06 · Health · corrected 2025-03-03

    Potential for more than minimal harm

17. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-06 · Health · corrected 2025-03-03

    Potential for more than minimal harm

18. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-06 · Health · corrected 2025-03-03

    Potential for more than minimal harm

19. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-06 · Health · corrected 2025-03-03

    Potential for more than minimal harm

20. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-02-06 · Health · corrected 2025-02-28

    Potential for more than minimal harm

21. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-06 · Health · corrected 2025-02-28

    Potential for more than minimal harm

22. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-02-06 · Health · corrected 2025-02-28

    Potential for more than minimal harm

23. EF0880Provide and implement an infection prevention and control program.2025-02-06 · Health · corrected 2025-03-03

    Potential for more than minimal harm

24. EF0881Implement a program that monitors antibiotic use.2025-02-06 · Health · corrected 2025-03-03

    Potential for more than minimal harm

25. DF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2025-02-06 · Health · corrected 2025-03-03

    Potential for more than minimal harm

26. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-02-06 · Health · corrected 2025-03-03

    Potential for more than minimal harm

27. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-30 · Health · corrected 2025-02-22

    Potential for more than minimal harm

28. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-30 · Health · corrected 2025-02-22

    Potential for more than minimal harm

29. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-12-13 · Health · corrected 2025-01-01

    Potential for more than minimal harm

30. EF0880Provide and implement an infection prevention and control program.2024-12-13 · Health · corrected 2025-01-01

    Potential for more than minimal harm

31. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

32. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-11-06 · Health · corrected 2024-11-29

    Potential for more than minimal harm

33. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-11-06 · Health · corrected 2024-11-30

    Potential for more than minimal harm

34. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-06 · Health · corrected 2024-11-29

    Potential for more than minimal harm

35. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-06 · Health · corrected 2024-11-29

    Actual harm

36. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-09-27 · Health · corrected 2024-10-21

    Potential for more than minimal harm

37. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-09-11 · Health · corrected 2024-10-02

    Potential for more than minimal harm

38. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-07-15 · Health · corrected 2024-08-07

    Potential for more than minimal harm

39. DF0558Reasonably accommodate the needs and preferences of each resident.2024-03-22 · Health · corrected 2024-04-08

    Potential for more than minimal harm

40. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-05 · Health · corrected 2024-03-18

    Potential for more than minimal harm

41. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

42. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

43. DF0584Honor 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.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

44. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

45. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

46. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

47. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

48. DF0679Provide activities to meet all resident's needs.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

49. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

50. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

51. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

52. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

53. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

54. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

55. DF0758Implement 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.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

56. EF0759Ensure medication error rates are not 5 percent or greater.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

57. EF0760Ensure that residents are free from significant medication errors.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

58. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

59. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

60. DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

61. EF0880Provide and implement an infection prevention and control program.2024-01-25 · Health · corrected 2024-02-15

    Potential for more than minimal harm

62. DF0610Respond appropriately to all alleged violations.2023-08-30 · Health · corrected 2023-09-22

    Potential for more than minimal harm

63. EF0908Keep all essential equipment working safely.2023-08-19 · Health · corrected 2023-09-11

    Potential for more than minimal harm

64. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-17 · Health · corrected 2023-09-08

    Potential for more than minimal harm

65. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-11 · Health · corrected 2023-09-18

    Potential for more than minimal harm

66. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-07-28 · Health · corrected 2023-08-25

    Potential for more than minimal harm

67. DF0908Keep all essential equipment working safely.2023-07-28 · Health · corrected 2023-08-25

    Potential for more than minimal harm

68. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-07-11 · Health · corrected 2023-07-29

    Potential for more than minimal harm

69. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-05-02 · Health · corrected 2023-06-09

    Potential for more than minimal harm

70. DF0558Reasonably accommodate the needs and preferences of each resident.2023-03-29 · Health · corrected 2023-04-30

    Potential for more than minimal harm

71. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-03-29 · Health · corrected 2023-04-30

    Potential for more than minimal harm

72. DF0584Honor 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.2023-03-29 · Health · corrected 2023-04-30

    Potential for more than minimal harm

73. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-29 · Health · corrected 2023-04-30

    Potential for more than minimal harm

74. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-29 · Health · corrected 2023-04-30

    Potential for more than minimal harm

75. GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-03-29 · Health · corrected 2023-04-30

    Actual harm

76. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-08-12 · Health · corrected 2021-10-08

    Potential for more than minimal harm

77. DF0551Give the resident's representative the ability to exercise the resident's rights.2021-08-12 · Health · corrected 2021-10-08

    Potential for more than minimal harm

78. DF0558Reasonably accommodate the needs and preferences of each resident.2021-08-12 · Health · corrected 2021-10-08

    Potential for more than minimal harm

79. EF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2021-08-12 · Health · corrected 2021-10-08

    Potential for more than minimal harm

80. DF0578Honor 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.2021-08-12 · Health · corrected 2021-10-08

    Potential for more than minimal harm

81. EF0584Honor 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.2021-08-12 · Health · corrected 2021-10-08

    Potential for more than minimal harm

82. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2021-08-12 · Health · corrected 2021-10-08

    Potential for more than minimal harm

83. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-08-12 · Health · corrected 2021-10-08

    Potential for more than minimal harm

84. EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2021-08-12 · Health · corrected 2021-10-08

    Potential for more than minimal harm

85. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-08-12 · Health · corrected 2021-10-08

    Potential for more than minimal harm

86. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-08-12 · Health · corrected 2021-10-08

    Potential for more than minimal harm

87. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-08-12 · Health · corrected 2021-10-08

    Potential for more than minimal harm

88. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-08-12 · Health · corrected 2021-10-08

    Potential for more than minimal harm

89. DF0693Ensure 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.2021-08-12 · Health · corrected 2021-10-08

    Potential for more than minimal harm

90. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2021-08-12 · Health · corrected 2021-10-08

    Potential for more than minimal harm

91. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2021-08-12 · Health · corrected 2021-10-08

    Potential for more than minimal harm

92. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-08-12 · Health · corrected 2021-10-08

    Potential for more than minimal harm

93. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2021-08-12 · Health · corrected 2021-10-08

    Potential for more than minimal harm

94. EF0880Provide and implement an infection prevention and control program.2021-08-12 · Health · corrected 2021-10-08

    Potential for more than minimal harm

Ownership

Other facilities in GLENDORA

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.