Starfile / California

GLENDORA GRAND, INC

805 W. ARROW HWY., GLENDORA, CA 91740 · CCN 056079

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

$223,287

Number of fines

6

Number of penalties

7

Payment denials

1

Chain

Chain

ROLLINS-NELSON HEALTHCARE MANAGEMENT

Facilities in chain

10

Chain avg overall

2.10 / 5

Inspection citations (102)3 immediate jeopardy5 actual harm

1. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-11-26 · Health · corrected 2025-12-05

   Potential for more than minimal harm

2. EF0688Provide 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.2025-11-26 · Health · corrected 2025-12-05

   Potential for more than minimal harm

3. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-11-26 · Health · corrected 2025-12-05

   Potential for more than minimal harm

4. EF0558Reasonably accommodate the needs and preferences of each resident.2025-08-08 · Health · corrected 2025-08-25

   Potential for more than minimal harm

5. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-08-08 · Health · corrected 2025-08-25

   Potential for more than minimal harm

6. EF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2025-08-08 · Health · corrected 2025-08-20

   Potential for more than minimal harm

7. 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.2025-08-08 · Health · corrected 2025-08-27

   Potential for more than minimal harm

8. DF0583Keep residents' personal and medical records private and confidential.2025-08-08 · Health · corrected 2025-08-25

   Potential for more than minimal harm

9. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-08-08 · Health · corrected 2025-08-29

   Potential for more than minimal harm

10. DF0637Assess the resident when there is a significant change in condition2025-08-08 · Health · corrected 2025-08-26

    Potential for more than minimal harm

11. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-08-08 · Health · corrected 2025-08-25

    Potential for more than minimal harm

12. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-08 · Health · corrected 2025-08-10

    Potential for more than minimal harm

13. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-08-08 · Health · corrected 2025-08-25

    Potential for more than minimal harm

14. EF0692Provide enough food/fluids to maintain a resident's health.2025-08-08 · Health · corrected 2025-08-11

    Potential for more than minimal harm

15. EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-08-08 · Health · corrected 2025-08-26

    Potential for more than minimal harm

16. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-08 · Health · corrected 2025-08-29

    Potential for more than minimal harm

17. 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.2025-08-08 · Health · corrected 2025-08-29

    Potential for more than minimal harm

18. EF0814Dispose of garbage and refuse properly.2025-08-08 · Health · corrected 2025-08-27

    Potential for more than minimal harm

19. EF0880Provide and implement an infection prevention and control program.2025-08-08 · Health · corrected 2025-08-29

    Potential for more than minimal harm

20. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-26 · Health · corrected 2025-07-16

    Potential for more than minimal harm

21. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-26 · Health · corrected 2025-07-16

    Actual harm

22. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-05-15 · Health · corrected 2025-05-22

    Potential for more than minimal harm

23. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-10 · Health · corrected 2025-04-30

    Potential for more than minimal harm

24. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-10 · Health · corrected 2025-04-30

    Actual harm

25. 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.2025-04-10 · Health · corrected 2025-04-30

    Potential for more than minimal harm

26. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-02-26 · Health · corrected 2025-03-14

    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.2025-02-26 · Health · corrected 2025-03-14

    Potential for more than minimal harm

28. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-26 · Health · corrected 2025-03-14

    Potential for more than minimal harm

29. GF0687Provide appropriate foot care.2025-02-26 · Health · corrected 2025-03-14

    Actual harm

30. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-26 · Health · corrected 2025-03-14

    Potential for more than minimal harm

31. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-16 · Health · corrected 2024-08-17

    Immediate jeopardy

32. EF0558Reasonably accommodate the needs and preferences of each resident.2024-08-02 · Health · corrected 2024-08-26

    Potential for more than minimal harm

33. BF0578Honor 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.2024-08-02 · Health · corrected 2024-08-09

    Potential for minimal harm

34. 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.2024-08-02 · Health · corrected 2024-08-05

    Potential for more than minimal harm

35. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-02 · Health · corrected 2024-08-08

    Potential for more than minimal harm

36. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-08-02 · Health · corrected 2024-08-08

    Potential for more than minimal harm

37. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-08-02 · Health · corrected 2024-08-08

    Potential for more than minimal harm

38. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-02 · Health · corrected 2024-08-15

    Actual harm

39. DF0687Provide appropriate foot care.2024-08-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

40. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

41. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-08-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

42. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-08-02 · Health · corrected 2024-08-08

    Potential for more than minimal harm

43. DF0732Post nurse staffing information every day.2024-08-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

44. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-08-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

45. EF0758Implement 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.2024-08-02 · Health · corrected 2024-08-23

    Potential for more than minimal harm

46. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-08-02 · Health · corrected 2024-08-26

    Potential for more than minimal harm

47. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-02 · Health · corrected 2024-08-26

    Potential for more than minimal harm

48. EF0814Dispose of garbage and refuse properly.2024-08-02 · Health · corrected 2024-08-26

    Potential for more than minimal harm

49. EF0825Provide or get specialized rehabilitative services as required for a resident.2024-08-02 · Health · corrected 2024-08-05

    Potential for more than minimal harm

50. DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2024-08-02 · Health · corrected 2024-08-02

    Potential for more than minimal harm

51. EF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.2024-08-02 · Health · corrected 2024-08-26

    Potential for more than minimal harm

52. EF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-08-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

53. EF0880Provide and implement an infection prevention and control program.2024-08-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

54. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-08-02 · Health · corrected 2024-08-20

    Potential for more than minimal harm

55. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-08-02 · Health · corrected 2024-08-23

    Potential for more than minimal harm

56. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-25 · Health · corrected 2024-07-01

    Potential for more than minimal harm

57. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-26 · Health · corrected 2024-05-20

    Potential for more than minimal harm

58. KF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-04-26 · Health · corrected 2024-05-20

    Immediate jeopardy

59. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-26 · Health · corrected 2024-05-20

    Immediate jeopardy

60. 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.2024-04-26 · Health · corrected 2024-05-20

    Potential for more than minimal harm

61. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-04-26 · Health · corrected 2024-05-20

    Potential for more than minimal harm

62. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-04-26 · Health · corrected 2024-07-01

    Potential for more than minimal harm

63. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-21 · Health · corrected 2024-03-25

    Potential for more than minimal harm

64. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-20 · Health · corrected 2023-09-22

    Potential for more than minimal harm

65. FF0908Keep all essential equipment working safely.2023-08-10 · Health · corrected 2023-08-30

    Potential for more than minimal harm

66. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-08-01 · Health · corrected 2023-08-02

    Potential for more than minimal harm

67. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

68. DF0558Reasonably accommodate the needs and preferences of each resident.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

69. EF0574The resident has the right to receive notices in a format and a language he or she understands.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

70. EF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

71. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

72. DF0641Ensure each resident receives an accurate assessment.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

73. DF0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

74. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

75. EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

76. EF0679Provide activities to meet all resident's needs.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

77. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

78. GF0688Provide 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.2023-06-09 · Health · corrected 2023-07-11

    Actual harm

79. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

80. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

81. EF0700Try 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.2023-06-09 · Health · corrected 2023-08-15

    Potential for more than minimal harm

82. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

83. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

84. 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.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

85. EF0759Ensure medication error rates are not 5 percent or greater.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

86. EF0760Ensure that residents are free from significant medication errors.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

87. 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.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

88. DF0790Provide routine and 24-hour emergency dental care for each resident.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

89. DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

90. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

91. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

92. EF0825Provide or get specialized rehabilitative services as required for a resident.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

93. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

94. DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

95. EF0880Provide and implement an infection prevention and control program.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

96. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-06-09 · Health · corrected 2023-07-11

    Potential for more than minimal harm

97. EF0880Provide and implement an infection prevention and control program.2023-06-01 · Health · corrected 2023-06-01

    Potential for more than minimal harm

98. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-05-04 · Health · corrected 2023-06-02

    Potential for more than minimal harm

99. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-04 · Health · corrected 2023-06-02

    Potential for more than minimal harm

100. EF0926Have policies on smoking.2023-05-04 · Health · corrected 2023-06-02

     Potential for more than minimal harm

101. EF0880Provide and implement an infection prevention and control program.2023-04-05 · Health · corrected 2023-04-14

     Potential for more than minimal harm

102. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-03-30 · Health · corrected 2023-04-05

     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.