The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
ARBOR GLEN CARE CENTER
GLENDORA, CA · Medicare-certified · 98 beds
Needs attention
For-profitChain member
1 of 5 overall
ARBOR GLEN CARE CENTER in Glendora has a 1-star overall rating, with a 1-star health inspection rating and a 2-star staffing rating, though its reported nurse staffing of 4.24 hours per resident per day is slightly above the federal benchmark of 4.1. It has the lowest overall rating flag, no fines in the last 24 months, and recent inspection concerns included treatment and care orders, safety/cleanliness, and pressure ulcer care.
Facility ratings
Health inspections
Staffing
4.2355 hrs/resident/day
Quality measures
Last inspection: February 20, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2355.
Staffing detail
- Registered nurses
- 0.51
- Licensed practical nurses
- 1.25
- Nurse aides
- 2.48
- Weekend nursing
- 3.67
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 77%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
6.8%Steady
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
7.1%Improving
Residents with a urinary tract infection
0.4%Improving
Residents who lost too much weight
1.4%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6.1%Improving
Residents whose ability to walk got worse
7.5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
6.3%Improving
Short-stay residents newly given an antipsychotic
1.4%Worsening
Residents with a long-term catheter
0.4%Improving
Residents with new or worsening incontinence
17.1%Worsening
Residents with depressive symptoms
1.8%Worsening
Long-stay residents given the seasonal flu vaccine
98.4%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited July 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: F
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to monitor antibiotic use properly. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 26 days
Medicare/Medicaid payment denial
Nov 6, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 88.3 residents on an average day (90% of 98 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 53 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.