The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Villa Mesa Care Center
Upland, CA · Medicare-certified · 99 beds
In good standing
For-profit
3 of 5 overall
3 of 5 stars overall. Villa Mesa Care Center has a strong health inspection and quality measures rating (4 of 5 stars each), but a very low staffing rating (1 of 5 stars) with reported nurse staffing below the federal benchmark (3.69 vs. 4.1 hours per resident per day); there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.6902 hrs/resident/day
Quality measures
Last inspection: January 23, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6902.
Staffing detail
- Registered nurses
- 0.34
- Licensed practical nurses
- 1.01
- Nurse aides
- 2.34
- Weekend nursing
- 3.50
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 56%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
11.6%0%Improving
Residents with a fall causing major injury
0%3.4%Worsening
Residents with pressure ulcers (bedsores)
6.7%1.9%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.5%6.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.3%0%Improving
Residents whose ability to walk got worse
—8.2%—
Long-stay residents on antianxiety or sleep medication
33.8%28.2%Improving
Short-stay residents newly given an antipsychotic
1.7%2.7%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
7.7%0%Improving
Residents with depressive symptoms
12.1%34.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.8%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—93.8%—
Short-stay residents given the pneumonia vaccine
97.6%100%Improving
What the inspectors found
The nursing home failed to properly screen residents for mental health or intellectual disability needs before or during admission. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 645 — 42 CFR §483.20 — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited November 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — 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 November 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 102.1 residents on an average day (103% of 99 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 54 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.