The most serious citations on this record
Every nursing-home citation carries a scope-and-severity grade from A (least serious) to L (most serious). The five highest-graded citations at Mesa Glen Care Center are:
F-0600 · August 2, 2024 · Grade H — Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date August 29, 2024
F-0600 · March 25, 2025 · Grade G — Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date April 11, 2025
F-0689 · March 7, 2025 · Grade G — Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Status: Deficient, Provider has date of correction · correction date March 29, 2025
K-0345 · May 8, 2026 · Grade F — Potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Status: Deficient, Provider has date of correction · correction date May 29, 2026
K-0352 · May 8, 2026 · Grade F — Potential for more than minimal harm
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Status: Deficient, Provider has date of correction · correction date May 20, 2026
What surveyors cited, theme by theme
Grouping the citations by subject shows whether a home's problems are isolated or concentrated in one part of care. At Mesa Glen Care Center, 16 subject areas appear across health and fire-safety inspections.
Freedom from abuse, neglect, and exploitation
18 citations between October 8, 2023 and May 8, 2026. The most serious was graded H — actual harm, affecting a pattern across residents. Surveyors found that a resident was actually harmed by the failure, though it was not classed as immediate jeopardy. 16 of these citations came out of complaint investigations. Correction record: 18 citations show a recorded correction date.
These citations go to the core duty to protect residents. Ask how the home screens and trains staff, how allegations are investigated, and whether the same staff or unit appears in more than one report.
F-0600 · August 2, 2024 · Grade H — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0600 · March 25, 2025 · Grade G — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0600 · October 8, 2023 · Grade E — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of life and daily care
42 citations between October 8, 2023 and May 8, 2026. The most serious was graded G (actual harm). 19 of these citations came out of complaint investigations. Correction record: 42 citations show a recorded correction date.
This group covers the basics of daily care — help with eating, bathing, toileting, repositioning, and timely treatment. Repeated citations here often match what families notice first: call lights unanswered, soiled briefs, missed care.
F-0689 · March 7, 2025 · Grade G — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0686 · May 8, 2026 · Grade E — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-0690 · May 8, 2026 · Grade E — Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Fire, smoke, and emergency safety
16 citations between March 5, 2024 and May 8, 2026. The most serious was graded F (potential for more than minimal harm). Correction record: 16 citations show a recorded correction date.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
K-0345 · May 8, 2026 · Grade F — Have approved installation, maintenance and testing program for fire alarm systems.
K-0352 · May 8, 2026 · Grade F — Properly install and monitor supervisory attachments on automatic sprinkler systems.
K-0352 · March 5, 2024 · Grade F — Properly install and monitor supervisory attachments on automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems
7 citations between March 5, 2024 and May 8, 2026. The most serious was graded F (potential for more than minimal harm). Correction record: 7 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0918 · March 7, 2025 · Grade F — Have generator or other power source capable of supplying service within 10 seconds.
K-0920 · March 5, 2024 · Grade E — Ensure proper usage of power strips and extension cords.
K-0920 · May 8, 2026 · Grade D — Ensure proper usage of power strips and extension cords.
Miscellaneous
3 citations between March 7, 2025 and May 8, 2026. The most serious was graded F (potential for more than minimal harm). Correction record: 3 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0761 · March 7, 2025 · Grade F — To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K-0712 · May 8, 2026 · Grade E — Have simulated fire drills held at unexpected times.
K-0712 · March 7, 2025 · Grade E — Have simulated fire drills held at unexpected times.
Resident rights
28 citations between March 5, 2024 and May 28, 2026. The most serious was graded E (potential for more than minimal harm). 15 of these citations came out of complaint investigations. Correction record: 28 citations show a recorded correction date.
Rights citations cover dignity, choice, privacy, grievances, and being told about changes in condition or care. Ask how the home notifies family of changes and how grievances are logged and answered.
F-0558 · May 8, 2026 · Grade E — Reasonably accommodate the needs and preferences of each resident.
F-0550 · November 21, 2025 · Grade E — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-0552 · November 21, 2025 · Grade E — Ensure that residents are fully informed and understand their health status, care and treatments.
Assessments and care planning
20 citations between March 5, 2024 and May 8, 2026. The most serious was graded E (potential for more than minimal harm). 11 of these citations came out of complaint investigations. Correction record: 20 citations show a recorded correction date.
Care-plan citations mean the written plan did not match the resident's known risks. Ask whether the care plan changed after each fall, wound, infection, or hospital return — or whether the same plan stayed in place while the resident declined.
F-0641 · May 8, 2026 · Grade E — Ensure each resident receives an accurate assessment.
F-0656 · May 8, 2026 · Grade E — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0656 · March 7, 2025 · Grade E — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Medication and pharmacy services
11 citations between March 5, 2024 and May 8, 2026. The most serious was graded E (potential for more than minimal harm). 2 of these citations came out of complaint investigations. Correction record: 11 citations show a recorded correction date.
Medication citations can involve wrong doses, unnecessary drugs, or poor monitoring. Ask for the medication administration record and whether a pharmacist reviewed the resident's drug regimen each month.
F-0755 · September 5, 2025 · Grade E — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0755 · March 7, 2025 · Grade E — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0758 · March 7, 2025 · Grade E — 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.
Nursing and Physician Services
10 citations between March 5, 2024 and May 8, 2026. The most serious was graded E (potential for more than minimal harm). 3 of these citations came out of complaint investigations. Correction record: 10 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
F-0732 · May 8, 2026 · Grade E — Post nurse staffing information every day.
F-0732 · January 5, 2026 · Grade E — Post nurse staffing information every day.
F-0725 · March 7, 2025 · Grade E — Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Food, nutrition, and hydration
7 citations between October 8, 2023 and May 8, 2026. The most serious was graded E (potential for more than minimal harm). 3 of these citations came out of complaint investigations. Correction record: 7 citations show a recorded correction date.
Nutrition failures connect directly to weight loss, dehydration, and slow wound healing. Ask for weight records, intake logs, and whether a dietitian reviewed the resident after any decline.
F-0812 · May 8, 2026 · Grade E — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0814 · May 8, 2026 · Grade E — Dispose of garbage and refuse properly.
F-0804 · March 16, 2026 · Grade E — Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Infection prevention and control
4 citations between November 20, 2024 and April 1, 2026. The most serious was graded E (potential for more than minimal harm). 3 of these citations came out of complaint investigations. Correction record: 4 citations show a recorded correction date.
Infection citations matter because infections are a leading cause of hospital transfer and death in nursing homes. Families should ask how the home tracks infections, isolates sick residents, and tells families when an outbreak starts.
F-0880 · April 1, 2026 · Grade E — Provide and implement an infection prevention and control program.
F-0880 · September 5, 2025 · Grade E — Provide and implement an infection prevention and control program.
F-0880 · March 7, 2025 · Grade E — Provide and implement an infection prevention and control program.
Physical environment and safety
3 citations between April 1, 2026 and May 8, 2026. The most serious was graded E (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 3 citations show a recorded correction date.
Environmental citations cover the building itself — safe water temperatures, clean and working equipment, hazard-free spaces. Ask what was repaired, when, and what checks are in place now.
F-0919 · April 1, 2026 · Grade E — Make sure that a working call system is available in each resident's bathroom and bathing area.
F-0924 · May 8, 2026 · Grade D — Put firmly secured handrails on each side of hallways.
F-0925 · May 8, 2026 · Grade D — Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Egress
3 citations between March 5, 2024 and May 8, 2026. The most serious was graded E (potential for more than minimal harm). Correction record: 3 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0293 · March 5, 2024 · Grade E — Have properly located and lighted "Exit" signs.
K-0223 · May 8, 2026 · Grade D — Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K-0271 · May 8, 2026 · Grade D — Have exits that are accessible at all times.
Administration and leadership
1 citation between April 1, 2026 and April 1, 2026. The most serious was graded D (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 1 citation shows a recorded correction date.
Administrative citations suggest the problem sits with management systems, not one staff member. Ask who is responsible for quality oversight and what the home's own quality committee changed afterward.
F-0836 · April 1, 2026 · Grade D — 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.
Services
1 citation between May 8, 2026 and May 8, 2026. The most serious was graded D (potential for more than minimal harm). Correction record: 1 citation shows a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0511 · May 8, 2026 · Grade D — Have properly installed electrical wiring and gas equipment.
Fire, smoke, and emergency safety
2 citations between March 5, 2024 and May 8, 2026. The most serious was graded C (minimal or no harm potential). Correction record: 2 citations show a recorded correction date.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
E-0007 · May 8, 2026 · Grade C — Address patient/client population and determine types of services needed.
E-0041 · March 5, 2024 · Grade C — Implement emergency and standby power systems.
How to read the severity grades
CMS grades combine how many residents were affected with how much harm occurred. Grades J–L are immediate jeopardy: a situation that caused, or was likely to cause, serious injury or death. Grades G–I mean a resident was actually harmed. Grades D–F mean no harm was found but the failure could have caused more than minimal harm, and A–C carry only minimal-harm potential. The second dimension matters too: the grade also tells you whether surveyors saw an isolated case, a pattern, or a facility-wide problem.
Survey and penalty timeline
Mesa Glen Care Center appears in CMS data on 41 survey dates between October 8, 2023 and May 28, 2026. Complaint surveys happen because someone reported a problem; standard surveys are the routine inspections every home receives.
May 28, 2026
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
May 8, 2026
Standard health survey — 26 citations, worst grade E (potential for more than minimal harm)
May 8, 2026
Fire-safety survey — 12 citations, worst grade F (potential for more than minimal harm)
April 16, 2026
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
April 1, 2026
Complaint health survey — 5 citations, worst grade E (potential for more than minimal harm)
March 16, 2026
Complaint health survey — 1 citation, worst grade E (potential for more than minimal harm)
February 3, 2026
Complaint health survey — 2 citations, worst grade E (potential for more than minimal harm)
January 29, 2026
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
January 5, 2026
Complaint health survey — 1 citation, worst grade E (potential for more than minimal harm)
December 30, 2025
Complaint health survey — 3 citations, worst grade D (potential for more than minimal harm)
December 11, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
December 1, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
November 21, 2025
Complaint health survey — 2 citations, worst grade E (potential for more than minimal harm)
September 10, 2025
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
September 5, 2025
Complaint health survey — 7 citations, worst grade E (potential for more than minimal harm)
August 13, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
July 25, 2025
Complaint health survey — 3 citations, worst grade D (potential for more than minimal harm)
July 2, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
June 23, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
June 5, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
May 22, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
April 15, 2025
Complaint health survey — 4 citations, worst grade D (potential for more than minimal harm)
March 25, 2025
Complaint health survey — 1 citation, worst grade G (actual harm)
March 7, 2025
Standard health survey — 27 citations, worst grade G (actual harm)
March 7, 2025
Fire-safety survey — 10 citations, worst grade F (potential for more than minimal harm)
January 23, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
January 7, 2025
Complaint health survey — 3 citations, worst grade D (potential for more than minimal harm)
December 11, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
December 3, 2024
Complaint health survey — 2 citations, worst grade E (potential for more than minimal harm)
November 26, 2024
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
November 20, 2024
Complaint health survey — 5 citations, worst grade E (potential for more than minimal harm)
August 9, 2024
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
August 2, 2024
Complaint health survey — 2 citations, worst grade H (actual harm)
July 18, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
April 26, 2024
Complaint health survey — 3 citations, worst grade D (potential for more than minimal harm)
April 11, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
March 23, 2024
Complaint health survey — 1 citation, worst grade E (potential for more than minimal harm)
March 22, 2024
Complaint health survey — 2 citations, worst grade E (potential for more than minimal harm)
March 5, 2024
Health survey including complaint investigations — 19 citations, worst grade E (potential for more than minimal harm)
March 5, 2024
Fire-safety survey — 10 citations, worst grade F (potential for more than minimal harm)
October 8, 2023
Complaint health survey — 4 citations, worst grade E (potential for more than minimal harm)
Penalties imposed
March 7, 2025 — Fine of $66,576
March 7, 2025 — Payment denial · Medicare/Medicaid payments denied for 33 days from April 4, 2025
July 18, 2024 — Fine of $36,504
Payment denials are the stronger federal sanction: CMS stops paying for new admissions until the home corrects the problems. Mesa Glen Care Center has 1 denial period on record totalling 33 days.
How Mesa Glen Care Center compares with peer homes
Raw citation counts mean more in context. The table below compares Mesa Glen Care Center with the median reviewed facility in Los Angeles County (181 homes in this research set) and across California (350 homes), using the same CMS data. On health citations alone, Mesa Glen Care Center sits above 93% of its reviewed county peers — near the top of the county for citation volume.
Measure
Mesa Glen Care Center
Los Angeles Co. median
California median
Health citations on record
144
84
74
Citations from complaint investigations
74
31
27
Citations at actual-harm level or worse
3
3
2
Immediate-jeopardy citations
0
1
0
Total fines in CMS penalty records
$103,080
$57,906
$43,467
Penalty records (fines + payment denials)
3
3
2
What families should ask Mesa Glen Care Center
- Ask why CMS flags Mesa Glen Care Center with its abuse icon, which citations produced the flag, and what staffing or supervision changes followed.
- Ask for the plan of correction and follow-up monitoring for the freedom from abuse, neglect, and exploitation citations — most recently F-0600 on August 2, 2024 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the quality of life and daily care citations — most recently F-0689 on March 7, 2025 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the resident rights citations — most recently F-0558 on March 5, 2024 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the assessments and care planning citations — most recently F-0636 on March 5, 2024 — and the records showing the fix held.
- Ask what conduct led to the fines — CMS records 2 totalling $103,080, the most recent dated March 7, 2025 — and what changed afterward.
- What changed in the resident's condition, and when did staff at Mesa Glen Care Center first document the change?
- Were recent complaint-related citations at Mesa Glen Care Center connected to the same kind of issue your family noticed?
Records to preserve
Connect this record to what your family saw
A citation record is context. The warning sign your family noticed is the starting point for a resident-specific review — match the two, then preserve the records listed above. Start with how facility research works.
Warning sign
Bed sores
Warning sign
Falls
Warning sign
Bruises
Warning sign
Weight loss
Facility research
Inspection deficiencies
Facility research
Civil penalties
Facility research
Abuse citations
Facility research
Complaint surveys
CMS facility facts
CMS certification number
555854
Legal business name
MESA GLEN HOLDINGS LLC
Ownership type
For profit - Individual
Provider type
Medicare and Medicaid
First approved for Medicare/Medicaid
November 7, 2008
Chain name
Not listed
Certified beds
96
Average residents per day
88.9
Overall CMS rating
1 star
Health inspection rating
1 star
Staffing rating
2 star
Reported nurse staffing hours per resident day
4.12055
Total nursing staff turnover
62.4%
Public records are a starting point, not a conclusion
This profile of Mesa Glen Care Center uses official CMS provider data as a research starting point. It does not state that Mesa Glen Care Center abused or neglected any resident. A citation, fine, or rating becomes meaningful only when it is compared with the resident's own chart, the facility's explanation, and source documents with dates and outcome status.
Citation and penalty detail on this page comes from the CMS Provider Data health-deficiency, fire-safety, and penalties datasets, pulled October 12, 2026. Figures describe the facility's public inspection record; they do not by themselves prove what happened to any individual resident.
Sources for Mesa Glen Care Center
Senior Justice Help is a public-information and facility-research website. We are not a law firm, medical provider, government agency, or nursing home regulator. We may help families understand what kind of lawyer to contact or connect with legal resources, but this site does not provide legal or medical advice.
Editorial review
Written and editorially reviewed for family clarity
Written by: Senior Justice Help Editorial Team, Family questions and nursing home records research team
Pages are written for families, checked against public agency sources, and reviewed for clarity, sourcing, and overclaiming. The site does not provide medical advice or legal advice.