Glendora Canyon Transitional Care Unit
401 W. Ada Ave. · Glendora, CA · 91741 · 6263359810
120 certified beds For profit - Limited Liability company Chain: Abraham Bak & Menachem Gastwirth
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.97 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.40 | 0.55–0.75 |
| Weekend hours / resident-day | 3.75 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (73 in the current record)
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Potential for harm · D March 27, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 17, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 5, 2026 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected February 27, 2026 · Quality of Life and Care
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Potential for harm · E January 16, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 13, 2026 · Resident Rights
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Potential for harm · D January 16, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 13, 2026 · Resident Rights
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Potential for harm · E January 16, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected February 13, 2026 · Resident Rights
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Potential for harm · D January 16, 2026
Honor 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.
Corrected February 13, 2026 · Resident Rights
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Potential for harm · E January 16, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 13, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 16, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 13, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 16, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 13, 2026 · Quality of Life and Care
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Potential for harm · D January 16, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 13, 2026 · Quality of Life and Care
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Potential for harm · E January 16, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 13, 2026 · Quality of Life and Care
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Potential for harm · D January 16, 2026
Ensure 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.
Corrected February 13, 2026 · Quality of Life and Care
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Potential for harm · E January 16, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 13, 2026 · Quality of Life and Care
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Potential for harm · E January 16, 2026
Try 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.
Corrected February 13, 2026 · Quality of Life and Care
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Potential for harm · E January 16, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 13, 2026 · Nutrition and Dietary
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Potential for harm · E January 16, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 13, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 16, 2026
Provide and implement an infection prevention and control program.
Corrected February 13, 2026 · Infection Control
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Potential for harm · E January 16, 2026
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected February 13, 2026 · Environmental
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Actual harm · G September 17, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 17, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 26, 2025 · found via complaint
Honor 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.
Corrected September 17, 2025 · Resident Rights
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Potential for harm · D August 26, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 17, 2025 · Quality of Life and Care
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Potential for harm · E March 21, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 5, 2025 · Infection Control
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Potential for harm · D January 29, 2025 · found via complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected February 12, 2025 · Resident Rights
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Potential for harm · D January 29, 2025 · found via complaint
Ensure 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.
Corrected February 12, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555416 · certified since April 13, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.