Villa Mesa Care Center

867 E. 11th St · Upland, CA · 91786 · 9099851981

99 certified beds For profit - Limited Liability company

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 59
Serious harm & abuse 20% 94
Staffing 20% 61
Federal penalties 15% 100
Trend 10% 40
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.693.48 min · 4.1 strong
RN hours / resident-day0.340.55–0.75
Weekend hours / resident-day3.50≈ weekday level
Nursing turnover / year51%median 45%
Fines (3-yr window)none

Inspection citations (22 in the current record)

  • Actual harm · G January 23, 2026

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected February 12, 2026 · Quality of Life and Care

  • Potential for harm · D January 23, 2026

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected February 12, 2026 · Resident Rights

  • Potential for harm · D January 23, 2026

    Ensure each resident receives an accurate assessment.

    Corrected February 12, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 23, 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 12, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 23, 2026

    Provide enough food/fluids to maintain a resident's health.

    Corrected February 12, 2026 · Quality of Life and Care

  • Potential for harm · D January 23, 2026

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected February 12, 2026 · Quality of Life and Care

  • Potential for harm · D January 23, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected February 12, 2026 · Pharmacy Service

  • Potential for harm · D January 23, 2026

    Provide and implement an infection prevention and control program.

    Corrected February 12, 2026 · Infection Control

  • Potential for harm · D December 13, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected January 10, 2025 · Pharmacy Service

  • Potential for harm · D October 28, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 14, 2024 · Quality of Life and Care

  • Potential for harm · E October 3, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected October 24, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 19, 2023 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected November 13, 2023 · Resident Rights

  • Potential for harm · D June 22, 2023 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected July 3, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 21, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected July 3, 2023 · Quality of Life and Care

  • Potential for harm · D November 19, 2021

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected January 12, 2022 · Resident Rights

  • Potential for harm · D November 19, 2021

    Reasonably accommodate the needs and preferences of each resident.

    Corrected January 12, 2022 · Resident Rights

  • Potential for harm · D November 19, 2021

    Ensure each resident receives an accurate assessment.

    Corrected January 12, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D November 19, 2021

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected January 12, 2022 · Nursing and Physician Services

  • Potential for harm · E November 19, 2021

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected January 12, 2022 · Pharmacy Service

  • Potential for harm · D November 19, 2021

    Ensure medication error rates are not 5 percent or greater.

    Corrected January 12, 2022 · Pharmacy Service

  • Potential for harm · D November 19, 2021

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected January 12, 2022 · Resident Assessment and Care Planning

  • Potential for harm · E November 19, 2021

    Provide and implement an infection prevention and control program.

    Corrected January 12, 2022 · Infection Control

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056136 · certified since June 1, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.