D+
52/100

GLADSTONE SUB-ACUTE AND REHAB CENTER Inspection Report, Violations & Safety Grade (GLENDORA, California)

435 E. GLADSTONE ST, GLENDORA, California 91740

Phone: 6269635955

CMS Overall:1/5

Overview & Bed Count

Certified Beds
118
Avg Residents/Day
97
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Los Angeles
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing3/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityCalifornia AvgDifference
RN Hours per Resident per Day0.760.68+0.08
Total Nurse Hours per Resident per Day5.144.54+0.60
CMS Staffing Rating3/53.3/5-
Nursing Staff Turnover37.3%36.6%-

Health Citation History

85 health citations on record

DateCategoryDescriptionSeverity
2026-08-14Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2026-08-01Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.D – Moderate Harm Potential
2026-07-23Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.E – Moderate Harm Potential
2026-07-23Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2026-07-23Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2026-07-23Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2026-07-23Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.E – Moderate Harm Potential
2026-07-23Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.E – Moderate Harm Potential
2026-07-23Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2026-07-23Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.E – Moderate Harm Potential
2026-07-23Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2026-07-23Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2026-07-23Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2026-07-23Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-07-22Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2026-07-22Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2026-07-22Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2026-06-11Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2026-06-11Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2026-05-28Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.E – Moderate Harm Potential
2026-03-13Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2025-12-12Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E – Moderate Harm Potential
2025-12-12Resident Rights DeficienciesEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D – Moderate Harm Potential
2025-09-16Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2025-07-16Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.E – Moderate Harm Potential
2025-06-27Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2025-06-27Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E – Moderate Harm Potential
2025-06-27Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2025-06-27Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.E – Moderate Harm Potential
2025-06-27Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2025-06-27Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.E – Moderate Harm Potential
2025-06-27Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2025-06-27Administration DeficienciesProvide a neutral and fair arbitration process and agree to arbitrator and venue.E – Moderate Harm Potential
2025-06-27Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E – Moderate Harm Potential
2025-06-27Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2025-06-27Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2025-06-27Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2025-06-27Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2025-06-27Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D – Moderate Harm Potential
2025-06-27Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential
2025-06-27Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2025-06-27Quality of Life and Care DeficienciesEnsure 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.D – Moderate Harm Potential
2025-06-27Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2025-06-27Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2025-06-27Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-06-04Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-06-04Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2025-06-04Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2025-05-22Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E – Moderate Harm Potential
2025-05-22Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.E – Moderate Harm Potential

Showing 50 of 85 citations.

Fire Safety Citation History

31 fire safety citations on record

DateCategoryDescriptionSeverity
2026-07-23Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2026-07-23Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2026-07-23Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2026-07-23Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2026-07-23Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.F – Moderate Harm Potential
2026-07-23Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2026-07-23Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2026-07-23Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2026-07-23Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2026-07-23Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2026-07-23Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2026-07-23Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.D – Moderate Harm Potential
2026-07-23Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2026-07-23Emergency Preparedness DeficienciesConduct testing and exercise requirements.C – Minimal Harm Potential
2025-06-27Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2025-06-27Egress DeficienciesHave properly located and lighted "Exit" signs.F – Moderate Harm Potential
2025-06-27Smoke DeficienciesProperly install and monitor supervisory attachments on automatic sprinkler systems.F – Moderate Harm Potential
2025-06-27Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-06-27Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-06-27Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2025-06-27Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2025-06-27Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2025-06-27Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2025-06-27Smoke DeficienciesHave a complete alarm system manually initiated and initiated by fire sprinkler system connection.D – Moderate Harm Potential
2025-06-27Miscellaneous DeficienciesHave restrictions on the use of highly flammable decorations.D – Moderate Harm Potential
2024-06-13Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-06-13Egress DeficienciesHave properly located and lighted "Exit" signs.E – Moderate Harm Potential
2024-06-13Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2024-06-13Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2024-06-13Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2024-06-13Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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