Gladstone Sub-Acute and Rehab Center, Glendora, CA: Nursing home

Overall1★☆☆☆☆

Inspections1★☆☆☆☆

Staffing3★★★☆☆

Quality2★★☆☆☆

Federal finesNoneon record

Inspection citations

5’23

15’24

44’25

21’26

Year

85 shown

Date	Severity	What inspectors found	Visit
Aug 14, 2026	E · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
Aug 1, 2026	D · potential	Provide timely, quality laboratory services/tests to meet the needs of residents.	Complaint
Jul 23, 2026	D · potential	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Routine
Jul 23, 2026	D · potential	Reasonably accommodate the needs and preferences of each resident.	Routine
Jul 23, 2026	D · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Routine
Jul 23, 2026	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Routine
Jul 23, 2026	E · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Routine
Jul 23, 2026	E · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Routine
Jul 23, 2026	E · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Routine
Jul 23, 2026	E · potential	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.	Routine
Jul 23, 2026	E · potential	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.	Routine
Jul 23, 2026	E · potential	Dispose of garbage and refuse properly.	Routine
Jul 23, 2026	E · potential	Provide and implement an infection prevention and control program.	Routine
Jul 23, 2026	E · potential	Make sure that a working call system is available in each resident's bathroom and bathing area.	Routine
Jul 22, 2026	D · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Complaint
Jul 22, 2026	D · potential	Provide safe and appropriate respiratory care for a resident when needed.	Complaint
Jul 22, 2026	D · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Complaint
Jun 11, 2026	D · potential	Provide enough food/fluids to maintain a resident's health.	Complaint
Jun 11, 2026	D · potential	Provide and implement an infection prevention and control program.	Complaint
May 28, 2026	E · potential	Provide safe and appropriate respiratory care for a resident when needed.	Complaint
Mar 13, 2026	D · potential	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.	Complaint
Dec 12, 2025	D · potential	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.	Complaint
Dec 12, 2025	E · potential	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	Complaint
Sep 16, 2025	E · potential	Provide care and assistance to perform activities of daily living for any resident who is unable.	Complaint
Jul 16, 2025	E · potential	Provide safe and appropriate respiratory care for a resident when needed.	Complaint
Jun 27, 2025	D · potential	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Routine
Jun 27, 2025	D · potential	Reasonably accommodate the needs and preferences of each resident.	Routine
Jun 27, 2025	E · potential	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.	Routine
Jun 27, 2025	D · potential	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Routine
Jun 27, 2025	D · potential	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.	Routine
Jun 27, 2025	D · potential	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	Routine
Jun 27, 2025	D · potential	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	Routine
Jun 27, 2025	E · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Routine
Jun 27, 2025	E · potential	Ensure services provided by the nursing facility meet professional standards of quality.	Routine
Jun 27, 2025	E · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Routine
Jun 27, 2025	E · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Routine
Jun 27, 2025	D · potential	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	Routine
Jun 27, 2025	D · potential	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.	Routine
Jun 27, 2025	E · potential	Provide safe and appropriate respiratory care for a resident when needed.	Routine
Jun 27, 2025	E · potential	Ensure medication error rates are not 5 percent or greater.	Routine
Jun 27, 2025	D · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Jun 27, 2025	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Routine
Jun 27, 2025	E · potential	Provide a neutral and fair arbitration process and agree to arbitrator and venue.	Routine
Jun 27, 2025	E · potential	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	Routine
Jun 27, 2025	D · potential	Provide and implement an infection prevention and control program.	Routine
Jun 4, 2025	D · potential	Ensure each resident’s drug regimen must be free from unnecessary drugs.	Complaint
Jun 4, 2025	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Complaint
Jun 4, 2025	E · potential	Provide and implement an infection prevention and control program.	Complaint
May 22, 2025	E · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Complaint
May 22, 2025	E · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Complaint
May 22, 2025	D · potential	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.	Complaint
May 22, 2025	E · potential	Provide or get specialized rehabilitative services as required for a resident.	Complaint
May 22, 2025	E · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Complaint
May 22, 2025	E · potential	Provide and implement an infection prevention and control program.	Complaint
May 22, 2025	D · potential	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.	Complaint
May 5, 2025	D · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Complaint
May 5, 2025	E · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
May 5, 2025	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Complaint
Apr 18, 2025	E · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
Apr 18, 2025	E · potential	Provide and implement an infection prevention and control program.	Complaint
Apr 4, 2025	D · potential	Provide and implement an infection prevention and control program.	Complaint
Jan 31, 2025	D · potential	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Complaint
Jan 31, 2025	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
Jan 31, 2025	D · potential	Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.	Complaint
Jan 10, 2025	D · potential	Ensure each resident receives an accurate assessment.	Complaint
Dec 2, 2024	D · potential	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	Complaint
Dec 2, 2024	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Complaint
Nov 15, 2024	D · potential	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.	Complaint
Nov 13, 2024	E · potential	Provide and implement an infection prevention and control program.	Complaint
Sep 5, 2024	D · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Complaint
Sep 5, 2024	G · harm	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
Jun 13, 2024	D · potential	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Routine
Jun 13, 2024	E · potential	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.	Routine
Jun 13, 2024	E · potential	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Routine
Jun 13, 2024	D · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Routine
Jun 13, 2024	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Routine
Jun 13, 2024	E · potential	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.	Routine
Jun 13, 2024	E · potential	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	Routine
Jun 13, 2024	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Jan 17, 2024	E · potential	Develop and implement policies and procedures for flu and pneumonia vaccinations.	Complaint
Dec 21, 2023	E · potential	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	Complaint
Dec 21, 2023	E · potential	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	Complaint
Nov 3, 2023	D · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Complaint
Nov 3, 2023	D · potential	Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.	Complaint
Oct 4, 2023	D · potential	Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.	Complaint

Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.

Questions to ask on a visit

Gladstone Sub-Acute and Rehab Center
435 E. Gladstone St, Glendora, CA 91740 · (626) 963-5955

Visit date: ____________ Spoke with: ______________________

How many nurses and aides work each shift, including nights and weekends?
How do you handle the most recent citations on your record?
Do you accept Medi-Cal if private funds run out?
Who will be the main contact for the family?
How do you prevent falls, pressure sores and infections?

Record on file

Certification: Medicare and Medi-Cal certified skilled nursing facility
Medicare number (CCN): 056118
Certified beds: 118
Legal owner: Jaewood Healthcare, LLC

Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.

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