Gladstone Sub-Acute and Rehab Center
435 E. Gladstone St · Glendora, CA · 91740 · 6269635955
118 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar; CMS rates its health inspections "much below average". That rule is part of the published method.
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.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
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: 2 of 5
| Total nurse hours / resident-day | 4.96 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.71 | 0.55–0.75 |
| Weekend hours / resident-day | 4.70 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (92 in the current record)
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Potential for harm · D March 13, 2026 · 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 April 7, 2026 · Resident Rights
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Potential for harm · D December 12, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected January 8, 2026 · Resident Rights
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Potential for harm · E December 12, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected January 8, 2026 · Resident Rights
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Potential for harm · E September 16, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 25, 2025 · Quality of Life and Care
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Potential for harm · E July 16, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 15, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 21, 2025 · Resident Rights
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Potential for harm · D June 27, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected July 21, 2025 · Resident Rights
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Potential for harm · E June 27, 2025
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 June 30, 2025 · Resident Rights
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Potential for harm · D June 27, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 16, 2025 · Resident Rights
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Potential for harm · D June 27, 2025
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 July 21, 2025 · Resident Rights
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Potential for harm · D June 27, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected July 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 27, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected July 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 27, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 27, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 27, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 21, 2025 · Quality of Life and Care
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Potential for harm · E June 27, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 21, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 2025
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 July 21, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 2025
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 July 21, 2025 · Quality of Life and Care
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Potential for harm · E June 27, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 23, 2025 · Quality of Life and Care
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Potential for harm · E June 27, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected July 21, 2025 · Pharmacy Service
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Potential for harm · D June 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 26, 2025 · Nutrition and Dietary
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Potential for harm · D June 27, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 27, 2025
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected June 27, 2025 · Administration
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Potential for harm · E June 27, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected July 21, 2025 · Administration
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Potential for harm · D June 27, 2025
Provide and implement an infection prevention and control program.
Corrected July 22, 2025 · Infection Control
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 056118 · certified since October 1, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.