GLADSTONE SUB-ACUTE AND REHAB CENTER
GLADSTONE SUB-ACUTE AND REHAB CENTER is a 118-bed nursing home in GLENDORA, California. CMS has certified it for Medicare and Medicaid since 1969-10-01. It averages 101.8 residents a day.
What harm was found in the violations cited at GLADSTONE SUB-ACUTE AND REHAB CENTER?
CMS lists 94 health-inspection deficiencies for GLADSTONE SUB-ACUTE AND REHAB CENTER since 2021-12-13, 69 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-11.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-11 | F0692, F0880 | Provide enough food/fluids to maintain a resident's health. / Provide and implement an infection prevention and control program. | D |
| 2026-05-28 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E |
| 2026-03-13 | F0584 | 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. | D |
| 2025-12-12 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E |
| 2025-12-12 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D |
| 2025-09-16 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2025-07-16 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E |
| 2025-06-27 | F0578, F0656, F0658, F0684, F0689, F0695, F0759, F0848, F0867 | 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure medication error rates are not 5 percent or greater. / Provide a neutral and fair arbitration process and agree to arbitrator and venue. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E |
| 2025-06-27 | F0550, F0558, F0580, F0584, F0605, F0644, F0690, F0693, F0812, F0842, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2025-06-04 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2025-06-04 | F0757, F0842 | Ensure each resident’s drug regimen must be free from unnecessary drugs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-05-22 | F0656, F0686, F0825, F0842, F0880 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide or get specialized rehabilitative services as required for a resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | E |
| 2025-05-22 | F0726, F0882 | 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. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D |
| 2025-05-05 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2025-05-05 | F0656, F0842 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-04-18 | F0684, F0880 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide and implement an infection prevention and control program. | E |
| 2025-04-04 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2025-01-31 | F0580, F0684, F0776 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D |
| 2025-01-10 | F0641 | Ensure each resident receives an accurate assessment. | D |
| 2024-12-02 | F0657, F0842 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-11-15 | F0584 | 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. | D |
| 2024-11-13 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2024-09-05 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-09-05 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-06-13 | F0578, F0580, F0758, F0803, F0812 | 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-06-13 | F0550, F0656, F0684 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-01-17 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| 2023-12-21 | F0604, F0609 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| 2023-11-03 | F0656, F0742 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. | D |
| 2023-10-04 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D |
| 2023-08-09 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2021-12-13 | F0656, F0676, F0684, F0686, F0689, F0697, F0759, F0761, F0808, F0809, F0812, F0842, F0880 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure medication error rates are not 5 percent or greater. / 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. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. / Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | E |
| 2021-12-13 | F0550, F0554, F0578, F0641, F0655, F0657, F0679, F0688, F0690, F0693, F0756, F0921 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to self-administer drugs if determined clinically appropriate. / 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. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide activities to meet all resident's needs. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
How is GLADSTONE SUB-ACUTE AND REHAB CENTER staffed?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 5.04284 | 4.51570 |
| Total nursing staff turnover (%) | 37.3 | 36.7 |
| Average number of residents per day | 101.8 | 87.9 |
Who owns GLADSTONE SUB-ACUTE AND REHAB CENTER?
GLADSTONE SUB-ACUTE AND REHAB CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name JAEWOOD HEALTHCARE, LLC.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | JAEWOOD HEALTHCARE, LLC | since 03/01/2019 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | ESJJH MANAGEMENT LLC, BAUTISTA, CHRISTIAN, BRION, ALGER, CRUZ, HAYLEY, HENDELES, ELIYAHU, HENDELES, SHARON, LIVYATAN, LIRAN, LIVYATAN, ROY | since 03/01/2019 |
| W-2 MANAGING EMPLOYEE | BAUTISTA, CHRISTIAN | since 09/01/2019 |
| CORPORATE OFFICER | BAUTISTA, CHRISTIAN, BRION, ALGER, CRUZ, HAYLEY, HENDELES, ELIYAHU | since 03/01/2019 |
Were you or a family member harmed at GLADSTONE SUB-ACUTE AND REHAB CENTER?