Starfile / California

GLADSTONE SUB-ACUTE AND REHAB CENTER

435 E. GLADSTONE ST, GLENDORA, CA 91740 · CCN 056118

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Inspection citations (92)1 actual harm

1. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-12-12 · Health · corrected 2026-01-08

   Potential for more than minimal harm

2. EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-12-12 · Health · corrected 2026-01-08

   Potential for more than minimal harm

3. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-09-16 · Health · corrected 2025-09-25

   Potential for more than minimal harm

4. EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-07-16 · Health · corrected 2025-08-15

   Potential for more than minimal harm

5. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-06-27 · Health · corrected 2025-07-21

   Potential for more than minimal harm

6. DF0558Reasonably accommodate the needs and preferences of each resident.2025-06-27 · Health · corrected 2025-07-21

   Potential for more than minimal harm

7. EF0578Honor 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.2025-06-27 · Health · corrected 2025-06-30

   Potential for more than minimal harm

8. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-06-27 · Health · corrected 2025-07-16

   Potential for more than minimal harm

9. DF0584Honor 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.2025-06-27 · Health · corrected 2025-07-21

   Potential for more than minimal harm

10. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-06-27 · Health · corrected 2025-07-22

    Potential for more than minimal harm

11. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-06-27 · Health · corrected 2025-07-21

    Potential for more than minimal harm

12. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-27 · Health · corrected 2025-07-21

    Potential for more than minimal harm

13. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-06-27 · Health · corrected 2025-07-21

    Potential for more than minimal harm

14. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-27 · Health · corrected 2025-07-21

    Potential for more than minimal harm

15. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-27 · Health · corrected 2025-07-21

    Potential for more than minimal harm

16. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-06-27 · Health · corrected 2025-07-21

    Potential for more than minimal harm

17. DF0693Ensure 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.2025-06-27 · Health · corrected 2025-07-21

    Potential for more than minimal harm

18. EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-06-27 · Health · corrected 2025-07-23

    Potential for more than minimal harm

19. EF0759Ensure medication error rates are not 5 percent or greater.2025-06-27 · Health · corrected 2025-07-21

    Potential for more than minimal harm

20. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-27 · Health · corrected 2025-06-26

    Potential for more than minimal harm

21. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-27 · Health · corrected 2025-07-21

    Potential for more than minimal harm

22. EF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.2025-06-27 · Health · corrected 2025-06-27

    Potential for more than minimal harm

23. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-06-27 · Health · corrected 2025-07-21

    Potential for more than minimal harm

24. DF0880Provide and implement an infection prevention and control program.2025-06-27 · Health · corrected 2025-07-22

    Potential for more than minimal harm

25. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-06-04 · Health · corrected 2025-06-17

    Potential for more than minimal harm

26. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-04 · Health · corrected 2025-06-05

    Potential for more than minimal harm

27. EF0880Provide and implement an infection prevention and control program.2025-06-04 · Health · corrected 2025-07-03

    Potential for more than minimal harm

28. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-22 · Health · corrected 2025-07-02

    Potential for more than minimal harm

29. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-22 · Health · corrected 2025-07-01

    Potential for more than minimal harm

30. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-05-22 · Health · corrected 2025-06-30

    Potential for more than minimal harm

31. EF0825Provide or get specialized rehabilitative services as required for a resident.2025-05-22 · Health · corrected 2025-07-02

    Potential for more than minimal harm

32. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-22 · Health · corrected 2025-07-02

    Potential for more than minimal harm

33. EF0880Provide and implement an infection prevention and control program.2025-05-22 · Health · corrected 2025-06-01

    Potential for more than minimal harm

34. DF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2025-05-22 · Health · corrected 2025-06-16

    Potential for more than minimal harm

35. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-05 · Health · corrected 2025-05-20

    Potential for more than minimal harm

36. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-05 · Health · corrected 2025-06-11

    Potential for more than minimal harm

37. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-05 · Health · corrected 2025-06-20

    Potential for more than minimal harm

38. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-18 · Health · corrected 2025-05-07

    Potential for more than minimal harm

39. EF0880Provide and implement an infection prevention and control program.2025-04-18 · Health · corrected 2025-05-12

    Potential for more than minimal harm

40. DF0880Provide and implement an infection prevention and control program.2025-04-04 · Health · corrected 2025-04-25

    Potential for more than minimal harm

41. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-01-31 · Health · corrected 2025-02-25

    Potential for more than minimal harm

42. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-31 · Health · corrected 2025-02-25

    Potential for more than minimal harm

43. DF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.2025-01-31 · Health · corrected 2025-01-31

    Potential for more than minimal harm

44. DF0641Ensure each resident receives an accurate assessment.2025-01-10 · Health · corrected 2025-02-05

    Potential for more than minimal harm

45. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-12-02 · Health · corrected 2024-12-23

    Potential for more than minimal harm

46. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-02 · Health · corrected 2024-12-23

    Potential for more than minimal harm

47. DF0584Honor 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.2024-11-15 · Health · corrected 2024-12-01

    Potential for more than minimal harm

48. EF0880Provide and implement an infection prevention and control program.2024-11-13 · Health · corrected 2024-11-15

    Potential for more than minimal harm

49. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-09-05 · Health · corrected 2024-09-27

    Potential for more than minimal harm

50. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-05 · Health · corrected 2024-09-27

    Actual harm

51. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-06-13 · Health · corrected 2024-07-09

    Potential for more than minimal harm

52. EF0578Honor 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.2024-06-13 · Health · corrected 2024-07-09

    Potential for more than minimal harm

53. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-06-13 · Health · corrected 2024-07-09

    Potential for more than minimal harm

54. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-13 · Health · corrected 2024-07-09

    Potential for more than minimal harm

55. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-13 · Health · corrected 2024-07-09

    Potential for more than minimal harm

56. EF0758Implement 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.2024-06-13 · Health · corrected 2024-07-09

    Potential for more than minimal harm

57. EF0803Ensure 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.2024-06-13 · Health · corrected 2024-07-09

    Potential for more than minimal harm

58. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-13 · Health · corrected 2024-07-09

    Potential for more than minimal harm

59. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-01-17 · Health · corrected 2024-02-15

    Potential for more than minimal harm

60. EF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-12-21 · Health · corrected 2024-01-26

    Potential for more than minimal harm

61. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-12-21 · Health · corrected 2024-01-26

    Potential for more than minimal harm

62. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-03 · Health · corrected 2023-12-03

    Potential for more than minimal harm

63. DF0742Provide 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.2023-11-03 · Health · corrected 2023-12-03

    Potential for more than minimal harm

64. DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2023-10-04 · Health · corrected 2023-10-31

    Potential for more than minimal harm

65. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-09 · Health · corrected 2023-08-22

    Potential for more than minimal harm

66. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-07-25 · Health · corrected 2023-08-16

    Potential for more than minimal harm

67. EF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2023-03-22 · Health · corrected 2023-04-03

    Potential for more than minimal harm

68. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

69. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

70. DF0578Honor 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.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

71. DF0641Ensure each resident receives an accurate assessment.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

72. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

73. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

74. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

75. EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

76. DF0679Provide activities to meet all resident's needs.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

77. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

78. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

79. DF0688Provide 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.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

80. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

81. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

82. DF0693Ensure 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.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

83. EF0697Provide safe, appropriate pain management for a resident who requires such services.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

84. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

85. EF0759Ensure medication error rates are not 5 percent or greater.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

86. EF0761Ensure 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.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

87. EF0808Ensure 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.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

88. EF0809Ensure 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.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

89. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

90. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

91. EF0880Provide and implement an infection prevention and control program.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

92. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2021-12-13 · Health · corrected 2022-01-25

    Potential for more than minimal harm

Ownership

Other facilities in GLENDORA

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.