Gladstone Sub-Acute and Rehab Center
Glendora, California · CCN 056118
60 surveys since 2010. The first finding at harm level was recorded in 2021.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 266
- Surveys
- 60
- Harm or worse
- 10
- Immediate jeopardy
- 6
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 118
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Los Angeles
- Medicare-certified since
- 1969
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 3
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 110 for-profit facilities of 100–127 beds in California.
Last survey on record
Jul 22, 2026
110 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 5.04 | 4.16 |
| Registered-nurse hours per resident day | 0.75 | — |
| Annual nurse turnover | 37.3% | 37.6% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G11.0% | H— | I— |
| No harm, potential for more than minimal | D5354.1% | E4444.9% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8808×
Provide and implement an infection prevention and control program.
- F6567×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6846×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F8426×
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F6954×
Provide safe and appropriate respiratory care for a resident when needed.
In the surveyor’s words
From the most serious findings on record at Gladstone Sub-Acute and Rehab Center, in the surveyor’s own words.
- Immediate jeopardy, widespreadF880Dec 21, 2021
Based on observation, interview, and record review, the facility failed to ensure an effective infection prevention and control program, led by the Infection Preventionist (IP) Nurse, to provide a safe and sanitary environment by having: 1. A cockroach (small insects that carry and spread infectious diseases) infestation (presence of an unusually large number of cockroach population) in the kitchen for 92 of 92 sampled residents (Residents 1- 92) who reside in the facility. 2. […]
- Immediate jeopardy, widespreadF925Dec 21, 2021
Based on observation, interview, and record review, the facility failed to remain free of pests by not having an effective pest control for 92 of 92 sampled residents (Residents 1- 92) who are residing in the facility consuming food, receiving fluids, and using tableware from the kitchen, by failing to: 1. Eradicate (destroy/kill) a cockroach (small insects that carry and spread infectious diseases) infestation (presence of an unusually large number of cockroach population) in the kitchen. 2. […]
- Immediate jeopardy, patternF600Sep 24, 2021
Based on observation, interview, and record review, the facility failed to ensure six of six sampled residents (Residents 1, 2, 3, 4, 5, and 6) were free from sexual abuse (non-consensual sexual contact of any type or sexual harassment), physical abuse (willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish), or verbal abuse (mocking, insulting, ridiculing; yelling, with the intent to intimidate). The facility failed to: 1. Protect Resident 1 from sexual abuse when an unknown staff male allegedly touched Resident 1's clitoris (part of the female genitalia) for 30 seconds on 8/26/2021. Resident 1 reported the incident of abuse to Licensed Vocational Nurse 1 (LVN 1) the same day it occurred, 8/26/2021. 2. […]
- Immediate jeopardy, patternF607Sep 24, 2021
Based on observation, interview, and record review, the facility failed to implement its policies and procedures to prohibit, prevent, and investigate allegations of sexual abuse (non-consensual sexual contact of any type or sexual harassment), physical abuse (willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish), or verbal abuse (mocking, insulting, ridiculing; yelling, with the intent to intimidate) for six of six sampled residents (Residents 1, 2, 3, 4, 5, and 6). The facility failed to: 1. Protect Resident 1 from sexual abuse when an unknown staff male allegedly touched Resident 1's clitoris (part of the female genitalia) for 30 seconds on 8/26/2021. […]
- Immediate jeopardy, patternF609Sep 24, 2021
Based on interview and record review, the facility failed to report allegations of either verbal abuse (mocking, insulting, ridiculing; yelling, with the intent to intimidate), sexual abuse (non-consensual sexual contact of any type or sexual harassment), or physical abuse (willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish) for six of six sampled residents (Residents 1, 2, 3, 4, 5, and 6) to the Department, Ombudsman (an official appointed to investigate individuals' complaints against maladministration), and to the local law enforcement and in accordance with the facility's policy and procedure, by failing to: 1. […]
Read 30 findings in full →The most serious and the most recent: 30 of 266 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 14, 2026Complaint1 finding
- Aug 1, 2026Complaint1 finding
- Jul 23, 2026Standard12 findings
- Jul 22, 2026Complaint3 findings
- Jun 11, 2026Complaint2 findings
- May 28, 2026Complaint1 finding
- Mar 13, 2026Complaint1 finding
- Dec 12, 2025Complaint2 findings
Show the 52 earlier surveys
- Sep 16, 2025Complaint1 finding
- Jul 16, 2025Complaint1 finding
- Jun 27, 2025Standard20 findings
- Jun 4, 2025Complaint3 findings
- May 22, 2025Complaint7 findings
- May 5, 2025Complaint3 findings
- Apr 18, 2025Complaint2 findings
- Apr 4, 2025Complaint1 finding
- Jan 31, 2025Complaint3 findings
- Jan 10, 2025Complaint1 finding
- Dec 2, 2024Complaint2 findings
- Nov 15, 2024Complaint1 finding
- Nov 13, 2024Complaint1 finding
- Sep 5, 2024Complaint2 findings · 1 harm
- Jun 13, 2024Standard8 findings
- Jan 17, 2024Complaint1 finding
- Dec 21, 2023Complaint2 findings
- Nov 3, 2023Complaint2 findings
- Oct 4, 2023Complaint1 finding
- Aug 9, 2023Complaint1 finding
- Jul 25, 2023Complaint1 finding
- Mar 22, 2023Complaint1 finding
- Feb 28, 2023Complaint1 finding
- Nov 29, 2022Complaint1 finding
- Aug 29, 2022Complaint1 finding
- Jul 22, 2022Complaint1 finding
- Apr 28, 2022Complaint2 findings
- Apr 8, 2022Complaint1 finding
- Feb 8, 2022Complaint1 finding
- Dec 21, 2021Complaint2 findings · 2 harm
- Dec 13, 2021Standard25 findings
- Sep 24, 2021Complaint4 findings · 4 harm
- Sep 3, 2021Complaint5 findings · 3 harm
- Aug 26, 2021Complaint1 finding
- Mar 17, 2021Infection control2 findings
- Jan 26, 2021Complaint1 finding
- Nov 5, 2020Complaint1 finding
- Nov 2, 2020Complaint3 findings
- Nov 4, 2019Complaint1 finding
- Sep 20, 2019Standard21 findings
- Oct 15, 2018Standard and complaint16 findings
- Oct 4, 2018Complaint1 finding
- May 3, 2018Complaint1 finding
- Oct 31, 2017Complaint1 finding
- Oct 23, 2017Standard and complaint20 findings
- Nov 10, 2016Standard6 findings
- May 12, 2016Complaint1 finding
- Jan 15, 2016Complaint1 finding
- Sep 4, 2015Standard15 findings
- Apr 24, 2013—14 findings
- Feb 14, 2012—12 findings
- Oct 21, 2010—16 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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