The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
GLADSTONE SUB-ACUTE AND REHAB CENTER
GLENDORA, CA · Medicare-certified · 118 beds
Needs attention
For-profit
1 of 5 overall
1 out of 5 stars overall, with a 1-star health inspection rating and the lowest overall rating flag. Staffing is 3 stars, reported nurse staffing is above the federal benchmark (4.96 vs 4.1 hours per resident day), and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.9632 hrs/resident/day
Quality measures
Last inspection: March 13, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9632.
Staffing detail
- Registered nurses
- 0.71
- Licensed practical nurses
- 1.72
- Nurse aides
- 2.53
- Weekend nursing
- 4.70
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 36%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
22.9%Improving
Residents with a fall causing major injury
0.8%Improving
Residents with pressure ulcers (bedsores)
12.5%Improving
Residents with a urinary tract infection
0.3%Worsening
Residents who lost too much weight
6.7%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13.1%Worsening
Residents whose ability to walk got worse
12.2%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
16.2%Improving
Short-stay residents newly given an antipsychotic
11.3%Worsening
Residents with a long-term catheter
1%Steady
Residents with new or worsening incontinence
4.5%Worsening
Residents with depressive symptoms
1.6%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
93.8%Steady
Short-stay residents given the pneumonia vaccine
97.9%Worsening
What the inspectors found
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited July 2025 — limited pattern, potential for harm.
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F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 104.9 residents on an average day (89% of 118 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 56 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.