Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 056118

Gladstone Sub-acute And Rehab Center

92 federal citations on record .

Record summary

Federal record · Q1 2026
92
Total citations
66
Last 3 years
1
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care25 Care Planning20 Resident Rights16 Infection Control9 Medication & Pharmacy6

Most common F-tags at this facility

F8807 F6567 F8426 F6846 F5503

Citation history

92 on record
SurveyF-TagViolationSeveritySource
Dec 12, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EComplaint
Dec 12, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint
Sep 16, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Jul 16, 2025F695Provide safe and appropriate respiratory care for a resident when needed.EComplaint
Jun 27, 2025F880Provide and implement an infection prevention and control program.DStandard
Jun 27, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Jun 27, 2025F848Provide a neutral and fair arbitration process and agree to arbitrator and venue.EStandard
Jun 27, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jun 27, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Jun 27, 2025F759Ensure medication error rates are not 5 percent or greater.EStandard
Jun 27, 2025F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Jun 27, 2025F693Ensure 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.DStandard
Jun 27, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jun 27, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Jun 27, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Jun 27, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Jun 27, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jun 27, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Jun 27, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard
Jun 27, 2025F584Honor 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.DStandard
Jun 27, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jun 27, 2025F578Honor 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.EStandard
Jun 27, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jun 27, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jun 4, 2025F880Provide and implement an infection prevention and control program.EComplaint
Jun 4, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jun 4, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
May 22, 2025F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.DComplaint
May 22, 2025F880Provide and implement an infection prevention and control program.EComplaint
May 22, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
May 22, 2025F825Provide or get specialized rehabilitative services as required for a resident.EComplaint
May 22, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
May 22, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
May 22, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
May 5, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 5, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
May 5, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 18, 2025F880Provide and implement an infection prevention and control program.EComplaint
Apr 18, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Apr 4, 2025F880Provide and implement an infection prevention and control program.DComplaint
Jan 31, 2025F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.DComplaint
Jan 31, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jan 31, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 10, 2025F641Ensure each resident receives an accurate assessment.DComplaint
Dec 2, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 2, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Nov 15, 2024F584Honor 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.DComplaint
Nov 13, 2024F880Provide and implement an infection prevention and control program.EComplaint
Sep 5, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Sep 5, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 13, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jun 13, 2024F803Ensure 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.EStandard
Jun 13, 2024F758Implement 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.EStandard
Jun 13, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jun 13, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jun 13, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard
Jun 13, 2024F578Honor 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.EStandard
Jun 13, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jan 17, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EComplaint
Dec 21, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Dec 21, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EComplaint
Nov 3, 2023F742Provide 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.DComplaint
Nov 3, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Oct 4, 2023F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Aug 9, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 25, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Mar 22, 2023F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.EComplaint
Dec 13, 2021F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
Dec 13, 2021F880Provide and implement an infection prevention and control program.EStandard
Dec 13, 2021F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Dec 13, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 13, 2021F809Ensure 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.EStandard
Dec 13, 2021F808Ensure 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.EStandard
Dec 13, 2021F761Ensure 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.EStandard
Dec 13, 2021F759Ensure medication error rates are not 5 percent or greater.EStandard
Dec 13, 2021F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 13, 2021F697Provide safe, appropriate pain management for a resident who requires such services.EStandard
Dec 13, 2021F693Ensure 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.DStandard
Dec 13, 2021F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Dec 13, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Dec 13, 2021F688Provide 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.DStandard
Dec 13, 2021F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Dec 13, 2021F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Dec 13, 2021F679Provide activities to meet all resident's needs.DStandard
Dec 13, 2021F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.EStandard
Dec 13, 2021F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Dec 13, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Dec 13, 2021F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Dec 13, 2021F641Ensure each resident receives an accurate assessment.DStandard
Dec 13, 2021F578Honor 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.DStandard
Dec 13, 2021F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Dec 13, 2021F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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