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Gladwin Pines Nursing and Rehabilitation Center

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Gladwin Pines Nursing and Rehabilitation Center is a for profit - limited liability company facility in Gladwin, MI with 84 certified beds and a 1-star overall CMS rating. The facility has 30 deficiency records on file. Total penalties: $73K.

449 Quarter Street, Gladwin, MI 48624

Phone: 9894263430

Overall Rating

1/5

Health Inspection

1/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

4/5

Facility Information

Provider Number
235485
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
84
Residents
75
In Hospital
No
County
Gladwin
Last Inspection
Sep 11, 2025

Staffing Data

RN Hours
0.97 (nat'l avg: 0.68)
LPN Hours
0.47
CNA Hours
2.78
Total Nursing Hours
4.22 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
39.6%
RN Turnover
36.8%

What the CMS Record Reveals About Gladwin Pines Nursing and Rehabilitation Center

Gladwin Pines Nursing and Rehabilitation Center operates 84 certified beds in Gladwin, MI with approximately 75 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (4★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 30 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $73K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.22 total nursing hours per resident day (national average 3.89), with RN coverage at 0.97 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Gladwin Pines Nursing and Rehabilitation Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 39.6%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (30 most recent)

D — Isolated - Minimal harm Sep 11, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 6, 2025

E — Pattern - Minimal harm Sep 11, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Oct 6, 2025

F — Widespread - Minimal harm Sep 11, 2025 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: Oct 6, 2025

F — Widespread - Minimal harm Sep 11, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 6, 2025

D — Isolated - Minimal harm Sep 11, 2025 Tag: 0849

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Category: Administration Deficiencies

Corrected: Oct 6, 2025

F — Widespread - Minimal harm Sep 11, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 6, 2025

D — Isolated - Minimal harm Sep 11, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 6, 2025

G — Isolated - Actual harm Sep 11, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 6, 2025

G — Isolated - Actual harm Sep 11, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 6, 2025

D — Isolated - Minimal harm Sep 11, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 6, 2025

E — Pattern - Minimal harm Sep 11, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 6, 2025

D — Isolated - Minimal harm Sep 11, 2025 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Oct 6, 2025

D — Isolated - Minimal harm Jul 9, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 11, 2025

D — Isolated - Minimal harm Jul 9, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 11, 2025

D — Isolated - Minimal harm Jan 17, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 25, 2025

G — Isolated - Actual harm Jan 17, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Feb 25, 2025

D — Isolated - Minimal harm Jan 17, 2025 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Feb 25, 2025

E — Pattern - Minimal harm Aug 7, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Sep 20, 2024

G — Isolated - Actual harm Aug 7, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 20, 2024

E — Pattern - Minimal harm Aug 7, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 20, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 20, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Sep 20, 2024

F — Widespread - Minimal harm Aug 7, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 20, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 20, 2024

F — Widespread - Minimal harm Aug 7, 2024 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Sep 20, 2024

G — Isolated - Actual harm Jun 15, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 15, 2023

D — Isolated - Minimal harm Jun 15, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 15, 2023

E — Pattern - Minimal harm Jun 15, 2023 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Jul 12, 2023

D — Isolated - Minimal harm Jun 15, 2023 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 12, 2023

D — Isolated - Minimal harm Jun 15, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jul 12, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 8.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.5% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.2% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.4% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.3% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 24.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 33.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 95.2% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 26.8% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 5.9% Yes

Penalty History 2 penalties totaling $73K

Date Type Amount
Jan 17, 2025 Fine $17K
Jan 17, 2025 Payment Denial -
Aug 7, 2024 Fine $56K
Aug 7, 2024 Payment Denial -
Jun 15, 2023 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for Gladwin Pines Nursing and Rehabilitation Center?
Gladwin Pines Nursing and Rehabilitation Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (4★), and quality measures (3★).
What are the staffing levels at Gladwin Pines Nursing and Rehabilitation Center?
Gladwin Pines Nursing and Rehabilitation Center reports 4.22 total nursing hours per resident day (national average: 3.89). RN hours are 0.97 per resident day (national average: 0.68). Nursing staff turnover is 39.6%.
How many beds does Gladwin Pines Nursing and Rehabilitation Center have?
Gladwin Pines Nursing and Rehabilitation Center has 84 certified beds with approximately 75 residents. The facility is located at 449 Quarter Street, Gladwin, MI 48624.
Does Gladwin Pines Nursing and Rehabilitation Center have any deficiencies on record?
Yes, Gladwin Pines Nursing and Rehabilitation Center has 30 deficiencies on record from recent inspections. Of these, 5 are classified as causing actual harm or jeopardy.
Has Gladwin Pines Nursing and Rehabilitation Center received any fines or penalties?
Yes, Gladwin Pines Nursing and Rehabilitation Center has received 2 penalties totaling $73K.
Who owns Gladwin Pines Nursing and Rehabilitation Center?
Gladwin Pines Nursing and Rehabilitation Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Gladwin Pines Nursing and Rehabilitation Center last inspected?
The most recent health inspection for Gladwin Pines Nursing and Rehabilitation Center was on Sep 11, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Gladwin Pines Nursing and Rehabilitation Center?
Gladwin Pines Nursing and Rehabilitation Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial