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Health Inspection

Gladstone Sub-acute And Rehab Center

June 13, 2024 · Glendora, CA · 435 E. Gladstone St
Citations 2
CMS Rating 1/5
Beds 118
Provider ID 056118
Healthcare Facility
Gladstone Sub-acute And Rehab Center
Glendora, CA  ·  View full profile →
Inspection Summary

GLADSTONE SUB-ACUTE AND REHAB CENTER in GLENDORA, CA — inspection on June 13, 2024.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF580
Minimal harm or RD met with Resident 40 who reported did not want to lose further weight. The notes indicated Resident 40 IDTMWV, dated 4/14/2024, the notes indicated Resident 40's current affected

During a review of Resident 40's Dietary Nutritional Assessment/Progress Note (DNAPN), dated 6/23/2023, the DNAPN indicated Resident 40 requested to have a hamburger for lunch and no grease on Resident 40's food.

During a review of Resident 40's History and Physical Examination (H&P), dated 12/16/2023, the H&P indicated Resident 40 had the capacity to understand and make decisions.

During a review of Resident 40's Minimum Data Set (MDS, an assessment and screening tool), dated 3/22/2024, the MDS indicated, Resident 40's cognitive (ability to think and process information) skills for daily decision making were intact.

The MDS indicated, Resident 40 required supervision or touching assistance (helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity.

Assistance may be provided throughout the activity or intermittently.) with eating.

During a review of Resident 40's untitled and undated food preference ticket (FPT), the FPT indicated Resident 40 disliked milk, mild products, gravy, fried foods, mayonnaise, tuna sandwich and orange juice and liked hamburgers, peanut butter, apple slices, and small salads.

During a review of Resident 40's DNAPN, dated 3/22/2024, the DNAPN indicated Resident 40 requested to have burgers for lunch and dinner, no mayonnaise, and requested to have fried eggs for breakfast cooked on a non-stick pan (no grease).

The DNAPN indicated Resident 40 had stomach issues and could not have any kind of grease.

056118

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 056118 B.

Wing 06/13/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Gladstone Sub-Acute and Rehab Center 435 E.

Gladstone St Glendora, CA 91740

During a review of Resident 40's History and Physical Examination (H&P), dated 12/16/2023, the H&P indicated Resident 40 had the capacity to understand and make decisions.

During a review of Resident 40's Minimum Data Set (MDS, an assessment and screening tool), dated 3/22/2024, the MDS indicated, Resident 40's cognitive (ability to think and process information) skills for daily decision making were intact.

The MDS indicated, Resident 40 required supervision or touching assistance (helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity.

Assistance may be provided throughout the activity or intermittently.) with eating.

During a review of Resident 40's Order Summary Report (OSR), active orders as of 6/11/2024, the OSR indicated, a physician's order dated 4/15/2024 for CCHO (consistent, constant, or controlled carbohydrate, diet to manage carbohydrate [basic food group broken into sugars in the body] consumption), NAS (no added salt) diet regular texture, regular consistency, Low Fat/Chol (cholesterol, type of fat), chopped meats (no milk), double protein with meals.

The OSR indicated a physician's order, dated 12/17/2022 for Diuretics - monitor for the following: decreased po (oral) intake . every shift.

056118

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 056118 B.

Wing 06/13/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Gladstone Sub-Acute and Rehab Center 435 E.

Gladstone St Glendora, CA 91740

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GLENDORA, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from GLADSTONE SUB-ACUTE AND REHAB CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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