Nursing HomeInspections

Gladwin Pines Nursing and Rehabilitation Center

Nursing home in Gladwin, MI

Medicare & Medicaid certified2★ overall (CMS)

Call (989) 426-3430Send a messageMap ↗

Public-record details

Address
449 Quarter Street, Gladwin, MI 48624
Phone
(989) 426-3430
Listed under
For-profit
Medicare CCN
235485
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
84
Average residents per day
75
Ownership
For-profit, limited Liability company
Legal business name
Gladwin Pines Operating LLC
Chain
The Peplinski Group (10 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 14, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 235485. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 11, 2025. CMS lists 30 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 15, 2023 to Sep 11, 2025): 10 from complaint inspections, 5 at the “actual harm” level or higher.

InspectionCitationSeverity
Sep 11, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights
D
Potential for more than minimal harm, isolated
Sep 11, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 11, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Sep 11, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Sep 11, 2025Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration
D
Potential for more than minimal harm, isolated
Sep 11, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning
E
Potential for more than minimal harm, pattern
Sep 11, 2025Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental
E
Potential for more than minimal harm, pattern
Sep 11, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread
Sep 11, 2025Provide and implement an infection prevention and control program.
Infection Control
F
Potential for more than minimal harm, widespread
Sep 11, 2025Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control
F
Potential for more than minimal harm, widespread
Sep 11, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
G
Actual harm, isolated
Sep 11, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
G
Actual harm, isolated

Showing the 12 most recent of 30. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $144,208 and 2 denials of Medicare payment for new admissions in the last three years.

Sep 11, 2025Fine: $71,010
Jan 17, 2025Fine: $17,345
Jan 17, 2025Payment denial for 12 days from Feb 13, 2025
Aug 7, 2024Fine: $55,853
Aug 7, 2024Payment denial for 8 days from Sep 12, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.33 hours
Registered nurse (RN) time per resident per day
0.93 hours
Nurse aide time per resident per day
2.88 hours
Total nurse staffing on weekends
4.05 hours
Nursing staff turnover (yearly)
46%
RN turnover (yearly)
55%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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