All citations for Gladwin Pines Nursing and Rehabilitation Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Gladwin Pines Nursing and Rehabilitation Center

Last standard health inspection on record

September 11, 2025

Showing 1 to 25 of 49 citations

  1. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  2. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  3. Harm to a resident

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of January 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 25, 2025).

  4. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of August 7, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 20, 2024).

  5. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2023).

  6. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  7. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  8. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  9. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  10. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  11. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  12. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2024).

  13. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2024).

  14. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 11, 2024).

  15. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 11, 2024).

  16. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2023).

  17. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2023).

  18. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  19. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0921, Environmental Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  20. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  21. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of August 7, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 20, 2024).

  22. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of August 7, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 20, 2024).

  23. No harm, with potential for more than minimal harm

    Create arrangements with other facilities to receive patients.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 11, 2024).

  24. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 11, 2024).

  25. No harm, with potential for more than minimal harm

    Install proper backup exit lighting.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 11, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.