Gladwin Nursing and Rehabilitation Community
3270 Pratt Lake Road, Gladwin, MI 48624 · Gladwin County · (989) 426-7275
60 certified beds, about 41 residents a day · For profit - Corporation · Medicare and Medicaid since 1977
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235335 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 7, 2026, inspectors cited 10 health deficiencies (the Michigan average is 9.9, the national average 9.2).
Of 20 health citations since November 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.63 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.
58.3% of nursing staff left within the year CMS measured (Michigan average 44.1%).
CMS links it to Atrium Centers, an affiliated group of 26 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
411/23
210/24
112/24
204/25
1001/26
105/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 20 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
17D
2E
0F
Potential for minimal harm
0A
0B
0C
May 27, 2026Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThis citation pertains to intake #3010300. Based on interview and record review, the facility failed to follow policy to ensure a safe leave of absence for 1 resident (R101) of 3 residents reviewed.
January 7, 2026Standard inspection · 10 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to have an active and ongoing plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP) and failed to store linens in a manner that would prevent the spread of infection, resulting in the potential for increased risk of respiratory infection among all residents in the facility and resulting in the increased risk of adverse outcomes for residents. Water:On 01/06/2026 at 11:12AM, observed in kitchen, two water lines coming out of floor under a stainless-steel counter. One of the lines did not provide water to any equipment and was capped at the end, this line was over 12 inches long from the point it comes out of the floor. [...]
- D Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on interview and record review, the facility failed to consistently conduct and document care conferences for 1 resident (R8) of 2 residents reviewed for care conferences.
- D 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to address grievances for 1 resident (R30) out of 12 of residents reviewed.
- D Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on interview and record review, the facility failed to provide medications at discharge or attempt to assist with a safe discharge plan for 1 resident (R45) of 1 resident reviewed for discharge planning.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on interview and record review, the facility failed to provide 1 Resident (R50) and his representative with a written and completed baseline care plan within 48 hours of admission of 4 residents reviewed for care plans.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interviews and record review, the facility failed to develop and implement a comprehensive respiratory care plan for 1 resident (R30) out of 1 resident reviewed for respiratory care.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide showers as ordered for 1 resident (R50) out of 12 residents reviewed for care.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to assess, monitor and effectively treat the respiratory condition of 1 resident (R30) of 1 resident reviewed for respiratory care.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and record review, the facility failed to ensure the monthly drug regimen review recommendations for 1 resident (R40) of 5 residents reviewed were accurately addressed.
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation and interview, the facility failed to provide adequate access to the call light system, increasing the risk of possible adverse outcomes for residents who use the [NAME] Hallway A bathing room.
April 17, 2025Complaint inspection · 2 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThis citation pertains to intake #MI00151153 Based on observations, interviews and record review, the facility a failed to implement their hot liquid policy, accurately assess and implement a safe hot liquid program for 1 Resident (R1) of four residents reviewed, resulting in a second-degree burn caused by a hot liquid.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteThis citation pertains to intake # MI00151153 Based on interview and record review, the facility failed to report a resident-to-resident physical assault to local law enforcement and a second-degree burn sustained from an avoidable hot liquid spill for 2 residents (R1 and R2) out of 4 residents reviewed for abuse and neglect.
December 18, 2024Complaint inspection · 1 citation
- D Respond appropriately to all alleged violations.
Inspectors wroteThis citation pertains to intake # MI00148940 Based on interview and record review, the facility failed to initiate an investigation into an allegation of an injury of unknown origin for one of three residents (Resident #1) reviewed.
October 9, 2024Standard inspection · 2 citations
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure call light systems were within reach for 2 of 6 resident's reviewed (Resident #142 and Resident #30).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure Enhanced Barrier Precautions (EBP) and Contact-Based Precautions were implemented for two residents (R5 and R144) of 39 residents reviewed for infection control.
November 9, 2023Standard inspection · 4 citations
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to effectively clean and maintain the physical plant effecting 40 residents, resulting in the increased likelihood for cross-contamination, bacterial harborage, malodorous conditions, and decreased illumination.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and record review, the facility failed to ensure monthly pharmacy drug regimen review recommendations were reviewed by the physician and/or acted upon in a timely manner for 3 of 6 residents reviewed (R3, R13, and R34), resulting in the potential for the physician not knowing of a pharmacy recommendation, the potential for a delay in implementing a pharmacy recommendation, and the potential for adverse effects from medications that the pharmacy identified as potential medication issues.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's medication regimen was free from unnecessary medications for 1 of 5 residents (R34) reviewed for unnecessary medications, resulting in R34 receiving an unnecessary medication for an excessive duration of time and the potential for serious adverse effects.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview and record review, the facility failed to maintain complete and accurate medical records for 3 of 15 residents (R3, R13, and R34), resulting in incomplete and inaccurate medical records and the potential for providers not having an accurate and complete picture of the resident's stay at the facility.
Fire safety inspections
18 fire safety citations on file: 3 on January 7, 2026, 9 on October 9, 2024, 6 on November 9, 2023.
Every fire safety citation18 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install a fire alarm system that can be heard throughout the facility.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Install an approved automatic sprinkler system.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- E Have exits that are accessible at all times.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D 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.
- F Meet other general requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Install an approved automatic sprinkler system.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- E Have restrictions on the use of portable space heaters.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Michigan | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.63 | 3.99 | 3.86 |
| Registered nurses | 0.69 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.27 | 3.50 | 3.42 |
| Nurse aides | 2.11 | ||
| Licensed practical nurses | 0.84 | ||
| Nursing staff turnover (share who left in a year) | 58.3% | 44.1% | 45.8% |
| Registered nurse turnover | 55.6% | 39.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.61 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.78 on weekdays and 3.27 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.66 in April to June 2025 to 3.63 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.63 | 0.69 | 3.78 | 3.27 | 8.8% | 0 of 90 | 41 |
| Oct to Dec 2025 | 3.67 | 0.73 | 3.80 | 3.35 | 4.2% | 0 of 92 | 39 |
| Jul to Sep 2025 | 3.68 | 0.72 | 3.82 | 3.35 | 6.7% | 0 of 92 | 40 |
| Apr to Jun 2025 | 3.66 | 0.71 | 3.78 | 3.35 | 6.3% | 0 of 91 | 38 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Michigan, Jan to Mar 2026 | 3.95 | 0.70 | 4.14 | 3.45 | 3.3% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Michigan | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.1 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.3 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.9 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.9 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.3 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.2 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 22.3 | 11.7 | 12.0 |
Owners and operators
Legal business name: ATRIUM GLADWIN, INC.. CMS links this home to Atrium Centers, a group of 26 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Atrium Centers, LLC | 5% or greater direct ownership interest | Organization | 100% | 10/01/2007 |
| Bailey, Essel | Corporate director | Individual | 10/01/2007 | |
| Lockhart, Dennis | Corporate director | Individual | 08/03/2003 | |
| Finney, Donald | Corporate officer | Individual | 08/01/2003 | |
| Atrium Centers Management LLC | Operational/managerial control | Organization | 10/01/2007 | |
| Albright Ross, Susan | Operational/managerial control | Individual | 01/02/2018 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on May 27, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on January 7, 2026: "Allow resident to participate in the development and implementation of his or her person-centered plan of care."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on January 7, 2026: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on January 7, 2026: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.27 hours per resident per day, below the Michigan average of 3.50.
Other nursing homes nearby
- Gladwin Pines Nursing and Rehabilitation Center Gladwin, 2.2 mi · 2 of 5 stars · 30 citations
- Medilodge of Clare Clare, 18.6 mi · 5 of 5 stars · 8 citations
- The Villa at West Branch West Branch, 22.3 mi · 3 of 5 stars · 39 citations
- North Woods Nursing Center Farwell, 22.7 mi · 3 of 5 stars · 16 citations
- King Nursing & Rehabilitation Community Houghton Lake, 23.8 mi · 3 of 5 stars · 17 citations
- Medilodge of Sterling Sterling, 24.1 mi · 5 of 5 stars · 19 citations
Michigan contacts for a concern about a nursing home
These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Michigan Department of Licensing and Regulatory Affairs, Bureau of Survey and Certification, Long Term Care Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Michigan Long Term Care Ombudsman Program, 1-866-485-9393. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: LARA State Licensing Search, where Michigan publishes its own records on licensed homes.
Common questions
- What is Gladwin Nursing and Rehabilitation Community's Medicare star rating?
- CMS rates Gladwin Nursing and Rehabilitation Community 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Gladwin Nursing and Rehabilitation Community get at its last inspection?
- 10 health deficiencies at the standard inspection on January 7, 2026. The Michigan average is 9.9.
- Has Gladwin Nursing and Rehabilitation Community been fined?
- CMS lists no fines in the last three years.
- Does Gladwin Nursing and Rehabilitation Community accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Gladwin Nursing and Rehabilitation Community?
- CMS lists 6 owners and managers, and links the home to Atrium Centers. Legal business name: ATRIUM GLADWIN, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.