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Nursing HomeMedicaid Investigative

Gladwin Pines Nursing and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

449 Quarter Street, Gladwin, MI 4862484 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 49 Google reviews

5
4
3
2
1
Gladwin Pines Nursing and Rehabilitation Center Nursing Home in Gladwin, MI — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (14 vs median 8.0)

Bottom 25% in MI · Meets national RN staffing standard · Above recommended total nurse staffing · Worst in THE PEPLINSKI GROUP chain · $73,198 in fines

Source: Medicare data

What this means for your family

Gladwin Pines has a strong reputation for rehabilitation therapy and a very friendly, active staff environment. However, because multiple families have raised serious concerns about staffing levels and medical oversight, we recommend you visit during off-hours or weekends to observe the response times and staff-to-resident ratios yourself.

Google Reviews

Google Reviews

49 reviews on Google
Gladwin Pines Nursing and Rehabilitation Center receives highly polarized feedback, with a large volume of recent, glowing reviews praising the staff's friendliness and the facility's cleanliness. However, some families report critical concerns regarding understaffing, slow response times for call lights, and inconsistent medical oversight for complex health needs. Prospective families should weigh the strong rehabilitation therapy reputation against these reports of potential neglect during off-hours.

Quality Themes

Tap a score for details
Food5.0Staff8.0Clean7.0Activities9.0Meds3.0MemoryN/AComms6.0ValueN/A

Strengths

  • Friendly and welcoming staff
  • Effective physical therapy services
  • Clean and well-maintained facility
  • Active social and activity programming

Concerns

  • Chronic understaffing leading to slow response times (mentioned by 3 reviewers)
  • Inconsistent medical monitoring and neglect of patient needs (mentioned by 2 reviewers)
  • Poor facility maintenance (windows, blinds, and general cleanliness) (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'19(2)'21(1)'23(5)'25(39)'26(1)

Distribution · 57 analyzed

5
43
4
7
3
1
2
3
1
3
15 reviews posted between Dec 14, 2025Dec 20, 2025 · 11 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that the facility has 84 residents, how do you ensure consistent medical monitoring and timely responses to call lights during peak times or shift changes?
  • 2I noticed some concerns regarding facility upkeep; what is your current plan for addressing maintenance issues like window and blind repairs to ensure a comfortable environment?
  • 3With medication management being a critical focus, could you walk me through your process for ensuring accuracy and safety for residents who require daily assistance?
  • 4Since your physical therapy and activity programs receive such positive feedback, how do you tailor these social and exercise opportunities to meet the individual needs of each resident?
  • 5How does your leadership team track and address the 14 recent state-reported deficiencies to ensure they do not impact the quality of care my loved one receives?
  • 6What specific protocols do you have in place to ensure that resident needs are consistently met, especially when staffing levels fluctuate throughout the week?

Personalized based on this facility's data


Key Review Excerpts

As far as rehabilitation the physical therapy is great that's why there isn't only 1 star but besides that I would not send your family members here to stay permanently. No deep cleaning is ever done just spot cleaning definitely unsanitary and Very understaffed hard to find anyone to help you or your family.

Family member · 2024★★☆☆☆

My dad was there twice! He always received great care. Melissa the NP was great always answering our questions, making sure we all understood what process. Staff was friendly and helpful.

Family member · 2025★★★★★

As I walk down the halls here, I am always greeted with warm smiles and 'hellos,' not just from staff but also residents. The friendly interactions I see and hear reassure me that this is a safe place for my mom.

Long-term resident's family · 2025★★★★
Source: 49 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.92hrs
OK
Registered nurses for medical care
Total Nursing
4.33hrs
OK
All nurses + aides combined
Staff Turnover
41%
Lower is better (< 30% = good)
RN Turnover
39%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

10

measures

Worse Than Avg

7

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility33.0%
Worse than Avg
Here
33.0%
US
19.5%
MI
19.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
MI
4.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility24.4%
Worse than Avg
Here
24.4%
US
15.3%
MI
13.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.0%
Better than Avg
Here
5.0%
US
15.5%
MI
15.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.5%
Worse than Avg
Here
26.5%
US
19.4%
MI
20.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MI
95.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.5%
Better than Avg
Here
97.5%
US
81.8%
MI
83.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.2%
Better than Avg
Here
95.2%
US
79.8%
MI
79.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
MI
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
5penalties
Above state avg (9.8)
12 complaint-triggered
$73,198 in fines

Families have filed multiple complaints that triggered investigations, with recurring issues in fire safety systems, medication management, and wound care. The facility shows persistent problems with fire alarm systems across three surveys and has faced repeated deficiencies in pressure ulcer prevention and medication errors. While all violations have been corrected according to state records, the pattern of complaint-driven investigations and recurring safety issues warrants careful consideration during any visit.

Sep 11, 2025Routine
15
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0882Potential for harm · WidespreadCorrected

Infection Control Deficiencies

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

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0921Potential for harm · PatternCorrected

Environmental Deficiencies

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

0374Potential for harm · PatternCorrected

Smoke Deficiencies

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

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

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.

Sep 11, 2025Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Jul 9, 2025Complaint
2
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Jan 17, 2025Complaint
3
0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Aug 7, 2024Routine
15
0756Potential for harm · WidespreadCorrected

Pharmacy Service Deficiencies

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

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0025Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

0222Potential for harm · PatternCorrected

Egress Deficiencies

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.

0281Potential for harm · PatternCorrected

Egress Deficiencies

Install proper backup exit lighting.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

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

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Aug 7, 2024Complaint
4
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Federal Penalties

Fine

Sep 11, 2025

$71,010

Fine

Jan 17, 2025

$17,345

Payment Denial

Jan 17, 2025

12-day denial

Fine

Aug 7, 2024

$55,853

Payment Denial

Aug 7, 2024

8-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Gladwin Pines Nursing and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

The Peplinski Group

Chain Size

10 facilities nationwide

Chain avg rating: 2.5/5 · Rank 8 of 10 (Worst)

Ownership & Management

Owners

Ackerman, Ricky

Owner

Baumgarten, Michael

Owner

Peplinski, Todd

Owner

Schade, Jeffery

Owner

Thompson, Brian

Owner

Key personnel

Plante & Moran PllcManagerAckerman, RickyManagerPepera, ChristineManagerPotnis, AmarishManagerSchade, JefferyManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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