Gladwin Pines Nursing and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 49 Google reviews

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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
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 detailsStrengths
- 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
Distribution · 57 analyzed
How They Respond to Reviews
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.”
“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.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This 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
10
measures
7
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2025Routine15
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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, 2025Complaint1
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, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
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, 2025Complaint3
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
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, 2024Routine15
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
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.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Aug 7, 2024Complaint4
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
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.
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
Gladwin Pines Nursing and Rehabilitation Center
for profit
Chain Affiliation
The Peplinski Group
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
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
49 reviews from families & visitors
Official Website
Visit peplinskigroup.com
Medicare data downloads
Original nursing home datasets
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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.
The Horizon Senior Living VI
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