Michigan ›Gladwin

Gladwin Pines Nursing and Rehabilitation Center

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449 Quarter Street, Gladwin, MI 48624 (opens Google Maps) · Gladwin County · (989) 426-3430· 84 certified beds · avg 75 residents/day · certified since Apr 14, 1989 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: THE PEPLINSKI GROUP (10 facilities, chain avg rating 2.1★)

2/5
Health inspection rating (on-site)
inspected Sep 11, 2025
5
Serious findings on record
most recent Sep 11, 2025
$144,208
Fines, last 3 years
3.98
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Sep 11, 2025 · F-0684

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Oct 6, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Sep 11, 2025 · F-0686

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Oct 6, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Jan 17, 2025 · F-0760 · triggered by a complaint

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Feb 25, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Aug 7, 2024 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 20, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Jun 15, 2023 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 15, 2023 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 30 inspection findings. Open the full record below to read every finding.

  1. G · Actual harm, isolated

    The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684

  2. G · Actual harm, isolated

    The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. F-0686

  3. F · Potential for more than minimal harm, widespread

    The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812

View all 30 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Sep 11, 2025▲ G · Actual harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Sep 11, 2025▲ G · Actual harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Sep 11, 2025F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Sep 11, 2025F · Potential for more than minimal harm, widespreadThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Sep 11, 2025F · Potential for more than minimal harm, widespreadThe facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882
Sep 11, 2025E · Potential for more than minimal harm, patternThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Sep 11, 2025E · Potential for more than minimal harm, patternThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Sep 11, 2025D · Potential for more than minimal harm, isolatedThe facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · F-0554
Sep 11, 2025D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Sep 11, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
Sep 11, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Sep 11, 2025D · Potential for more than minimal harm, isolatedThe facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · F-0849
Jul 9, 2025D · Potential for more than minimal harm, isolatedThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
Jul 9, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Jan 17, 2025▲ G · Actual harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
Jan 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint · F-0585
Jan 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Aug 7, 2024▲ G · Actual harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Aug 7, 2024F · Potential for more than minimal harm, widespreadThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756
Aug 7, 2024F · Potential for more than minimal harm, widespreadThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Aug 7, 2024E · Potential for more than minimal harm, patternThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658
Aug 7, 2024E · Potential for more than minimal harm, patternThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761
Aug 7, 2024D · Potential for more than minimal harm, isolatedThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
Aug 7, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · F-0791
Aug 7, 2024D · Potential for more than minimal harm, isolatedThe facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881
Jun 15, 2023▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jun 15, 2023E · Potential for more than minimal harm, patternThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Jun 15, 2023D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Jun 15, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Jun 15, 2023D · Potential for more than minimal harm, isolatedThe facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · F-0694

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (8 → 12).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 5
Serious citations (G–L): 1
2024
All citations: 8
Serious citations (G–L): 1
2025
All citations: 17
Serious citations (G–L): 3

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202351G ▲
202481G ▲
2025173G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

3 fines totaling $144,208, plus 2 Medicare payment denial periods.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Sep 11, 2025Fine$71,010
Jan 17, 2025Fine$17,345
Jan 17, 2025Payment Denial12 days from Feb 13, 2025
Aug 7, 2024Fine$55,853
Aug 7, 2024Payment Denial8 days from Sep 12, 2024

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityMichigan averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.98
Michigan average: 4.32
U.S. average: 3.95
Registered Nurse hours
This facility: 0.85
Michigan average: 0.84
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.73
Michigan average: 3.79
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityMichigan avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.984.323.95bottom 41% in Michigan; top 40% in the U.S.
Registered Nurse hours0.850.840.69top 41% in Michigan; top 24% in the U.S.
Weekend total nurse staffing3.733.793.50top 41% in Michigan; top 32% in the U.S.
Weekend RN hours (not acuity-adjusted)0.640.490.48top 22% in Michigan; top 20% in the U.S.
Total nursing staff turnover (%)45.544.145.8bottom 47% in Michigan; bottom 49% in the U.S.
RN turnover (%)55.039.242.9bottom 21% in Michigan; bottom 28% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.33, RN 0.93, weekend 4.05.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.33 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Gladwin Pines Nursing and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Ackerman, RickyIndividualDirect Ownership InterestNOT APPLICABLE05/01/2016
Baumgarten, MichaelIndividualDirect Ownership InterestNOT APPLICABLE05/01/2016
Peplinski, ToddIndividualDirect Ownership InterestNOT APPLICABLE05/01/2016
Schade, JefferyIndividualDirect Ownership InterestNOT APPLICABLE05/01/2016
Thompson, BrianIndividualDirect Ownership InterestNOT APPLICABLE05/01/2016
Ackerman, RickyIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2016
Ackerman, RickyIndividualADP of the SNFNOT APPLICABLE05/01/2016
Baumgarten, MichaelIndividualADP of the SNFNOT APPLICABLE05/01/2016
Gladwin Pines Property Holdings LLCOrganizationADP of the SNFNOT APPLICABLE05/01/2016
Pepera, ChristineIndividualOperational/Managerial ControlNOT APPLICABLE07/12/2021
Pepera, ChristineIndividualADP of the SNFNOT APPLICABLE07/12/2021
Peplinski, ToddIndividualADP of the SNFNOT APPLICABLE05/01/2016
Plante & Moran PLLCOrganizationOperational/Managerial ControlNOT APPLICABLE05/01/2016
Plante & Moran PLLCOrganizationADP of the SNFNOT APPLICABLE04/15/2025
Potnis, AmarishIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2016
Potnis, AmarishIndividualADP of the SNFNOT APPLICABLE05/01/2016
Schade, JefferyIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2016
Schade, JefferyIndividualADP of the SNFNOT APPLICABLE05/01/2016
The Peplinski Group INCOrganizationADP of the SNFNOT APPLICABLE05/01/2016
Thompson, BrianIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2016

Showing 20 of 23 parties CMS has on file for this facility; 3 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain The Peplinski Group — 10 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 9 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
  • "What systems do you use to prevent medication errors, and what happens when one occurs?"
  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "Who is your infection preventionist, and what training do they have?"
  • "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 46% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 23 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Gladwin Nursing and Rehabilitation Community2.2 miGladwin, MI★★★★☆4/5
Medilodge of Clare17.2 miClare, MI★★★★★4/5

Compare this facility with the 2 closest →

All facilities in Gladwin →

Facility data as of CMS processing date 2026-08-01. CCN 235485.

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