Glendale Adventist Medical Center DP/SNF
1509 Wilson Ter, Glendale, CA 91206 · Los Angeles County · 40 certified beds · avg 39 residents/day · certified since Apr 18, 2019
Part of chain: ADVENTIST HEALTH (5 facilities, chain avg rating 4.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 self-reported quality measures.
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 15, 2025 | E · Potential for harm, repeated | 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. |
| Aug 15, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Aug 15, 2025 | D · Potential for harm, one-off | The 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. |
| Aug 12, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Aug 18, 2024 | E · Potential for harm, repeated | The 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. |
| Aug 18, 2024 | E · Potential for harm, repeated | 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. |
| Aug 18, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 18, 2024 | D · Potential for harm, one-off | The 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. |
| Aug 6, 2023 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Aug 6, 2023 | E · Potential for harm, repeated | The 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. |
| Aug 6, 2023 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Aug 6, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Aug 6, 2023 | D · Potential for harm, one-off | 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. |
| Aug 6, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | E |
| 2024 | 4 | 0 | E |
| 2025 | 4 | 0 | E |
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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.49 | 4.31 | 3.95 | top 8% in California; top 7% in the U.S. |
| Registered Nurse hours | 2.18 | 0.61 | 0.69 | top 1% in California; top 1% in the U.S. |
| Weekend total nurse staffing | 4.86 | 3.90 | 3.50 | top 8% in California; top 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 2.43 | 0.51 | 0.48 | top 2% in California; top 1% in the U.S. |
| Total nursing staff turnover (%) | 18.3 | 36.7 | 45.8 | top 5% in California; top 2% in the U.S. |
| RN turnover (%) | 9.5 | 38.1 | 42.9 | top 5% in California; top 4% in the U.S. |
Hours are per resident per day, 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 6.51, RN 2.58, weekend 5.76. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: —/5 · short-stay residents: 4/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Adventist Health System/West | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/16/1980 |
| Adventist Health System/West | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/16/1980 |
| Banks, David | Individual | Corporate Director | NOT APPLICABLE | 05/05/2017 |
| Bonner, Robert | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/25/2021 |
| Bonner, Robert | Individual | Corporate Officer | NOT APPLICABLE | 10/25/2021 |
| Cherry, Robert | Individual | Corporate Director | NOT APPLICABLE | 05/05/2017 |
| Davis, Andrew | Individual | Corporate Director | NOT APPLICABLE | 05/05/2017 |
| Freedman, John | Individual | Corporate Director | NOT APPLICABLE | 09/26/2016 |
| Gabriel, Melody | Individual | Corporate Director | NOT APPLICABLE | 06/01/2015 |
| Graham, Ricardo | Individual | Corporate Director | NOT APPLICABLE | 12/17/2007 |
| Heinrich, Kerry | Individual | Corporate Director | NOT APPLICABLE | 12/16/2014 |
| Innocent, Larry | Individual | Corporate Director | NOT APPLICABLE | 09/19/2011 |
| Issai, Alice | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/02/2018 |
| Issai, Alice | Individual | Corporate Officer | NOT APPLICABLE | 07/02/2018 |
| Jobe, Meredith | Individual | Corporate Officer | NOT APPLICABLE | 03/31/2014 |
| Pedersen, James | Individual | Corporate Director | NOT APPLICABLE | 01/16/2017 |
| Reiner, Brian | Individual | Corporate Director | NOT APPLICABLE | 03/31/2014 |
| Reiner, Brian | Individual | Corporate Officer | NOT APPLICABLE | 03/31/2014 |
| Reiner, Richard | Individual | Corporate Director | NOT APPLICABLE | 01/16/2017 |
| Rippey, Wesley | Individual | Corporate Director | NOT APPLICABLE | 09/14/1998 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Glendale Post Acute Center | 0.6 mi | Glendale, CA | ★☆☆☆☆ | 1/5 | |
| Autumn Hills Health Care Center | 0.6 mi | Glendale, CA | ★★★☆☆ | 2/5 | |
| Ararat Convalescent Hospital | 0.9 mi | Los Angeles, CA | ★★★★☆ | 3/5 | |
| Solheim Senior Community | 1.0 mi | Los Angeles, CA | ★★☆☆☆ | 2/5 | |
| Ararat Post Acute | 1.0 mi | Glendale, CA | ★★★★★ | 4/5 | |
| College Vista Post-Acute | 1.5 mi | Los Angeles, CA | ★★☆☆☆ | 2/5 | |
| Chestnut Ridge Post Acute LLC | 1.9 mi | Glendale, CA | ★☆☆☆☆ | 1/5 | abuse |
| Golden Haven Care Center | 1.9 mi | Glendale, CA | ★☆☆☆☆ | 1/5 | |
| Leisure Glen Post Acute Care Center | 1.9 mi | Glendale, CA | ★★★★☆ | 4/5 | |
| Glenhaven Healthcare | 2.0 mi | Glendale, CA | ★★★☆☆ | 3/5 | |
| Glendale Healthcare Center | 2.1 mi | Glendale, CA | ★★★★☆ | 4/5 | |
| Broadway Manor Care Center | 2.3 mi | Glendale, CA | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 555911.