01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-15 | 4 | 2025-08-15 | 6 |
| Cycle 2 | 2024-08-18 | 4 | 2024-08-18 | 3 |
| Cycle 3 | 2023-08-06 | 6 | 2023-08-06 | 6 |
CMS CCN 5559112026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Glendale Adventist Medical Center Dp/Snf
1509 Wilson Ter · Glendale, CA 91206 · Los Angeles County
Certified beds40CMS provider file
Recent citation rows29current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
29 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-15 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-08-15 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-08-15 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-08-15 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-08-15 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-08-15 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-08-15 · FIREK0712Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-08-15 · FIREK0761Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-08-15 · FIREK0920Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-08-12 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-09-18 · complaint2024-08-18 · HEALTHF0550Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-09-052024-08-18 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-09-052024-08-18 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-09-052024-08-18 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-09-052024-08-18 · FIREK0351Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2024-09-182024-08-18 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-09-182024-08-18 · FIREK0511Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2024-09-182023-08-06 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2023-08-292023-08-06 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2023-08-292023-08-06 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2023-08-292023-08-06 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2023-08-292023-08-06 · HEALTHF0758Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Correction field: Deficient, Provider has date of correction · 2023-08-292023-08-06 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-08-292023-08-06 · FIREK0293Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2023-08-1003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ADVENTIST HEALTH SYSTEM/WESTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 06/16/1980
- BONNER, ROBERTIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 10/25/2021
- ISSAI, ALICEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 07/02/2018
- TETZ, WARRENIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/14/1999
- BANKS, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/05/2017
- CHERRY, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/05/2017
- DAVIS, ANDREWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/05/2017
- FREEDMAN, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/26/2016
- GABRIEL, MELODYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2015
- GRAHAM, RICARDOIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/17/2007
- HEINRICH, KERRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/16/2014
- INNOCENT, LARRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/19/2011
- PEDERSEN, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/16/2017
- REINER, BRIANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/31/2014
- REINER, RICHARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/16/2017
- RIPPEY, WESLEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/14/1998
- SALAZAR, VELINOIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/15/2015
- WING, BILLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/31/2014
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours6.51per resident day
RN hours2.58per resident day
Weekend nurse hours5.76per resident day
Staff turnover18.3%CMS reported field
06 / LOCAL RECORDS
Open the Glendale ledger →Other published facilities nearby
Ararat Post Acute28 beds · CMS overall 5/541 citation rowsAutumn Hills Health Care Center92 beds · CMS overall 3/556 citation rowsBroadway Manor Care Center78 beds · CMS overall 2/568 citation rowsChestnut Ridge Post Acute Llc106 beds · CMS overall 1/589 citation rowsDreier'S Nursing Care Center53 beds · CMS overall 2/586 citation rowsGlendale Healthcare Center48 beds · CMS overall 4/537 citation rowsGlendale Post Acute Center136 beds · CMS overall 1/5113 citation rowsGlenhaven Healthcare52 beds · CMS overall 3/551 citation rows