Deficiency Records for Golden Heights Healthcare
Updated as of May 01, 2024
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Deficiency Records for Golden Heights Healthcare
A list of the most recent deficiencies for Golden Heights Healthcare. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Golden Heights Healthcare. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2024-02-01 | 2024-02-29 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-08 | 2023-09-27 | Y |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-08-08 | 2023-09-27 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-07-24 | 2023-08-30 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-24 | 2023-08-30 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-24 | 2023-08-30 | N |
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. | Health | 2023-07-24 | 2023-08-30 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-07-24 | 2023-08-29 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-24 | 2023-08-29 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-24 | 2023-08-29 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-07-24 | 2023-08-29 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-24 | 2023-08-29 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-24 | 2023-08-29 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-24 | 2023-08-29 | N |
Provide and implement an infection prevention and control program. | Health | 2023-07-24 | 2023-08-29 | N |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-07-24 | 2023-08-28 | N |
List the names and contact information of those in the facility. | Fire Safety | 2023-07-26 | 2023-08-21 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-26 | 2023-08-21 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-26 | 2023-08-21 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-26 | 2023-08-21 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-26 | 2023-08-21 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-26 | 2023-08-21 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2023-07-26 | 2023-08-21 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-26 | 2023-08-21 | N |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-07-27 | 2023-08-17 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-27 | 2023-08-17 | Y |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-07-24 | 2023-07-26 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-24 | 2023-07-24 | N |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-07-24 | 2023-07-24 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-02 | 2023-06-01 | Y |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-17 | 2023-03-22 | Y |
Address subsistence needs for staff and patients. | Fire Safety | 2020-01-24 | 2020-02-06 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2020-01-24 | 2020-02-06 | N |
Establish policies and procedures for medical documentation. | Fire Safety | 2020-01-24 | 2020-02-06 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-01-24 | 2020-02-06 | N |
List the names and contact information of those in the facility. | Fire Safety | 2020-01-24 | 2020-02-06 | N |
Provide emergency officials' contact information. | Fire Safety | 2020-01-24 | 2020-02-06 | N |
Provide primary/alternate means for communication. | Fire Safety | 2020-01-24 | 2020-02-06 | N |
Implement emergency and standby power systems. | Fire Safety | 2020-01-24 | 2020-02-06 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-01-24 | 2020-02-06 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-24 | 2020-02-06 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-01-24 | 2020-02-06 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-24 | 2020-02-06 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-24 | 2020-02-06 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-24 | 2020-02-06 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-24 | 2020-02-06 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-11-22 | 2020-01-21 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-11-22 | 2020-01-21 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-22 | 2020-01-21 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-22 | 2020-01-21 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-22 | 2020-01-21 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-11-22 | 2020-01-21 | N |
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. | Health | 2019-11-22 | 2020-01-21 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-22 | 2020-01-21 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-11-22 | 2020-01-21 | N |
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. | Health | 2019-11-22 | 2020-01-21 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-22 | 2020-01-21 | N |
Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-11-22 | 2020-01-21 | N |
Dispose of garbage and refuse properly. | Health | 2019-11-22 | 2020-01-21 | N |
Provide and implement an infection prevention and control program. | Health | 2019-11-22 | 2020-01-21 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-15 | 2019-02-04 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-15 | 2019-02-04 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-15 | 2019-02-04 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-15 | 2019-02-04 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-20 | 2019-01-15 | N |
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. | Health | 2018-11-20 | 2019-01-15 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-20 | 2019-01-15 | N |
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. | Health | 2018-11-20 | 2019-01-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-20 | 2019-01-15 | N |
Provide and implement an infection prevention and control program. | Health | 2018-11-20 | 2019-01-15 | N |
Keep all essential equipment working safely. | Health | 2018-11-20 | 2019-01-15 | N |
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