Deficiency Records for Golden Hill Post Acute
Updated as of February 01, 2019
This is not the most recent data for Golden Hill Post Acute. For the most recent information, click here.
A list of the most recent deficiencies for Golden Hill Post Acute. 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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-10-23 | 2018-11-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-23 | 2018-11-23 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-10-04 | 2018-11-04 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-10-04 | 2018-11-04 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-10-04 | 2018-11-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-04 | 2018-11-04 | 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 | 2018-10-04 | 2018-11-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-04 | 2018-11-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-04 | 2018-11-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-04 | 2018-11-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-04 | 2018-11-04 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-10-04 | 2018-11-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-04 | 2018-11-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-10-04 | 2018-11-04 | 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 | 2018-10-04 | 2018-11-04 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-10-04 | 2018-11-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-10-04 | 2018-11-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-04 | 2018-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-04 | 2018-11-04 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2018-10-04 | 2018-11-04 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-09-28 | 2018-10-22 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-08-20 | 2018-09-20 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2018-08-20 | 2018-09-20 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-08-25 | 2017-09-29 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-25 | 2017-09-29 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-25 | 2017-09-29 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-08-25 | 2017-09-29 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-08-25 | 2017-09-29 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-08-25 | 2017-09-29 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-25 | 2017-09-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-25 | 2017-09-29 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-08-25 | 2017-09-29 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-08-25 | 2017-09-29 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-25 | 2017-09-29 | Y |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-08-25 | 2017-09-29 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-25 | 2017-09-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-09 | 2017-04-13 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-09 | 2017-03-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-12-07 | 2017-01-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-12-07 | 2017-01-31 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-08-11 | 2016-08-26 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-06-16 | 2016-07-05 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-06-16 | 2016-07-05 | N |
| A written emergency evacuation plan. | Fire Safety | 2016-06-16 | 2016-07-05 | N |
| Properly maintained smoke detectors. | Fire Safety | 2016-06-16 | 2016-07-05 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-06-16 | 2016-07-05 | N |
| Completely assess the resident at least every twelve months. | Health | 2016-06-09 | 2016-07-01 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2016-06-09 | 2016-07-01 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-06-09 | 2016-07-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-06-09 | 2016-07-01 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-06-09 | 2016-07-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-09 | 2016-07-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-06-09 | 2016-07-01 | Y |
