CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Golden Pavilion Healthcare
View the most recent health deficiencies and inspection results for Golden Pavilion Healthcare. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Golden Pavilion Healthcare. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-12-04 | 2025-12-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-24 | 2025-08-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-06-05 | 2025-06-13 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-27 | 2025-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-27 | 2025-06-06 | N |
| Use approved construction type or materials. | Fire Safety | 2025-05-27 | 2025-06-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-05-27 | 2025-06-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-05-27 | 2025-06-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-05-27 | 2025-06-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-27 | 2025-06-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-05-27 | 2025-06-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-05-27 | 2025-06-06 | 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 | 2025-05-27 | 2025-05-30 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-05-27 | 2025-05-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-27 | 2025-05-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-27 | 2025-05-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-03-20 | 2025-03-31 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-13 | 2025-02-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-01-13 | 2025-02-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-13 | 2025-02-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-13 | 2025-02-13 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-10-03 | 2024-11-30 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-06-24 | 2024-09-06 | Y |
| Provide appropriate foot care. | Health | 2024-06-24 | 2024-09-06 | Y |
| Provide or obtain dental services for each resident. | Health | 2024-06-24 | 2024-09-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-24 | 2024-09-06 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-08-22 | 2024-09-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-22 | 2024-09-03 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-08-22 | 2024-09-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-16 | 2024-06-25 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-04-30 | 2024-06-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-30 | 2024-06-13 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-12 | 2024-05-15 | 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 | 2024-04-12 | 2024-05-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Post nurse staffing information every day. | Health | 2024-04-12 | 2024-05-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-12 | 2024-05-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-04-12 | 2024-05-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-04-12 | 2024-05-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-12 | 2024-05-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-12 | 2024-05-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-04-12 | 2024-05-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-12 | 2024-05-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-11 | 2024-02-15 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-11 | 2024-02-15 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-01-11 | 2024-02-15 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-11 | 2024-02-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-06 | 2024-02-01 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-12-06 | 2024-02-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-15 | 2024-02-01 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-22 | 2024-02-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-12 | 2024-02-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-12 | 2024-02-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-06 | 2024-02-01 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-12-19 | 2024-01-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-19 | 2024-01-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-19 | 2024-01-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-15 | 2024-01-08 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-11-15 | 2024-01-08 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-11-15 | 2024-01-08 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-11-15 | 2024-01-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-15 | 2024-01-08 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-11-15 | 2024-01-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-21 | 2023-11-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-21 | 2023-11-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-21 | 2023-11-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-21 | 2023-11-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-07 | 2023-09-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-07 | 2023-09-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-07 | 2023-09-01 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-06-01 | 2023-07-14 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-06-01 | 2023-07-14 | Y |
| 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 | 2021-06-28 | 2022-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-28 | 2022-02-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-06-28 | 2021-12-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-28 | 2021-09-23 | 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 | 2021-06-28 | 2021-09-23 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2021-06-28 | 2021-09-23 | 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 | 2021-06-28 | 2021-09-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-28 | 2021-09-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-06-28 | 2021-09-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-28 | 2021-08-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-28 | 2021-08-05 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-06-28 | 2021-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-28 | 2021-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-28 | 2021-08-05 | 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 | 2021-06-28 | 2021-08-05 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-06-28 | 2021-08-05 | N |
| Use approved construction type or materials. | Fire Safety | 2021-06-28 | 2021-08-05 | N |