A list of the most recent deficiencies for Golden Age of Welsh, LLC. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-07 | 2024-01-05 | 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 | 2023-11-07 | 2024-01-05 | Y |
| Meet other general requirements. | Fire Safety | 2023-06-07 | 2023-07-21 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-06-07 | 2023-07-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-07 | 2023-07-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-07 | 2023-07-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-07 | 2023-07-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-07 | 2023-07-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-07 | 2023-07-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-07 | 2023-07-14 | 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 | 2023-06-07 | 2023-07-14 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-04-25 | 2023-05-19 | 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 | 2023-04-25 | 2023-05-19 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-04-25 | 2023-05-19 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-04-20 | 2022-06-04 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-04-20 | 2022-06-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-20 | 2022-06-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-20 | 2022-06-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-20 | 2022-06-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-20 | 2022-06-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-29 | 2020-12-18 | N |
| 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 | 2020-10-29 | 2020-12-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-28 | 2020-12-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-28 | 2020-12-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-10-28 | 2020-12-07 | N |
