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Deficiency Records for Golden Years Center For Rehab and Healthcare

View the most recent health deficiencies and inspection results for Golden Years Center For Rehab and Healthcare. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Golden Years Center For Rehab and Healthcare. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2026-01-30 2026-03-16 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2026-01-30 2026-03-16 Y
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 2026-02-23 2026-03-10 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2025-10-29 2025-12-12 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-10-29 2025-12-12 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-10-29 2025-12-12 Y
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2025-10-29 2025-12-12 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2025-10-29 2025-12-12 Y
Ensure that residents are free from significant medication errors. Health 2025-10-29 2025-12-12 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2025-08-14 2025-10-21 Y
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2025-08-14 2025-09-22 Y
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 2025-03-14 2025-04-21 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2025-03-14 2025-04-21 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 2024-04-22 2024-07-08 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2024-04-22 2024-07-08 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-04-22 2024-07-08 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 2024-04-22 2024-07-08 N
Provide or obtain dental services for each resident. Health 2024-04-22 2024-07-08 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-04-22 2024-06-03 N
Meet other general requirements. Fire Safety 2024-04-22 2024-06-03 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2024-04-22 2024-06-03 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-04-22 2024-06-03 N
Provide and implement an infection prevention and control program. Health 2024-04-22 2024-06-03 N
Dispose of garbage and refuse properly. Health 2024-04-22 2024-06-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-22 2024-06-03 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-04-22 2024-06-03 N
Honor the resident's right to manage his or her financial affairs. Health 2024-04-22 2024-06-03 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2024-04-22 2024-06-03 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 2024-04-22 2024-06-03 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 2024-04-22 2024-06-03 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-04-22 2024-06-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-04-22 2024-06-03 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-04-22 2024-06-03 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-04-22 2024-06-03 N
Ensure the activities program is directed by a qualified professional. Health 2024-04-22 2024-06-03 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 2024-04-22 2024-06-03 N
Provide enough food/fluids to maintain a resident's health. Health 2024-04-22 2024-06-03 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-04-22 2024-06-03 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-04-22 2024-06-03 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2024-04-22 2024-06-03 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 2024-04-22 2024-06-03 N
Meet requirements for the use of electrical equipment. Fire Safety 2024-04-22 2024-06-03 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-04-22 2024-06-03 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-04-22 2024-06-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-04-22 2024-06-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-04-22 2024-06-03 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 2024-04-22 2024-06-03 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-04-22 2024-06-03 N
Install proper backup exit lighting. Fire Safety 2024-04-22 2024-06-03 N
Have exits that are accessible at all times. Fire Safety 2024-04-22 2024-06-03 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-04-22 2024-06-03 N
Address patient/client population and determine types of services needed. Fire Safety 2024-04-22 2024-06-03 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-01-19 2024-03-02 Y
Have exits that are accessible at all times. Fire Safety 2022-08-26 2023-02-26 N
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2022-08-26 2022-10-10 N
Honor the resident's right to manage his or her financial affairs. Health 2022-08-26 2022-10-10 N
Address subsistence needs for staff and patients. Fire Safety 2022-08-26 2022-10-10 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2022-08-26 2022-10-10 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 2022-08-26 2022-10-10 N
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 2022-08-26 2022-10-10 N
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2022-08-26 2022-10-10 N
Provide enough food/fluids to maintain a resident's health. Health 2022-08-26 2022-10-10 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 2022-08-26 2022-10-10 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-08-26 2022-10-10 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-08-26 2022-10-10 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2022-08-26 2022-10-10 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2022-08-26 2022-10-10 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 2022-08-26 2022-10-10 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-08-26 2022-10-10 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-08-26 2022-10-10 N
Keep all essential equipment working safely. Health 2022-08-26 2022-10-10 N
Provide and implement an infection prevention and control program. Health 2022-08-26 2022-10-10 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2022-08-26 2022-10-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-26 2022-10-10 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-08-26 2022-10-10 N
Meet requirements for the use of electrical equipment. Fire Safety 2022-08-26 2022-10-10 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-08-26 2022-10-10 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-08-26 2022-10-10 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-08-26 2022-10-10 N
Meet other general requirements that are deficient. Fire Safety 2022-08-26 2022-10-10 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-08-26 2022-10-10 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2022-08-26 2022-10-10 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-08-26 2022-10-10 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2022-08-26 2022-10-10 N
Have an enclosure around a vertical opening shaft. Fire Safety 2022-08-26 2022-10-10 N
Meet other general requirements that are deficient. Fire Safety 2022-08-26 2022-10-10 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-08-26 2022-10-10 N
Create arrangements with other facilities to receive patients. Fire Safety 2022-08-26 2022-10-10 N
Establish policies and procedures including evacuation. Fire Safety 2022-08-26 2022-10-10 N
Address patient/client population and determine types of services needed. Fire Safety 2022-08-26 2022-10-10 N
Provide and implement an infection prevention and control program. Health 2019-12-06 2020-01-18 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2019-12-06 2020-01-18 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2019-12-06 2020-01-18 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-12-06 2020-01-18 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-12-06 2020-01-18 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-12-06 2020-01-18 N
Ensure that residents are free from significant medication errors. Health 2019-12-06 2020-01-18 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 2019-12-06 2020-01-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-12-06 2020-01-18 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-12-06 2020-01-18 N
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2019-12-06 2020-01-18 N
Honor the resident's right to manage his or her financial affairs. Health 2019-12-06 2020-01-18 N
Establish an Emergency Preparedness Program (EP). Fire Safety 2019-12-06 2020-01-18 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2019-12-06 2020-01-18 N
Install an approved automatic sprinkler system. Fire Safety 2019-12-06 2020-01-18 N
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Fire Safety 2019-12-06 2020-01-18 N
Provide a written emergency evacuation plan. Fire Safety 2019-12-06 2020-01-18 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-12-06 2020-01-18 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-12-06 2020-01-18 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2019-12-06 2020-01-18 N

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