Deficiency Records for Golden Hill Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Golden Hill Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-15 | 2022-09-29 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-08-31 | 2021-12-21 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-08-31 | 2021-11-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-08-31 | 2021-11-03 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-08-31 | 2021-11-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-08-31 | 2021-11-03 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-08-31 | 2021-11-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-31 | 2021-11-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-31 | 2021-11-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-31 | 2021-11-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-31 | 2021-11-03 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-08-31 | 2021-11-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-31 | 2021-11-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-31 | 2021-11-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-31 | 2021-11-03 | 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 | 2021-08-31 | 2021-10-22 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-08-31 | 2021-10-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-31 | 2021-10-22 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-06-23 | 2021-08-18 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-09-03 | 2019-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-03 | 2019-10-28 | 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 | 2019-09-03 | 2019-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-03 | 2019-10-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-09-13 | 2019-10-18 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-09-13 | 2019-10-18 | 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 | 2019-09-13 | 2019-10-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-13 | 2019-10-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-13 | 2019-10-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-13 | 2019-10-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-13 | 2019-10-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-09-13 | 2019-10-18 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-31 | 2017-12-05 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-10-31 | 2017-12-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-10-31 | 2017-12-05 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-10-31 | 2017-12-05 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2017-10-31 | 2017-12-05 | 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 | 2017-10-31 | 2017-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-31 | 2017-12-05 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2017-10-31 | 2017-12-05 | N |
