A list of the most recent deficiencies for Golden Years Nursing 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-09 | 2022-11-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-09 | 2022-11-22 | 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 | 2022-11-09 | 2022-11-22 | 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 | 2022-11-09 | 2022-11-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-09 | 2022-11-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-09 | 2022-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-09 | 2022-11-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-09 | 2022-11-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-09 | 2022-11-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-11-09 | 2022-11-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-09 | 2022-11-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-09 | 2022-11-22 | 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 | 2021-09-28 | 2021-10-05 | Y |
| 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 | 2021-09-28 | 2021-10-05 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-11-14 | 2019-12-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-14 | 2019-12-18 | 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 | 2019-11-14 | 2019-12-18 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-11-14 | 2019-12-18 | 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 | 2019-11-14 | 2019-12-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-14 | 2019-12-18 | N |
| Keep all essential equipment working safely. | Health | 2019-11-14 | 2019-12-18 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-11-12 | 2019-12-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-12 | 2019-12-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-12 | 2019-12-18 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-09-20 | 2018-10-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-20 | 2018-10-17 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-09-20 | 2018-10-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-20 | 2018-10-17 | 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 | 2018-09-20 | 2018-10-17 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-09-20 | 2018-10-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-20 | 2018-10-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-09-20 | 2018-10-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-20 | 2018-10-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-09-24 | 2018-10-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-09-24 | 2018-10-17 | N |
