A list of the most recent deficiencies for Gold Country Health 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 services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-02 | 2024-02-22 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-11-21 | 2023-12-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-25 | 2023-10-06 | 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 | 2023-08-25 | 2023-10-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-08-25 | 2023-10-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-25 | 2023-10-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-25 | 2023-10-06 | 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 | 2023-08-25 | 2023-10-06 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-08-25 | 2023-10-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-25 | 2023-10-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-25 | 2023-10-06 | 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 | 2023-08-25 | 2023-10-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-25 | 2023-10-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-25 | 2023-10-06 | 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 | 2023-08-25 | 2023-10-06 | 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 | 2023-08-25 | 2023-10-06 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-08-25 | 2023-10-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-25 | 2023-10-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-25 | 2023-10-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-25 | 2023-10-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-25 | 2023-10-06 | 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 | 2023-08-25 | 2023-10-06 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-08-29 | 2023-09-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-29 | 2023-09-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-29 | 2023-09-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-29 | 2023-09-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-29 | 2023-09-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-08-29 | 2023-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-29 | 2023-09-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-29 | 2023-09-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-29 | 2023-09-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-29 | 2023-09-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-29 | 2023-09-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-29 | 2023-09-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-29 | 2023-09-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-25 | 2021-09-25 | 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 | 2021-08-25 | 2021-09-25 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-08-25 | 2021-09-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-25 | 2021-09-25 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-02-11 | 2020-03-26 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-02-11 | 2020-03-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-02-11 | 2020-03-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-02-11 | 2020-03-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-11 | 2020-03-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-11 | 2020-03-26 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-02-11 | 2020-03-26 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-02-11 | 2020-03-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-11 | 2020-03-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-11 | 2020-03-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-11 | 2020-03-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-11 | 2020-03-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-11 | 2020-03-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-06 | 2020-03-04 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-02-06 | 2020-03-04 | 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 | 2020-02-06 | 2020-03-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-06 | 2020-03-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-06 | 2020-03-04 | 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 | 2020-02-06 | 2020-03-04 | 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 | 2020-02-06 | 2020-03-04 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2020-02-06 | 2020-03-04 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-02-06 | 2020-03-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-06 | 2020-03-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-06 | 2020-03-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-06 | 2020-03-04 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-02-12 | 2019-02-27 | N |
| Use approved construction type or materials. | Fire Safety | 2019-02-12 | 2019-02-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-12 | 2019-02-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-12 | 2019-02-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-12 | 2019-02-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-12 | 2019-02-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-12 | 2019-02-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-13 | 2019-02-05 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-12-13 | 2019-02-05 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-12-13 | 2019-02-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-13 | 2019-02-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-12-13 | 2019-02-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-13 | 2019-02-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-12-13 | 2019-02-05 | N |
| Provide activities to meet all resident's needs. | Health | 2018-12-13 | 2019-02-05 | 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 | 2018-12-13 | 2019-02-05 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-12-13 | 2019-02-05 | 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 | 2018-12-13 | 2019-02-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-13 | 2019-02-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-13 | 2019-02-05 | N |
