Deficiency Records for Golden Acres Living and Rehabilitation Center
Updated as of August 01, 2018
This is not the most recent data for Golden Acres Living and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Golden Acres Living 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-05-24 | 2018-05-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-04-06 | 2018-05-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-04-06 | 2018-04-20 | 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 | 2018-04-06 | 2018-04-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-04-06 | 2018-04-09 | 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 | 2018-04-06 | 2018-04-07 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-04-06 | 2018-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-06 | 2018-04-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-22 | 2018-02-23 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-06-16 | 2017-07-14 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-04-13 | 2017-05-08 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-13 | 2017-05-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-13 | 2017-05-08 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-03-17 | 2017-04-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-03-17 | 2017-04-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-03-17 | 2017-04-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-03-17 | 2017-04-14 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-03-17 | 2017-04-14 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-17 | 2017-04-14 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-03-17 | 2017-04-14 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-17 | 2017-04-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-17 | 2017-04-14 | 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 | 2017-03-17 | 2017-04-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-03-17 | 2017-04-12 | N |
| Use approved construction type or materials. | Fire Safety | 2017-03-17 | 2017-04-07 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-03-17 | 2017-04-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-03-17 | 2017-04-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-03-17 | 2017-04-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-03-17 | 2017-04-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-03-17 | 2017-04-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-03-17 | 2017-03-31 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-03-17 | 2017-03-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-03-17 | 2017-03-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-03-17 | 2017-03-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-03-17 | 2017-03-17 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-04-08 | 2016-05-06 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-04-08 | 2016-05-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-04-08 | 2016-05-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-04-08 | 2016-05-06 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-08 | 2016-05-06 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-04-08 | 2016-05-06 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-04-08 | 2016-05-02 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-04-08 | 2016-05-02 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-04-08 | 2016-05-02 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-04-08 | 2016-04-20 | N |
| Portable fire extinguishers. | Fire Safety | 2016-04-08 | 2016-04-13 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-04-08 | 2016-04-12 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-04-08 | 2016-04-11 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2016-04-08 | 2016-04-11 | N |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2016-04-08 | 2016-04-11 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-04-08 | 2016-04-11 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-04-08 | 2016-04-11 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2016-04-08 | 2016-04-11 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2016-04-08 | 2016-04-11 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-04-08 | Not Fixed | N |
