Deficiency Records for Golden Estates Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Golden Estates 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? |
|---|---|---|---|---|
| Keep all essential equipment working safely. | Health | 2024-01-19 | 2024-01-20 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-01 | 2023-07-10 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-06-04 | 2023-07-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-04 | 2023-07-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-04 | 2023-07-05 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-06-04 | 2023-07-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-04 | 2023-07-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-01 | 2023-07-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-01 | 2023-06-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-15 | 2023-03-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-10 | 2022-04-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-10 | 2022-04-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-10 | 2022-04-05 | Y |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2020-12-17 | 2021-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-12-17 | 2021-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-12-17 | 2021-01-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-12-17 | 2021-01-31 | 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 | 2020-12-17 | 2021-01-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-12-18 | 2021-01-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-12-18 | 2021-01-17 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-12-18 | 2021-01-17 | 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 | 2020-12-18 | 2021-01-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-12-18 | 2021-01-17 | N |
