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Deficiency Records for Golden Empire
A list of the most recent deficiencies for Golden Empire. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Golden Empire. 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? |
|---|---|---|---|---|
| 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 | 2024-04-03 | 2024-04-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-03 | 2024-04-18 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-12-07 | 2024-01-09 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-12-07 | 2024-01-09 | N |
| Use approved construction type or materials. | Fire Safety | 2023-12-07 | 2024-01-09 | 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 | 2023-12-07 | 2024-01-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-12-07 | 2024-01-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-07 | 2024-01-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-12-07 | 2024-01-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-07 | 2024-01-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-07 | 2024-01-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2023-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-01 | 2023-12-03 | N |
| Post nurse staffing information every day. | Health | 2023-12-01 | 2023-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-13 | 2022-12-23 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-09-01 | 2022-09-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-01 | 2022-09-26 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-09-01 | 2022-09-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-01 | 2022-09-26 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-09-01 | 2022-09-26 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-09-01 | 2022-09-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-01 | 2022-09-26 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-09-01 | 2022-09-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-01 | 2022-09-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-09-01 | 2022-09-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-01 | 2022-09-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-18 | 2022-06-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-18 | 2022-06-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-18 | 2022-06-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-18 | 2022-06-06 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-18 | 2022-06-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-21 | 2022-02-03 | N |
| Use approved construction type or materials. | Fire Safety | 2019-09-24 | 2019-10-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-24 | 2019-10-02 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-09-24 | 2019-10-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-24 | 2019-10-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-24 | 2019-10-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-24 | 2019-10-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-24 | 2019-10-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-29 | 2019-09-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-29 | 2019-09-17 | N |
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