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Deficiency Records for Golden Years Homestead
A list of the most recent deficiencies for Golden Years Homestead. 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 Years Homestead. 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? |
|---|---|---|---|---|
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-10-10 | 2024-11-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-10-10 | 2024-11-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-10 | 2024-11-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-10 | 2024-11-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-10 | 2024-11-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-10-10 | 2024-11-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-10 | 2024-11-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-23 | 2024-10-17 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-09-23 | 2024-10-17 | 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 | 2024-09-23 | 2024-10-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-23 | 2024-10-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-04 | 2024-04-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-12 | 2024-04-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-30 | 2024-02-13 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-01-30 | 2024-02-13 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-12 | 2023-11-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-12 | 2023-11-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-12 | 2023-11-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-12 | 2023-11-10 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-09-12 | 2023-10-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-12 | 2023-10-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-12 | 2023-10-18 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-09-12 | 2023-10-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-12 | 2023-10-18 | N |
| Dispose of garbage and refuse properly. | Health | 2023-09-12 | 2023-10-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-12 | 2023-10-18 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-22 | 2022-12-13 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-11-22 | 2022-12-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-11-22 | 2022-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-22 | 2022-12-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-10-21 | 2022-12-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-21 | 2022-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-21 | 2022-12-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-21 | 2022-12-06 | 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 | 2022-10-21 | 2022-12-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-21 | 2022-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-08 | 2022-01-04 | Y |
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