Gold Crest Care Center

In the surveyor’s words

From the most serious findings on record at Gold Crest Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF583Feb 5, 2026

  Based on observation, record review, and interviews, the facility failed to ensure that each resident's right to privacy and confidentiality of their personal and medical records was maintained for one (1) (Resident #48) of two (2) residents investigated for Privacy, out of 35 total sample residents. Specifically, the names, room numbers, and dietary orders of Resident #48 and 12 other residents were posted on the 3rd floor bulletin board in an area that was visible to other residents and visitors on the unit.The findings include but are not limited to:The facility policy titled Dignity and Privacy last reviewed 10/2025 documented that staff shall maintain an environment in which confidential clinical information is protected.On 01/28/2026 at 11:26 AM and 01/29/2026 at 10:35 AM,… […]

• No harm, potential for more than minimal, patternF584Feb 5, 2026

  Based on observation, record review, and interviews the facility failed to maintain a resident's right to a safe, clean, comfortable and homelike environment. This was evident for one (1) (Unit 1) of four (4) units observed. Specifically, residents' rooms in Unit 1 were noted with worn furniture, rusted bed frames, holes in the walls, windows in disrepair, peeled wallpaper, mismatched paint, and electrical outlets that were not secured to the wall.The findings include but are not limited to:The facility's environmental policy with a reviewed date of 07/2021 stated that the facility maintains resident rooms, common areas, furnishings, fixtures, and equipment in clean, safe, and operable condition through routine housekeeping, maintenance practices, and ongoing staff awareness during daily… […]

• No harm, potential for more than minimal, patternF656Oct 3, 2024

  Based on record review and interview conducted during the Recertification Survey from 09/26/2024 to 10/03/2024, the facility did not ensure that a comprehensive care plan was developed and implemented to meet each resident's needs. This was evident in 2 (Resident #228 and #17) out of 36 sampled residents. Specifically, 1.) Resident #228, who had a diagnosis of osteomyelitis, had no comprehensive care plan developed to address the presence of infection. 2.) Resident #17, who had a diagnosis of osteomyelitis, had no comprehensive care plan developed to address the presence of infection. […]

• No harm, potential for more than minimal, patternF623Jul 29, 2024

  Based on record review and interviews conducted during an abbreviated survey (Case # NY00348463) on 07/22/2024-07/23/2024, the facility failed to notify Justice Involved Residents of their transfer or discharge and the reason for the move in writing. Additionally, the facility did not send a copy of the transfer or discharge notice to the Office of New York State Long Term Care Ombudsman. This was evident for 4 out of 5 Justice Involved Residents (Justice Involved Resident #1, Justice Involved Resident #2, Justice Involved Resident #3, and Justice Involved Resident #5). Specifically, Justice Involved Resident #1, #2, #3, and #5 were discharged from the facility, there was no documented evidence that a discharge or transfer notice was provided to them. […]

• No harm, potential for more than minimal, patternF609Jul 18, 2022

  Based on interviews and record review conducted during the Recertification and Complaint survey (NY 582, NY 771, and NY 425) from 7/11/2022 to 7/18/2022, the facility did not ensure all alleged violations involving abuse were reported immediately, but not later than 2 hours after the allegations were made, to the State Survey Agency. Specifically, the facility did not report (1) Resident # 97 alleged being hit by a staff member, (2) Resident # 362 alleged being struck at frontal head by Resident # 120, and (3) Resident # 160 alleged being struck by a shoe on the face by Resident # 361 to the New York State Department of Health (NYSDOH) within 2 hours. This was evident for 5 of 5 residents reviewed for Abuse out of a sample of 35 residents. […]