Golden Acres Living and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Golden Acres Living and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812May 14, 2026

  Based on interviews and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for food safety.The facility failed to dispose of expired milk. This failure could place residents at risk of foodborne illness.Based on interviews and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for food safety. The facility failed to dispose of expired milk. […]

• No harm, potential for more than minimal, patternF880Mar 9, 2026

  Based on observations, interviews, and record reviews, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 3 of 5 residents (Residents # 1, 2, and 3) reviewed for infection control in that:. The Speech Therapist touched her hair two times without using hand sanitizer while feeding Resident #1. The LVN-A touched her hair while feeding Resident #2, then she moved to assist Resident #3 with her meal, she did not sanitize her hands when she moved between the residents. This failure could place residents at risk of exposure and/or possible transmission of communicable diseases and infections. […]

• No harm, potential for more than minimal, patternF677Jan 22, 2026

  Based on observation, interview, and record review the facility failed to provide the necessary services for residents who were unable to carry out activities of daily living to maintain good grooming and personal hygiene for 7 residents (Resident #3, Resident #54, Resident #65, Resident #69, Resident #103, Resident #134, Resident #169) of 12 residents reviewed for ADLs. The facility failed to ensure:1- Resident #3, Resident #54, Resident #69, Resident #134, and Resident #169 had their fingernails trimmed and cleaned.2- Resident #65 and Resident #103 had their fingernails trimmed. […]

• No harm, potential for more than minimal, patternF755Jan 22, 2026

  Based on observation, interview and record review the facility failed to provide pharmaceutical services to ensure the accurate acquiring, receiving, dispensing, administering, and securing of medications for 3 medication cart (Medication nurse cart [NAME] Hall, medication aide cart Hall [NAME] Tower 1, and Medication Nurse cart Hall [NAME] Tower2) of 7 medication carts reviewed for pharmacy services and 2 Medication room (Medication room for [NAME] Hall, and the medication room for Hall [NAME] 1 Tower) of 4 medications rooms. The facility failed to ensure medications in unsecure containers were immediately removed from stock. The facility failed to ensure expired medication (two antibiotic solution bags) were not in the refrigeration. […]

• No harm, potential for more than minimal, patternF804Jan 22, 2026

  Based on observation, interview, and record review, the facility failed to ensure that each resident received food that is palatable, attractive, and at a safe and appetizing temperature for 1 of 1 lunch meal tested for nutritive value, flavor, and appearance:The facility failed to provide food that was palatable and served at an appetizing temperature to residents, during lunch on 1/21/2026.This failure could affect the residents who ate food from the facility kitchen by placing them at risk of poor food intake and/or dissatisfaction of the meals served.Findings included:In an interview on 1/20/26 at 10:25 AM, Resident #24 stated that food was served cold sometimes. She stated that she still eats the food but cold food was not palatable. […]