Golden Age Living Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jul 23, 2026

  Based on interview and record review, facility staff failed to provide protective oversight for one resident (Resident #1) when staff failed to supervise the resident, including checking on them and offering hydration to the resident, while he/she sat outside from 9:23 A.M. until 11:52 A.M on 7/18/26. Outside temperatures ranged from 84 F to 88 F and the heat index ranged from the mid-90's to low 100's F. The resident had severe cognitive impairment, required substantial/maximum assistance with mobility, and utilized a wheelchair for mobility. The failure resulted in the resident becoming unresponsive, vomiting, and having a temperature of 101. 7 degrees Fahrenheit (F). […]

• Actual harm, isolatedF760Apr 13, 2022

  Based on interview and record review facility staff failed to ensure residents remained free of significant medication errors for one resident (Resident #1) who was given [MEDICATION(S)] (a medication that lowers blood sugar) when it was not prescribed which caused the resident's blood sugar to drop to 36 and require two injections followed by one dose of [MEDICATION(S)] (medication used to raise blood sugar) gel to stabalize it. The facility census was 44. 1. Review of the facility's Administering Medications policy, dated 04/08/20, showed medications must be administered per orders, Medication should be checked three times to assure right resident and medications ordered for a particular resident should not be administered to another resident. 2. […]

• No harm, potential for more than minimal, patternF578Jan 30, 2025

  Based on interview and record review, facility staff failed to consistently document the code status as Do Not Resuscitate (DNR) or Full Code (Cardiopulmonary resuscitation (CPR)) in the comprehensive care plan for nine residents (Resident #10, #18, #19, #21, #40, #41, #42, #8, and #32), and failed to transcribe or correct code status orders for two residents (Resident #8, and #32) out of 14 sampled residents. The facility census was 45. 1. Review of the facility's policy titled, Cardiopulmonary Resuscitation (CPR/DNR) Policy, dated [DATE], showed when a resident chooses to be a Full Code or a DNR, the order should be approved by the physician and entered into the electronic medical record as such. […]

• No harm, potential for more than minimal, patternF636Oct 14, 2022

  Based on record review and interview, facility staff failed to document the date and location of the documentation used to complete the Care Area Assessment (CAA) section (section V0200) of the Minimum Data Set (MDS), a federally mandated resident assessment tool, for 12 sampled residents (Residents #1, #13, #17, #21, #24, #25, #28, #37, #44, #46, #49, and #56). The facility census was 83. 1. Review of the CAA summary section of the Resident Assessment Instrument (RAI) Manual showed the following: -Check section A (Care Area Triggered) if Care Area is triggered; -For each triggered care area, indicate whether a new care plan, care plan revision, or continuation of current care plan is necessary to address the problem(s) identified in your assessment of the care area. […]

• No harm, potential for more than minimal, patternF656Oct 14, 2022

  Based on interview and record review, facility staff failed to address the triggered care areas of the Care Area Assessment (CAA) for 11 residents (Resident #1, #13, #17, #21, #23, #24, #28, #36, #37, #46, and #49) and failed to provide person-centered care plans with measurable time frames, and goals for four residents (Resident #23, #36, #44, and #56), in order to meet the residents' individual, medical and nursing needs. The facility census was 53. 1. Review of the CAA summary section of the Resident Assessment Instrument (RAI) Manual showed the following: -Check section A (Care Area Triggered) if Care Area is triggered; -For each triggered care area, indicate whether a new care plan, care plan revision, or continuation of current care plan is necessary to address the problem(s)… […]