Golden Age Manor

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 15, 2021

  Based on observation, interview, and record review, the facility did not develop an interdisciplinary, systematic program to assess residents for risk of elopement upon admission or when identified as an elopement risk. This occurred for 1 of 3 sampled residents, Resident (R) R1, who was protectively placed, had a diagnosis of dementia, and was assessed as being severely cognitively impaired. The facility did not complete an elopement risk assessment upon admission for R1 to identify the risk for elopement. The facility did not assess the resident for elopement risk after the speech therapist identified the resident as being an elopement risk on 12/30/20. […]

• Actual harm, isolatedF686Mar 7, 2024

  Based on observation, interview and record review, the facility did not ensure that 2 of 4 residents (R) reviewed for pressure injuries (PI) (R27 and R6) received care consistent with professional standards of practice to prevent the development of a new pressure injury and promote healing of existing PIs. R27 developed a stage II PI on 10/28/23. On 12/27/23, the PI reoccurred as a stage 3.The care plan for PI interventions was not updated since 12/4/2023. R27 was not repositioned as instructed on the PI care plan, nor had a support surface for a stage 3 PI. […]

• No harm, potential for more than minimal, widespreadF812Jun 24, 2026

  Based on observations and interview, the facility did not store, prepare, distribute, serve food in accordance with professional standards for food service safety. This has the potential to affect all 62 residents. -Surveyor observed clean water pitchers not inverted on open shelf in kitchen. -Surveyor observed in the walk-in cooler an open bag of whipped topping, an open container of butter, and prepared cinnamon rolls in a baking pan without dates indicating when they were opened, prepared, or when they should be used by. -Surveyor observed in the walk-in freezer opened bags of potato wedges, vegetables, and berries all without dates of when they were opened. […]

• No harm, potential for more than minimal, widespreadF880Jun 24, 2026

  Based on observation, interview and record review, the facility did not 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 5 of 62 residents residing in the facility. Improper hand hygiene was observed during personal cares for R4, R6, R13, R40. Staff did not disinfect mechanical lifts after use for R4, R13, and R40 observed transferring with a mechanical lift. […]

• No harm, potential for more than minimal, widespreadF882Jun 24, 2026

  Based on record review and interviews, the facility failed to ensure the Infection Preventionist (IP) is trained in the required specialized education for infection prevention and control. This has the potential to affect all 62 residents.-The facility failed to ensure Registered Nurse (RN) G, who is acting in the role of the facility's Infection Preventionist (IP), had completed specialized training in infection prevention and control.Findings include: On [DATE], Surveyor reviewed the documentation the facility had provided for proof of the IP's training and certification. Surveyor found a portion of the modules had certificates of completion from the Center for Disease Control (CDC) infection control program. […]