Golden Age Nursing Home

In the surveyor’s words

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

• Actual harm, isolatedF600Sep 3, 2024

  Based on interview and record review, the facility failed to ensure on resident, Resident #1 was free from verbal and physical abuse when Certified Nursing Assistant (CNA A) grabbed the resident's arm, jerking him/her back into the wheelchair, while yelling and cursing at the resident. The facility census was 43. Review of the facility's Abuse and Neglect Policy, dated 2/19/2014 showed: -Upon hire, all staff will be trained on the abuse and neglect policy and through on going in-services. -Prevention: Our facility will not condone any form of resident abuse and will continually monitor our facility's policies, procedures, training programs, systems, etc., to assist in preventing resident abuse. -An employee of this facility shall not knowingly: b. […]

• No harm, potential for more than minimal, widespreadF835Sep 3, 2024

  Based on interview and record review, the facility failed to employee a full time Licensed Nursing Home Administrator (LNHA) for the facility who was responsible for operation of the facility. In addition the LNHA was not available on a full time basis in the facility to provide oversight including development of a Facility Assessment or oversee the Quality Assurance program to ensure the residents receive appropriate nursing and medical care. The census was 43. Review of the facility's Assistant Administrator Job Description, dated 3/22/24, showed: -Golden Age Nursing Home requires Administration to maintain a courteous professional manner while interacting and communicating with residents, their families, co-workers, and visitors. […]

• No harm, potential for more than minimal, widespreadF838Sep 3, 2024

  Based on interview and record review, the facility failed to conduct and document a facility-wide assessment to determine what resources are necessary to care for its residents competently during both day-to-day operations and emergencies as required. This had the potential to affect all of the residents. The sample was 19. The census was 43. Review of the facility's Matrix for Providers, dated 8/28/24, showed a census of 43 and the following resident characteristics: -26 residents with Dementia diagnosis -One resident fed via tube -No residents on dialysis -Three residents with indwelling catheter -11 residents with falls -6 residents on Hospice services During an interview on 8/28/24 at 1:22 P.M. the Administrator said: - She does not work in the facility on a full time basis. […]

• No harm, potential for more than minimal, widespreadF880Jan 12, 2023

  Based on record review and interview, the facility failed to implement their water management policy and procedures to reduce the risk of growth and spread of Legionella (bacteria that causes Legionnaires' disease, a serious type of pneumonia and failed to review it annually. The facility also failed to ensure facility staff were informed of the facility's Water Management Plan. The facility census was 43. Review of the CMS Quality Safety and Oversight (QSO), dated 6/2/17 and revised on 7/6/18, showed: -Facilities must have water management plans and documentation that, at a minimum, ensure each facility: Conducts a facility risk assessment to identify where Legionella (A [NAME] of pathogenic Gram-negative bacteria that includes the species L. […]

• No harm, potential for more than minimal, patternF628Sep 4, 2025

  Based on interview and record review, the facility failed to complete a recapitulation (a detailed summary of the resident's stay at the facility) for three of 12 sampled residents (Resident #42, #43 and #44). The facility census was 39.Review of the facility's undated Discharge Summary policy showed:-The facility will communicate necessary information to the resident, continuing care provider, and other authorized persons at the time of a discharge;-The discharging resident must have written discharge summary that includes a recapitulation of the resident's stay.1. […]