Golden Age of Welsh, LLC

In the surveyor’s words

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

• Actual harm, isolatedF697Jul 17, 2024

  Based on observations, record review, interviews and policy review, the facility failed to ensure pain management was provided to resident who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 (#16) out of 5 (#15, #16, #22, #40, and #44) sampled residents receiving pain medication. The facility failed to: 1. provide pain medication upon complaints of pain nor offer non-pharmacologic interventions; and 2. follow up with the physician and/or pharmacy after the physician reported he was sending a pain medication order to the pharmacy. This deficient practice resulted in actual harm for Resident #16 beginning on 07/14/2024 at 10:02 a.m. […]

• No harm, potential for more than minimal, patternF812Jul 30, 2025

  Based on observations, interviews, and policy and procedure reviews, the facility failed to: 1. Maintain a clean and sanitary kitchen to prevent cross contamination and the likelihood of foodborne illnesses;2. Store food in accordance with professional standards for food service safety; and3. Wear an appropriate hair restraint. This had the potential to effect the 85 residents who ate meals prepared from the facility's kitchen in a census of 86 residents. Findings:Review of the facility's policy, Sanitization, with a last review date of 03/24/2025, revealed the following in part: Policy Statement: The food service area shall be maintained in a clean and sanitary manner. 2. […]

• No harm, potential for more than minimal, patternF638Apr 20, 2022

  Based on record reviews and interview, the facility failed to ensure residents' quarterly Minimum Data Set (MDS) assessments were completed within the required time frame for 5 (#1, 2, 3, 6, 80) out of 40 sampled residents. This deficient practice has the potential to affect a census of 88. Findings: A review of Resident #1's quarterly MDS revealed an assessment reference date (ARD) of 2/25/22. The assessment had a complete by date of 3/11/22. The status of the MDS was in progress indicating the assessment was incomplete. A review of Resident #2's quarterly MDS revealed an assessment reference date (ARD) of 3/4/22. The assessment had a complete by date of 3/18/22. […]

• No harm, potential for more than minimal, patternF697Apr 20, 2022

  Based on policy review, record review and interview, the facility failed to ensure that treatment and care for pain management was provided to residents who require such services for 1 (#80) resident who was sent to the hospital with complaints of pain after a fall and diagnosed with a fracture out of 6 (#13, 18, 53, 65, 80, and 85) residents sampled for hospitalization s, of a total sample of 40 residents. Findings: A review of the facility's Policy/Procedure titled Pain-Clinical Protocol' was conducted. The policy included: Treatment/Management 3. The staff will evaluate and report how much and how often the individual asks for PRN (as needed) pain medication. b. […]

• No harm, potential for more than minimal, patternF698Apr 20, 2022

  Based on record review, observation, and interview, the facility failed to ensure that residents who require [CONDITION(S)] receive such services, consistent with professional standards of practice as evidenced by facility staff using the access site arm to assess blood pressures for 1 (#43) of 4 (#43, 44, 64, and 337) residents who received [CONDITION(S)] care. The total census was 88 residents. Findings: A review of the facility's policy titled Hemodialysis Access Care was reviewed. The policy included - Steps in the Procedure- Care of AVFs and AVGs. (Arterio-Venous Fistula and Arterio-Venous Graft). 3. Care involves the primary goals of preventing infection and maintaining the patency of the catheter (preventing clots). 4. […]