Golden Haven Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF695Dec 7, 2024

  Based on observation, interview, and record review, the facility failed to provide the necessary respiratory care and implement interventions in accordance with the resident's needs, care plan, facility policy and professional standards of practice and the physician's order for one of three sampled residents (Resident 77) who had a diagnoses of chronic obstructive pulmonary disease exacerbation (COPD, sudden severe symptoms of a lung disease characterized by poor airflow to the lungs that results in shortness of breath (SOB), difficulty breathing and respiratory distress (a condition that occurs when the body needs more oxygen, resulting in difficulty breathing, rapid breathing, and low blood oxygen levels) and a history of pneumonia (a severe respiratory infection that results in… […]

• Immediate jeopardy, isolatedF635Aug 10, 2024

  Based on interviews and record reviews, the facility failed to ensure the attending physician (Medical Doctor [MD] 1) included blood sugar monitoring [an intervention that is essential for managing diabetes that involves checking blood sugar levels using a device] and medications to manage Diabetes Mellitus [DM, a chronic disease where a person has high blood sugar levels because the body does not produce insulin (a hormone made by the pancreas- an organ in the body) normally] for one of three sampled residents (Resident 1) who was diabetic (a person with diagnosis of diabetes) by failing to: 1. […]

• Immediate jeopardy, isolatedF684Aug 10, 2024

  Based on interviews and record reviews, the facility failed to ensure one of three sampled residents (Resident 1) who had a diagnosis of Diabetes Mellitus [DM, a chronic disease where a person has high blood sugar levels because the body does not produce insulin (a hormone made by the pancreas- an organ in the body) received treatment and services, in accordance with professional standards of practice, the care plan, physician orders, and the facility ' s policies and procedures, for the treatment and care of DM. The facility failed to: 1. […]

• Immediate jeopardy, isolatedF600Sep 13, 2023

  Based on observation, interview and record review, the facility failed to ensure one of three sampled residents (Resident 1) who was alert, oriented to name, place, time and person, and able to make needs known was free from sexual abuse (non-nonconsensual touching of one person for the sexual gratification of another) by failing to ensure: 1. Resident 1 was not sexually abused by the Laundry Staff from 8/30/23 to 9/1/23. 2. Resident 1 was protected from sexual abuse from the Laundry Staff. The Licensed Vocational Nurse (LVN 1) and the Director of Nursing (DON) was aware of Resident 1's allegation of sexual abuse when it was reported by Resident 1 on 9/2/23. […]

• Immediate jeopardy, isolatedF607Sep 13, 2023

  Based on observation, interview and record review, the facility staff failed to implement the facility's policy and procedure, titled Abuse Prevention and Prohibition Program Policy for one of three sampled residents (Resident 1) by not protecting, preventing, reporting, investigating an allegation of sexual abuse (non-consensual touching of one person for the sexual gratification of another) from the facility's male Laundry Staff. The facility failed to: 1. Prevent Resident 1 from sexual abuse when the facility's male Laundry Staff grabbed and rubbed Resident 1's hand between his belt buckle and his penis five to six times back and forth while in the Resident 1's room on 8/30/23 and 8/31/23. 2. […]