Golden View Health Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF609May 21, 2026

  Based on interview and record review, the facility failed to ensure that 3 allegations of neglect and 1 injury of unknown source were reported timely to the Administrator of the facility and the State Survey Agency (SSA) for 4 of 8 residents reviewed for Abuse or Neglect. (Resident identifiers are #2, #3, #4, and #5.)Findings include: Resident #2Review on 5/21/26 of Resident #2's medical record revealed the following progress note, dated 3/2/26: Noted a skin tear to guest's left elbow about 2 cm (centimeters) x 0.6 cm. Wound cleansed with wound cleanser and pat dried. Bacitracin and steri strips applied. Non adherent pad placed on top of wound and covered with primapore wound dressing .Interview on 5/21/26 at approximately 12:30 p.m. […]

• No harm, potential for more than minimal, patternF880Jan 14, 2026

  Based on observation, interview, and record review, it was determined that the facility failed to implement infection control policies for 1 of 3 residents reviewed for Transmission Based Precautions (TBP) and failed to implement water management control measures, potentially exposing 72 residents to waterborne pathogens. (Resident identifier is #12.) Findings include: Water Management Interview on 1/13/2026 at approximately 10:00 a.m. with Staff A (Maintenance Director) confirmed the above findings. Staff A revealed that there were no time frames for when unoccupied areas should be flushed. Staff A was unable to provide documentation that unoccupied areas were flushed. Staff A confirmed there were empty rooms that would be flushed. […]

• No harm, potential for more than minimal, patternF812Nov 6, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to ensure sanitization of dishware and failed to label and store food in accordance with professional standards for food safety to prevent foodborne illness for 1 of 1 kitchens and 2 of 2 kitchenettes observed. Findings Include: Refrigerator Temperatures Review on 11/4/24 of the Main Kitchen refrigerator/freezer temperature logs, Cascade/Retreat refrigerator/freezer temperature logs, and the third floor refrigerator/freezer temperature logs for October and November 2024 revealed no logs were available for November 2024 (11/1, 11/2, and 11/3), and missing temperatures for 10/2, 10/22, 10/24, 10/28, 10/29, and 10/31. […]

• No harm, potential for more than minimal, patternF880Nov 6, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to follow the Center for Disease Control and Prevention (CDC) guidelines for Enhanced Barrier Precautions (EBP) to prevent the spread of infections for 4 out of 8 residents reviewed for EBP in a final sample of 15 residents (Resident Identifiers are #12, #16, #23, and #39). Findings include: Resident #16 Observation on 11/4/24 at approximately 11:00 a.m. revealed a cart with personal protective equipment (PPE) and a sign for EBP at Resident #16's room. Interview on 11/4/24 at approximately 11:00 a.m. […]

• No harm, potential for more than minimal, patternF580Dec 15, 2023

  Based on observation, interview and record review, it was determined that the facility failed to notify the physician of medications not administered to the resident for 3 residents in a final sample of 18 residents (Resident Identifiers are #17, #23 and #30). Findings include: Resident #23 Review on 12/15/23 of Resident #23's progress note dated 11/13/23 revealed that Resident #23 readmitted from the hospital at 7:00 p.m. Review on 12/15/23 of Resident #23's Medication Administration Record from a local hospital dated 11/13/23 at 3:55 p.m. […]