Golden Years Homestead

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jan 30, 2024

  Based on interview and record review, the facility failed to ensure a resident was effectively secured in the wheelchair following manufacturer recommendations during a van transport. This deficient practice resulted in the resident falling out of the wheelchair when a van driver applied the brakes and incurring a spinal injury. (Resident Z) The Immediate Jeopardy began on 1/3/24 when Resident Z slid out of his wheelchair during transport when the facility van made a sudden stop. The Administrator and Director of Nursing (DON) were notified of the Immediate Jeopardy on January 29, 2024 at 4:06 P.M. The immediate jeopardy was removed on 1/30/2024 Findings include: On 1/29/24 at 10:25 A.M., Resident Z's record was reviewed. […]

• No harm, potential for more than minimal, patternF761Sep 23, 2024

  Based on observation, interview and record review, the facility failed to ensure medications were dated when opened, and destroyed when expired in 2 of 4 medication carts. Findings include: During an observation, on [DATE] at 1:36 PM, with License Practical Nurse (LPN) 4 on the D hall medication cart, Trelegy 100/ 62.5, inhaler was without a box and no open date for Resident 47. LPN 4 indicated medication should not be in the cart without the date. During an observation on [DATE] at 1:50 PM, with Qualified Medication Aide (QMA) 5 on C hall medication cart, there was an open bottle of Nystatin [NAME] 100 mg with no open date for Resident 27. On the second medication Cart on C hall with QMA 5, was a bottle of Lidoncaine Sol 2% oral with no open date for Resident 25. […]

• No harm, potential for more than minimal, patternF865Jan 30, 2024

  Based on observation, interview and record review, the facility failed to implement a comprehensive QAPI program to ensure residents were provided with safe transportation provided by the facility. 43 of 90 residents residing in the facility utilized van transportation. Findings include: During a complaint survey, dated 1/29/24 to 1/30/24, a deficiency was cited at Immediate Jeopardy-F689 when the facility failed to ensure a resident was secured in the wheelchair following manufacturer recommendations during transport. The resident slid out of the wheelchair and onto the floor when the transportation van made an abrupt stop causing the resident to sustain a spinal injury. Cross reference F689. On 1/29/24 at 9:52 A.M., the Administrator was interviewed. […]

• No harm, potential for more than minimal, patternF758Oct 21, 2022

  Based on interview and record review the facility failed to ensure adverse [CONDITION(S)] medication side effects were monitored for 4 of 4 residents reviewed. (Resident 25, Resident 15, Resident 82 and Resident 88) Findings include: 1. A record review, began on 10/19/22 at 11:38 AM, indicated Resident 25 had the following medical diagnoses: auditory hallucinations, [CONDITION(S)] unspecific severity, without behavior/[CONDITION(S)]/mood/anxiety and major depressive disorder. A brief interview for mental status indicated Resident 25 had a score of 3 of 15. A physician order dated 8/18/22, indicated to give [MEDICATION(S)] 30 mg (milligrams) capsule (anti-depressant) 1 cap by mouth every AM for depression. […]

• No harm, potential for more than minimal, patternF880Dec 8, 2021

  Based on observations, interviews and record reviews, the facility failed to properly prevent and/or contain COVID-19 related to Personal Protective Equipment (PPE) during 26 of 26 observations and 1 of 1 observation of a resident receiving an Aerosol Generating Procedure (AGP) (Resident S). These observations affected 32 of 32 randomly observed residents (Resident B, Resident C, Resident F, Resident G, Resident H, Resident J, Resident K, Resident M, Resident N, Resident V, Resident Y, Resident Z, Resident AA, Resident BB, Resident CC, Resident DD, Resident EE, Resident FF, Resident GG, Resident HH, Resident KK, Resident LL, Resident MM,Resident NN, Resident OO, Resident PP, Resident QQ, Resident RR, Resident SS, Resident TT, Resident YY, and Resident ZZ). […]