Golden Years Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Golden Years Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jun 3, 2024

  Based on observation, interview and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible and each resident received adequate supervision to prevent accidents for 1 of 10 residents (Resident #1) reviewed for accidents and supervision. The facility failed to prevent Resident #1 from eloping on 05/21/2024. The non-compliance was identified as PNC. The Immediate Jeopardy (IJ) began on 5/21/2024 and ended on 5/22/2024 The facility had corrected the non-compliance before the survey began. This deficient practice could place residents who were elopement risks at-risk of harm, serious injury, or death. […]

• No harm, potential for more than minimal, patternF803Aug 7, 2025

  Based on observation, interview and record review the facility failed to ensure menus met the nutritional needs of residents in accordance with established national guidelines, were prepared in advance and were followed for 1-of -1 reviewed for menus. 1. The facility failed to ensure current, accurate menus were provided and visible to residents for one dining area 2. The facility failed to ensure residents were offered individual menus for meal which is not a homelike environment. These deficient practices could place at risk of not getting food that they want or like. Findings included: Observation on 8-05-2025 at 11:15 am, revealed There were no menus posted in the dining room. The menu was written on the chalkboard right before residents were served lunch. […]

• No harm, potential for more than minimal, patternF812Aug 7, 2025

  Based on observation, interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for Food and Nutrition Services. 1. The facility failed to ensure that expired foods were discarded. 2. The facility failed to ensure the food processor was sanitized between each food item. 3. The facility failed to ensure food items were labeled and dated. 4. The facility failed to ensure that serving utensils and dishes were not stored dirty.These failures could place residents at risk for foodborne illness, causing the residents to get sick in 1 of 1 kitchen. […]

• No harm, potential for more than minimal, patternF577Jul 3, 2024

  Based on observation, interview, and record review, the facility failed to ensure the resident's right to examine the results of the most recent survey of the facility conducted by Federal or State surveyors and any plan of correction in effect with respect to the facility for 1 of 1 full recertification survey (Survey A) reviewed for survey results. The facility failed to post the results of Survey A dated 04/27/23 in a public area for all residents and visitors to view on 07/01/24. This failure placed residents at risk of not having all the information necessary to make decisions about living at the facility. […]

• No harm, potential for more than minimal, patternF759Apr 27, 2023

  Based on observation, interview, and record review the facility failed to ensure that the medication error rate was not five percent or greater for when the facility had a medication error rate of 20% based on 7 of 35 opportunities, which involved 3 of 5 residents (Resident #2, Resident #11, and Resident #22) and 1 of 3 LVN's (LVN A) observed during medication administration. A) Resident #2 had a physician order for Preser Vision AREDS 2 capsule one by mouth two times daily and Probiotic capsule one capsule by mouth one time day for loose stools. LVN A failed to administer the medications. B) Resident #11 had a physician order for Potassium Chloride Oral Packet 20 MEQs give 2 packets by mouth two times daily and Probiotic capsule one by mouth three times daily. […]