Golden Years Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF727Sep 28, 2021

  Based on review of facility staffing schedules and staff interview, the facility failed to ensure a registered nurse (RN) was physically present in the facility for eight consecutive hours per day as required. This had the potential to affect all 57 residents residing in the facility. Facility census was 57. Findings include: Review of staffing schedules from 09/01/21 through 09/27/21 revealed there was not an RN present in the facility for eight consecutive hours on 09/18/21, 09/25/21 and 09/26/21 Interview on 09/28/21 at 3:30 P.M. with the Administrator confirmed there was not an RN present in the facility for eight consecutive hours on 09/18/21, 09/25/21 and 09/26/21. This deficiency is based on incidental findings discovered during the course of this complaint investigation.

• No harm, potential for more than minimal, isolatedF656Nov 9, 2022

  Based on resident and staff interview, observation, and record review, the facility failed to ensure a resident's care plan was developed related to dental needs and range of motion of the right upper extremity. This affected one (Resident #58) of 17 residents reviewed for care plans. The facility census was 69. Finding include: Review of the medical record for Resident #58 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #58 was cognitively intact. Resident #58 was noted to have an impairment on one side for upper and lower extremity. 1. […]

• No harm, potential for more than minimal, isolatedF698Nov 9, 2022

  Based on staff interview, review of the facility's policy and contract, and medical record review, the facility failed ensure ongoing communication with Resident #43's [CONDITION(S)] center regarding [CONDITION(S)] care and services. This affected one (Resident #43) of one resident reviewed for [CONDITION(S)]. The facility identified two residents who receive [CONDITION(S)]. The facility census was 69. Findings include: Review of the medical record for Resident #43 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #43 was cognitively intact and required extensive assistance of two staff members for mobility and transfers. […]

• No harm, potential for more than minimal, isolatedF761Nov 9, 2022

  Based on observation, staff interview, and medical record review, the facility failed to ensure narcotic medications were securely stored in the medication room refrigerators. This affected one of two medication rooms observed for medication storage. The facility had three medication rooms. This affected two (#4 and #50) of two residents prescribed narcotic medications which required refrigeration. The facility census was 69. Findings include: 1. Review of Resident #50's medical record revealed the resident was admitted to the facility on [DATE]. Review of the medical record revealed Resident #50 had physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . 2. Review of Resident #4's medical record revealed the resident was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, isolatedF758Sep 28, 2021

  Based on medical record review, observation, staff interview, and review of facility policy, the facility failed to ensure residents were free from unnecessary psychoactive medications when the facility failed to ensure as needed anti-anxiety medication orders had a duration for the order (stop date) and failed to ensure staff documented non-pharmacological interventions attempted prior to use of as needed doses of anti-anxiety medications. This affected three (#24, #30 and #29) out of three residents reviewed for unnecessary medications. The facility identified 23 facility identified residents with orders for anti-anxiety medications. The census was 57. Findings include: 1. […]