Facility profile · CCN 675690
Golden Estates Rehabilitation Center
33 federal citations on record , including 6 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $170,769.
Record summary
Federal record · Q1 202633
Total citations
32
Last 3 years
6
Actual harm+
3
Federal penalties
$170,769
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
33 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 21, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Nov 21, 2025 | F732 | Post nurse staffing information every day. | C | Complaint |
| Nov 21, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Nov 21, 2025 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint |
| Aug 15, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Aug 15, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint |
| Aug 15, 2025 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Complaint |
| Aug 15, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| May 30, 2025 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint |
| May 30, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| May 30, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| May 30, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Feb 28, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Feb 28, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Feb 28, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | K | Complaint |
| Jul 28, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jul 28, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jul 28, 2024 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard |
| Jul 28, 2024 | F800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Standard |
| Jul 28, 2024 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Jul 28, 2024 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard |
| Jul 28, 2024 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | J | Standard |
| Jul 28, 2024 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Standard |
| Jul 28, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Jul 28, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Standard |
| Mar 29, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint |
| Jan 19, 2024 | F908 | Keep all essential equipment working safely. | E | Complaint |
| Jun 4, 2023 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Jun 4, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Jun 4, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Standard |
| Jun 4, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Jun 4, 2023 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard |
| Mar 15, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $170,769 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 30, 2025 | Fine | $25,500 | — |
| Feb 28, 2025 | Fine | $113,523 | — |
| Jul 28, 2024 | Fine | $31,746 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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