Facility profile · CCN 056471
Golden Harbor Healthcare Center
46 federal citations on record , including 1 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $43,554.
Record summary
Federal record · Q1 202646
Total citations
26
Last 3 years
1
Actual harm+
4
Federal penalties
$43,554
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
46 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 29, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard |
| Aug 29, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Aug 29, 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. | F | Standard |
| Aug 29, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Aug 29, 2025 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard |
| Aug 29, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Standard |
| Aug 29, 2025 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard |
| Aug 29, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 29, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 29, 2025 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Aug 29, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Aug 29, 2025 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard |
| Aug 29, 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. | E | Standard |
| Aug 29, 2025 | F583 | Keep residents' personal and medical records private and confidential. | E | Standard |
| Aug 29, 2025 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard |
| Aug 29, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Mar 6, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Mar 6, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Nov 13, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | F | Complaint |
| May 17, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| May 17, 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. | E | Standard |
| May 17, 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. | E | Standard |
| May 17, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| May 17, 2024 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard |
| May 17, 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 |
| Jun 12, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Mar 24, 2022 | F881 | Implement a program that monitors antibiotic use. | E | Standard |
| Mar 24, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Mar 24, 2022 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard |
| Mar 24, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Mar 24, 2022 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Standard |
| Mar 24, 2022 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Mar 24, 2022 | 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 |
| Mar 24, 2022 | 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 |
| Mar 24, 2022 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | Standard |
| Mar 24, 2022 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard |
| Mar 24, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Mar 24, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Mar 24, 2022 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Mar 24, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Mar 24, 2022 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Mar 24, 2022 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Mar 24, 2022 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard |
| Mar 24, 2022 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Mar 24, 2022 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Mar 24, 2022 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 4 civil money penalties totaling $43,554 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 17, 2024 | Fine | $22,777 | — |
| Aug 28, 2023 | Fine | $4,545 | — |
| Jul 17, 2023 | Fine | $12,703 | — |
| Jun 26, 2023 | Fine | $3,529 | — |
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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