Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 056394

Golden Pavilion Healthcare

79 federal citations on record , and 3 federal enforcement actions totaling $23,533.

Record summary

Federal record · Q1 2026
79
Total citations
62
Last 3 years
3
Actual harm+
3
Federal penalties
$23,533
Total fines
2
Overall ★ rating

Most common violation categories here

Care Planning20 Quality of Care17 Resident Rights11 Abuse & Neglect10 Medication & Pharmacy8

Most common F-tags at this facility

F6565 F6095 F6894 F8804 F6414

Citation history

79 on record
SurveyF-TagViolationSeveritySource
Dec 4, 2025F693Ensure 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.GComplaint
Jun 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 5, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
May 27, 2025F880Provide and implement an infection prevention and control program.DStandard
May 27, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 27, 2025F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
May 27, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Mar 20, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jan 13, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Jan 13, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 13, 2025F641Ensure each resident receives an accurate assessment.EComplaint
Jan 13, 2025F610Respond appropriately to all alleged violations.DComplaint
Oct 3, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EComplaint
Aug 22, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Aug 22, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Aug 22, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Jun 24, 2024F791Provide or obtain dental services for each resident.DComplaint
Jun 24, 2024F687Provide appropriate foot care.DComplaint
Jun 24, 2024F685Assist a resident in gaining access to vision and hearing services.DComplaint
Jun 24, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 16, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 30, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Apr 30, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Apr 12, 2024F880Provide and implement an infection prevention and control program.FStandard
Apr 12, 2024F732Post nurse staffing information every day.CStandard
Apr 12, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Apr 12, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Apr 12, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Apr 12, 2024F641Ensure each resident receives an accurate assessment.DStandard
Apr 12, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Apr 12, 2024F583Keep residents' personal and medical records private and confidential.DStandard
Jan 22, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Jan 12, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 12, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Jan 11, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Jan 11, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Jan 11, 2024F641Ensure each resident receives an accurate assessment.DComplaint
Jan 11, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 19, 2023F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint
Dec 19, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Dec 19, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Dec 15, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 6, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 6, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 6, 2023F637Assess the resident when there is a significant change in conditionDComplaint
Nov 15, 2023F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.EComplaint
Nov 15, 2023F760Ensure that residents are free from significant medication errors.DComplaint
Nov 15, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Nov 15, 2023F585Honor 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.DComplaint
Nov 15, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Nov 15, 2023F565Honor the resident's right to organize and participate in resident/family groups in the facility.DComplaint
Sep 21, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 21, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Sep 21, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 21, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 7, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jul 7, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jul 7, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
Jun 1, 2023F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint
Jun 1, 2023F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
May 31, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 26, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Mar 28, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Mar 17, 2023F880Provide and implement an infection prevention and control program.EComplaint
Mar 17, 2023F761Ensure 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.DComplaint
Mar 17, 2023F692Provide enough food/fluids to maintain a resident's health.HComplaint
Mar 17, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 17, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Mar 17, 2023F641Ensure each resident receives an accurate assessment.DComplaint
Mar 17, 2023F583Keep residents' personal and medical records private and confidential.DComplaint
Jun 28, 2021F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
Jun 28, 2021F880Provide and implement an infection prevention and control program.EStandard
Jun 28, 2021F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Jun 28, 2021F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Jun 28, 2021F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.DStandard
Jun 28, 2021F761Ensure 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.FStandard
Jun 28, 2021F758Implement 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.EStandard
Jun 28, 2021F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Jun 28, 2021F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $23,533 .

DateTypeFinePayment denial
Dec 4, 2025Fine$14,015—
Feb 20, 2024Fine$4,938—
Mar 20, 2023Fine$4,580—
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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