Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 055862

Golden Rose Care Center

130 federal citations on record , including 3 at the Immediate Jeopardy level, and 23 federal enforcement actions totaling $175,941.

Special Focus Status 3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
130
Total citations
123
Last 3 years
4
Actual harm+
23
Federal penalties
$175,941
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care37 Medication & Pharmacy23 Care Planning21 Resident Rights16 Abuse & Neglect11

Most common F-tags at this facility

F75510 F6569 F6899 F8426 F6005

Citation history

130 on record
SurveyF-TagViolationSeveritySource
Nov 25, 2025F790Provide routine and 24-hour emergency dental care for each resident.DComplaint
Nov 17, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Sep 11, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint
Aug 19, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 19, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jul 18, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint
Jun 5, 2025F880Provide and implement an infection prevention and control program.EComplaint
Jun 5, 2025F759Ensure medication error rates are not 5 percent or greater.DComplaint
Jun 5, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Jun 5, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 5, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jun 5, 2025F584Honor 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.EComplaint
Jun 5, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Jun 5, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Jun 5, 2025F881Implement a program that monitors antibiotic use.DStandard
Jun 5, 2025F814Dispose of garbage and refuse properly.EStandard
Jun 5, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jun 5, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Jun 5, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Jun 5, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jun 5, 2025F732Post nurse staffing information every day.BStandard
Jun 5, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Jun 5, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jun 5, 2025F692Provide enough food/fluids to maintain a resident's health.EStandard
Jun 5, 2025F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Jun 5, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jun 5, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jun 5, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jun 5, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jun 5, 2025F558Reasonably accommodate the needs and preferences of each resident.EStandard
May 27, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 16, 2025F578Honor 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.DComplaint
May 5, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
May 2, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
Apr 16, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint
Apr 16, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Apr 16, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Apr 16, 2025F583Keep residents' personal and medical records private and confidential.EComplaint
Apr 16, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Mar 13, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Mar 11, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Mar 11, 2025F578Honor 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.DComplaint
Dec 30, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 24, 2024F758Implement 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.DComplaint
Dec 24, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Dec 24, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Dec 12, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
Dec 7, 2024F761Ensure 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
Dec 7, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Nov 26, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Nov 26, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Nov 18, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint
Oct 30, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 30, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Oct 25, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Oct 25, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Oct 20, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.JComplaint
Oct 20, 2024F695Provide safe and appropriate respiratory care for a resident when needed.JComplaint
Oct 8, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 27, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Sep 27, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Sep 13, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Aug 29, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 24, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Aug 24, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 7, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EComplaint
Aug 7, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 7, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Aug 2, 2024F880Provide and implement an infection prevention and control program.EComplaint
Aug 2, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Aug 1, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jul 31, 2024F558Reasonably accommodate the needs and preferences of each resident.EComplaint
Jul 24, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jul 24, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.EComplaint
Jul 11, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Jul 11, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 11, 2024F610Respond appropriately to all alleged violations.DComplaint
Jul 11, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
Jul 11, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard
Jul 11, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jul 11, 2024F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.EStandard
Jul 11, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jul 11, 2024F761Ensure 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.EStandard
Jul 11, 2024F760Ensure that residents are free from significant medication errors.DStandard
Jul 11, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
Jul 11, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jul 11, 2024F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Jul 11, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Jul 11, 2024F693Ensure 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.DStandard
Jul 11, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
Jul 11, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jul 11, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jul 11, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jul 11, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jul 11, 2024F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Jul 11, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Jul 11, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jul 11, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jun 7, 2024F880Provide and implement an infection prevention and control program.EComplaint
May 30, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint

Federal enforcement history

Federal regulators have imposed 23 enforcement actions against this facility, including 22 civil money penalties totaling $175,941 and 1 payment-denial actions spanning 11 days.

DateTypeFinePayment denial
Nov 26, 2024Fine$12,529—
Oct 20, 2024Fine$18,236—
Feb 20, 2024Fine$4,938—
Feb 8, 2024Fine$29,097—
Feb 8, 2024Payment Denial—Mar 9, 2024 · 11 days
Jan 22, 2024Fine$14,814—
Jan 8, 2024Fine$4,938—
Jan 2, 2024Fine$4,587—
Dec 11, 2023Fine$13,762—
Nov 20, 2023Fine$4,587—
Nov 13, 2023Fine$4,587—
Nov 6, 2023Fine$4,587—
Oct 17, 2023Fine$4,587—
Oct 10, 2023Fine$4,587—
Oct 2, 2023Fine$4,587—
Sep 25, 2023Fine$4,587—
Sep 18, 2023Fine$4,587—
Sep 11, 2023Fine$4,587—
Sep 5, 2023Fine$4,587—
Aug 28, 2023Fine$4,587—
Aug 21, 2023Fine$4,587—
Aug 14, 2023Fine$4,587—
Jul 17, 2023Fine$13,409—
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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