Facility profile · CCN 145336
Warren Barr Gold Coast
46 federal citations on record , and 3 federal enforcement actions totaling $24,889.
Record summary
Federal record · Q1 202646
Total citations
38
Last 3 years
3
Actual harm+
3
Federal penalties
$24,889
Total fines
3
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 |
|---|---|---|---|---|
| Jul 9, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Jul 9, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Jul 9, 2025 | F573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Complaint |
| Mar 20, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Feb 24, 2025 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Complaint |
| Feb 24, 2025 | F679 | Provide activities to meet all resident's needs. | D | Complaint |
| Dec 6, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Dec 6, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Dec 6, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Dec 6, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Dec 6, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Dec 6, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Dec 6, 2024 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Oct 18, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Sep 1, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Mar 28, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Jan 22, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Dec 14, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint |
| Dec 14, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Dec 14, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Dec 14, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Dec 14, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Dec 1, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Nov 2, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Nov 2, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Nov 2, 2023 | 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 | Complaint |
| Nov 2, 2023 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard |
| Nov 2, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Nov 2, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Nov 2, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Oct 20, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Oct 20, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Aug 23, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Jul 14, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jun 23, 2023 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| May 5, 2023 | F800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Complaint |
| May 5, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| May 5, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Dec 9, 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. | E | Standard |
| Dec 9, 2022 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard |
| Dec 9, 2022 | 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. | D | Standard |
| Dec 9, 2022 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Dec 9, 2022 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Dec 9, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Dec 9, 2022 | F688 | Provide 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. | E | Standard |
| Dec 9, 2022 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $24,889 and 1 payment-denial actions spanning 77 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Feb 24, 2025 | Fine | $4,784 | — |
| Oct 20, 2023 | Fine | $20,105 | — |
| Oct 20, 2023 | Payment Denial | — | Nov 16, 2023 · 77 days |
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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