Golden Harbor Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 86 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (18 vs median 13.0)
Below average in CA · Below recommended RN staffing · $43,554 in fines
What this means for your family
This facility is a strong candidate if you prioritize a clean, modern environment and a friendly, welcoming atmosphere. However, because multiple reviewers have raised critical alarms regarding wound care and nursing competence, you must specifically ask about their protocols for pressure sore prevention and how they monitor staff performance during night and weekend shifts.
Google Reviews
Google Reviews
86 reviews on Google“Golden Harbor Healthcare Center is frequently praised for its clean, modern facility and a staff that many describe as warm, attentive, and genuinely caring. However, there are serious, highly critical allegations regarding medical neglect, specifically concerning the development of pressure sores and instances of severe clinical incompetence. Families should weigh the positive reports of new management and facility upgrades against the grave concerns raised by some family members regarding patient safety and wound care.”
Quality Themes
Strengths
- Clean and well-maintained facility
- Compassionate and attentive nursing staff
- Welcoming and professional admissions/social services team
- Visible improvements under new management
Concerns
- Negligence regarding wound care and pressure sores (mentioned by 2 reviewers)
- Incompetence in nursing assessments and timely interventions (mentioned by 2 reviewers)
- Unprofessional behavior/language from specific staff members (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 89 analyzed
How They Respond to Reviews
The owner provides highly personalized responses that frequently use the reviewer's name and acknowledge specific staff members or departments mentioned. They demonstrate high empathy in the rare instance of a negative review, focusing on condolences rather than defense.
Questions for Your Tour
- 1I noticed some recent feedback mentioning improvements under new management; what specific changes have been implemented recently to enhance the quality of care?
- 2How does the nursing team approach regular skin checks and wound prevention to ensure residents stay comfortable and healthy?
- 3With the recent state inspections, what specific steps is the facility taking to improve staffing levels and ensure timely medical interventions?
- 4How do you ensure that nursing assessments are updated accurately and that any changes in a resident's condition are addressed immediately?
- 5What kind of daily activities or social programs are available to keep residents engaged and connected with one another?
- 6How does the admissions and social services team support families during the transition into the facility?
Personalized based on this facility's data
Key Review Excerpts
“The staff is incredibly kind, attentive, and truly treats residents like family. The facility is always clean, comfortable, and welcoming.”
“I have continued to be disappointed by this place and the care they give my mother. I try to be understanding to the patient and staff ratio, and when I get calls almost daily that my mother has a new bed sore or wound it makes me wonder if they are turning her like they are supposed to”
“The facility itself was spotless and well-maintained, further enhancing the overall experience. The staff is incredibly attentive and welcoming, creating a warm and inviting atmosphere.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
3
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Golden Harbor Healthcare Center has significant concerns with families filing 8 complaints that triggered federal investigations. The facility shows persistent problems across multiple areas, particularly medication management, fire safety systems, and accident prevention. While all deficiencies report correction dates, the recurring nature of issues like medication errors, fire alarm maintenance, and safety hazards across multiple surveys suggests ongoing operational challenges that families should investigate thoroughly before considering placement.
Aug 29, 2025Routine38
Nursing and Physician Services Deficiencies
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Resident Rights Deficiencies
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.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies
Develop a communication plan.
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Mar 6, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nov 13, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 17, 2024Routine21
Nursing and Physician Services Deficiencies
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.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Pharmacy Service Deficiencies
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.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
May 17, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 3, 2024Complaint3
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Federal Penalties
Fine
May 17, 2024
$22,777
Fine
Aug 28, 2023
$4,545
Fine
Jul 17, 2023
$12,703
Fine
Jun 26, 2023
$3,529
Ownership & Operations
Who Operates This Facility
Golden Harbor Healthcare Center
for profit
Chain Affiliation
Spyglass Healthcare
9 facilities nationwide
Ownership & Management
Owners
Spyglass Healthcare LLC
Owner · Organization
Mccormack, Shane
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
86 reviews from families & visitors
Official Website
Visit goldenharborhealthcare.com
Medicare data downloads
Original nursing home datasets
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