Golden Manor Rest Home

COMPLAINT INVESTIGATION REPORT

COMPLAINT INVESTIGATION REPORT

The inspection identified multiple deficiencies, including two Type A citations representing immediate health and safety risks. Specifically, the facility has issues with fire clearance protocols for nonambulatory residents and has placed a nonambulatory resident on the second floor when the first floor is designated for such residents. Additionally, two Type B deficiencies were cited regarding outdated medical assessments and failure to document required annual resident visits.

The inspection identified multiple deficiencies, including two Type A citations representing immediate health and safety risks. Specifically, the facility has issues with fire clearance protocols for nonambulatory residents and has placed a nonambulatory resident on the second floor when the first floor is designated for such residents. Additionally, two Type B deficiencies were cited regarding outdated medical assessments and failure to document required annual resident visits.

The facility underwent an unannounced annual continuation inspection on 06/18/2025. The Licensing Program Analyst reviewed staff files and conducted a random audit of medication administration records (MAR). No deficiencies were cited during the visit.

The inspection was conducted on 05/08/2025 and covered general facility walkthroughs, kitchen inspection, and review of resident files. The primary finding is that the inspection was incomplete due to time constraints, requiring a follow-up visit to complete the annual review.

COMPLAINT INVESTIGATION REPORT

This report details a Complaint Investigation conducted on 12/11/2024 regarding allegations of staff non-compliance with the admission agreement and mismanagement of resident injections. The investigation found that the allegations were unsubstantiated, and the final narrative explicitly states that no deficiencies were cited during the visit.