Golden Living Guest Home

Maintain fire clearance before retaining specified persons

Maintain facility in clean, safe, sanitary condition

Ensure hazardous items are locked and not unattended

Must complete individual written admission agreements

Based on records review, the licensee did not comply with the section cited above in 3 out of 5 persons which poses a potential health, safety or personal rights risk to persons in care.

Notification to department after hospice care starts

Facility must keep complete hospice care plan on file

Facility must clear fire safety for bedridden persons

87202 Fire Clearance(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal.(2) Bedridden personsThis requirement is not met as evidence by: Based on observation, file review, interview, the licensee did not comply with the section cited above by not having a fire clearance for bedridden (R1) in a room that wasn't cleared as a bedroom per facility sketch and current fire clearance dated 10/24/22 which poses an immediate health, safety or personal rights risk to persons in care.

87307 Personal Accommodations and Services (a) Living accommodations...shall be related to the facility's function. ... provide comfortable living accommodations and privacy for the residents... The following provisions shall apply: (2) Resident bedrooms shall be provided which meet... (C) No bedroom of a resident shall be used as a passageway to another room, bath or toilet.This requirement is not met as evidence by: Based on observation, the licensee did not comply with the section cited above by allowing the use of R2's and R3's bedroom as a passageway to another room for R1 which poses an health, safety or personal rights risk to persons in care.

Update reappraisal at required intervals

87463 Reappraisals(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal.This requirement is not met as evidence by: Based on record review and interview, the licensee did not comply with the section cited above by having completed Appraisal Needs and Services (ANS) on file for R1-R6 which poses an health, safety or personal rights risk to persons in care.

Provide copies of signed agreements and amendments

87507 Admission Agreements(e) The licensee shall provide a copy of the signed and dated current admission agreement, and all subsequent signed and dated modifications, to the resident or the resident's representative, if any, immediately upon signing the admission agreement or modification.This requirement is not met as evidence by: Based on record review and interview, the licensee did not comply with the section cited above by not having an updated Admissions Agreement on file for R4 and R6 who were transferred from another facility (same Licensee) which poses an health, safety or personal rights risk to persons in care.

Maintain physician order documentation in resident record

87608 Postural Supports(3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record.This requirement is not met as evidence by: Based on observation, record review and interview, the licensee did not comply with the section cited above by not having an doctor's orders on file for R1, R2 and R3 which poses an health, safety or personal rights risk to persons in care.This requirement is not met as evidence by:

Agree in writing on agency and facility responsibilities

87609 Allowable Health Conditions and the Use of Home Health Agencies(b) Incidental medical care may be provided to residents through a licensed home health agency provided the following conditions are met: (4) The licensee and home health agency agree in writing on the responsibilities of the home health agency, and those of the licensee in caring for the resident’s medical condition(s).This requirement is not met as evidence by: Based on record review and interview, the licensee did not comply with the section cited above by not having a home health care plan on file for R1's wound care including but not limited to physical therapy, occupational therapy and nurse aide which poses an health, safety or personal rights risk to persons in care.

87623 Indwelling Urinary Catheter(b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following:(1) Ensuring that insertion and irrigation of the catheter shall be performed by an appropriately skilled professional.This requirement is not met as evidence by: Based on observation, record review and interview, the licensee did not comply with the section cited above by not having the home health care plan on file for R2's foley catheter and caregiver training with draining the catheter bag which poses an health, safety or personal rights risk to persons in care.

Allowing diabetic residents based on self-management ability

(a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professional.This requirement is not met as evidence by: Based on record review and interview, the licensee did not comply with the section cited above by not having an appropriately skilled professional administering insulin injections for R1's diabetes which poses an health, safety or personal rights risk to persons in care.