Golden Manor Retirement Center

Maintenance and OperationAll window screens shall be clean and maintained in good repair.This requirement was not met as evidenced by: Facility failed to have window screens in good repair in resident room 35 sliding door screen and Room 45 window screen which posed a potential Health and Safety Risk to residents care.

Maintenance and OperationThe facility shall be clean, safe, sanitary and in good repair at all times.This requirement was not met as evidenced by: Facility failed to have the resident's mattress in good repair in Room 77 which posed a potential Health and Safety Risk to residents care.

Incidental Medical and Dental CareThe following requirements shall apply to medications which are centrally stored:Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by:Licensee failed to ensure that medication was kept in a safe and locked space with inhaler observed in R1's room which posed an Immediate Health and Safety concern.

Based on record review, the licensee did not comply with the section cited above in 25 out of 25 staff, as the last disaster drill was conducted on 2/15/2024, which poses a potential health, safety or personal rights risk to persons in care.

Personal Rights of Residents in All FacilitiesResidents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidenced by;Based on interviews conducted licensee failed to ensure that resident's be accordeddignity in their personal relationships with staff, with 3 staff harassing R1 by going to their room about the rent which poses a potential health, safety or personal rights risk to persons in care.

General food Service RequirementsThe following food service requirements shall apply:In facilities for sixteen (16) persons or more, menus shall be written at least one week in advance and copies of the menus as served shall be dated and kept on file for at least 30 days. This requirement is not met as evidenced by:Facility at today's visit had menu posted dated 08/20 to 08/26 which is not the current week which poses an Immediate Health and Safety Concern to resident's in care.

Planned ActivitiesIn facilities licensed for seven (7) or more persons, notices of planned activities shall be posted in a central location readily accessible to residents, relatives, and representatives of placement and referral agencies. Copies shall be retained for at least six (6) months. This requirement is not met as evidenced by:Licensee failed to post activities calendar as confirmed by 6 of 6 resident's, observation by LPA and confirmation by administrator which poses an Immediate Health and Safety Concern to resident's in care.

Planned ActivitiesIn facilities licensed for fifty (50) persons or more, one staff member shall have full-time responsibility to organize, conduct and evaluate planned activities, and shall be given such staff assistance as necessary in order for all residents to participate in accordance with their interests and abilities. The program of activities shall be written, planned in advance, kept up-to-date, and made available to all residents. The responsible employee shall have had at least one year of experience in conducting group activities and be knowledgeable in evaluating resident needs, supervising other employees, and in training volunteers. This requirement is not as evidenced by:Licensee failed to have one staff member having full time responsibility to organize, conduct and evaluate planned activities with 6 of 6 resident's stating there are not group activities being done which poses an Immediate Health and Safety Concern to resident's in care.

Personal Rights of Residents in All FacilitiesResidents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidenced by;Based on interviews conducted licensee failed to ensure that resident's be accordeddignity in their personal relationships with staff, with 3 staff harassing R1 by going to their room about the rent which caused an immediate health and safety concern to resident's in care.

Theft and Loss(a) The licensee shall ensure an adequate theft and loss program as specified in Health and Safety Code Section 1569.153.A licensee who fails to make reasonable efforts to safeguard resident property, shall reimburse a resident for or replace stolen or lost resident property at its current value. The licensee shall be presumed to have made reasonable efforts to safeguard resident property if there is clear and convincing evidence of efforts to meet each requirement specified in Section 1569.153. This requirement has not been met as evidenced by: Resident #2's new pants were missing from her room which was confirmed by the Administrator in which it was not included in the residents personal property, or valuableswhich causes an Immediate Health safety Risk to residents in care.

87468.1 Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1)To be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement is not met as evidence by: Based on interviews conducted licensee did not ensure residents are not threating at facility as 5 out of 8 residents have observed residents threating other residents which poses an immediate health, safety, or personal rights risk of persons in care.

Personal Rights of Residents in All Facilities. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement is not met as evidenced by; During the visit conducted on 2/24/212, LPA Trueman toured the courtyard of the facility facility and based on statements obtained, LPA learned that residents have been observed smoking marijuana in the courtyard area. This poses an immediate Health and safety Risk to residents iin care.

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees, and visitors. Based on observation, interviews, and record review, the elevator is currently not working which poses a potential health, safety, and personal rights risk to residents in care.

Maintenance and OperationThe facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement is not met as evidenced by: Based on observations and interviews the facility failed to have the facility in good repair at all times with Room 1 having a sliding door that was inoperable and didn't slide open which caused an Immediate Health and Safety Risk to residents in care,

Based on [(observation) the licensee did not comply with the section cited above by having residents medication Banophen 25 mg, Benztropine 0.5 mg, and Risperidone 2 mg. moved from original bubble pack and placed in cups for future days of 5/20-5/22 which poses an immediate health, safety or personal rights risk to persons in care.