Skip to main content

Inspection visit

Complaint

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

[Continued from LIC9099] During the week of October 10, 2021, it was alleged that Resident 1 (R1) was called a "pedophile" by Resident 2 (R2), who was reported to be intoxicated. R1 reported this incident to the Administrator who sent a staff member to speak with R2 about the incident. Facility records show that R2 was given an eviction notice December 6, 2021 due to breaking house rules regarding alcohol. Facility records also show that R2 has a history of being verbally aggressive to other residents and caregivers. Staff interviews and outside source interviews about the incident did not reveal new information not provided by facility records. Evidence obtained does not support the allegation that facility staff did not protect resident resulting in resident to be humiliated. During the week of October 10, 2021, R1 attempted to have a meal with Resident 3 (R3) in R1’s room. It was alleged that staff prevented R3 from eating in R1’s room. Facility records included an incident report, written by Staff 1 (S1), stating that on October 24, 2021, R1 requested for R3 to eat in R1’s room. The document did not indicate that staff prevented this, but only reported it. Staff interviews revealed that the incident was documented merely because of how unusual the situation was, since R3 usually ate in the dining room. S1 denied refusing R3 from eating in R1’s room; in fact, S1 remembered two trays brought to R1’s room and two empty trays being taken out of R1’s room indicating that R3 did in fact eat in R1’s room during the time in question. R3 confirmed that they ate with R1 during the month of October 2021 and that staff did not prevent this. Evidence obtained does not support the allegation that facility staff prevented residents from associating with each other. Based on the evidence obtained during the complaint investigation, the allegations that the facility’s staff did not protect a resident from name-calling and that facility staff restricted a resident’s right to associate with another resident is found to be UNSUBSTANTIATED. This finding means that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Monica Cordoba, Manager Assistance; a copy of this report, Licensee's Rights (LIC9058), and LIC9099-C were provided to Manager Assistance.

Citations

4 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87464(d)Type B

    Acceptance obligations tied to pre-admission appraisal needs

    87464(d) Basic Services: …if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal…This requirement was not met as evidenced by: Staff did not provide assistance with R1’s fall risk needs identified in pre-admission appraisal, resulting in bruising due to falls. This posed a potential safety risk to one of 82 residents in care.

  • Assist residents with self-administered medication

    87465(a)(4) Incidental Medical and Dental Care: The licensee shall assist residents with self-administered medications as needed.This requirement was not met as evidenced by: Based on interviews and records review, licensee did not assist R1 with prescribed medications upon admission to the facility. This posed a potential safety risk to one of 82 residents in care.

  • 87465(g)Type A

    Call 9-1-1 for imminent health threats

    87465(g) Incidental Medical and Dental Care: The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis. This requirement was not met as evidenced by: Based on interviews and medical records review, licensee did not telephone 911 to obtain medical treatment for R1 after unwitnessed falls that resulted in serious bodily injury (hip fracture). This posed an immediate health risk to one of 82 residents in care.

  • 87466Type B

    Regular observation and documentation of resident changes

    87466 Observation of the Resident: ...residents are...observed for changes in physical...functioning... When changes …are observed, ...changes are documented and brought to the attention of…responsible person. This requirement was not met as evidenced by: Based on interviews and records review, licensee did not notify R1’s responsible party after R1 incurred multiple falls. This posed a potential health risk to one of 82 residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 20, 2022 inspection of GOLDEN LIVING HEALTH MANAGEMENT, INC.?

This was a complaint inspection of GOLDEN LIVING HEALTH MANAGEMENT, INC. on May 20, 2022. The inspection found no deficiencies and no citations were issued.

Were any citations issued to GOLDEN LIVING HEALTH MANAGEMENT, INC. on May 20, 2022?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.