Inspection visit
Fire Safety inspection
Citations
22 citations recorded*CMS
This is a Fire Safety survey. CMS cites these findings under the Life Safety Code and Emergency Preparedness rules, a separate set from the health (F-tag) deficiencies. The codes and grading differ, so these do not link to the health violation pages.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0013GeneralS&S Cno actual harm
Develop Emergency Preparedness policies and procedures.
- 0015GeneralS&S Cno actual harm
Address subsistence needs for staff and patients.
- 0029GeneralS&S Cno actual harm
Develop a communication plan.
- 0039GeneralS&S Fpotential for harm
Conduct testing and exercise requirements.
- 0161GeneralS&S Epotential for harm
Use approved construction type or materials.
- 0291GeneralS&S Dpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0342GeneralS&S Dpotential for harm
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- 0345GeneralS&S Fpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0712GeneralS&S Fpotential for harm
Have simulated fire drills held at unexpected times.
- 0914GeneralS&S Fpotential for harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 0918GeneralS&S Cno actual harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0919GeneralS&S Epotential for harm
Meet requirements for the use of electrical equipment.
- 0007GeneralS&S Cno actual harm
Address patient/client population and determine types of services needed.
- 0036GeneralS&S Cno actual harm
Establish emergency prep training and testing.
- 0346GeneralS&S Cno actual harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- 0354GeneralS&S Cno actual harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- 0355GeneralS&S Dpotential for harm
Properly select, install, inspect, or maintain portable fire extinguishes.
- 0363GeneralS&S Epotential for harm
Install corridor and hallway doors that block smoke.
- 0372GeneralS&S Dpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0293GeneralS&S Fpotential for harm
Have properly located and lighted "Exit" signs.
- 0004GeneralS&S Cno actual harm
Develop and maintain an Emergency Preparedness Program (EP).
- 0353GeneralS&S Cno actual harm
Inspect, test, and maintain automatic sprinkler systems.
FAQ · About this visit
Common questions about this visit
What happened during the August 29, 2025 survey of GOLDEN HARBOR HEALTHCARE CENTER?
This was a inspection survey of GOLDEN HARBOR HEALTHCARE CENTER on August 29, 2025. The surveyor cited 22 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at GOLDEN HARBOR HEALTHCARE CENTER on August 29, 2025?
Yes, 22 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Develop Emergency Preparedness policies and procedures."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.