Inspection Reports for
Golden Heights Personal Care Home

The waiver allows a staff member to work without the required diploma temporarily, with documentation to be maintained and compliance expected after February 14, 2027.

The waiver is granted under specific conditions including documentation of education equivalency and annual review during inspections to ensure compliance. Failure to comply may result in termination of the waiver or other licensing actions.

The waiver is granted under specific conditions including enrollment in GED and HiSET prep programs and annual review during inspections to ensure compliance. Failure to comply may result in waiver termination or other licensing actions.

The waiver is granted with conditions including enrollment in GED and HiSET prep programs, obtaining a high school equivalency certificate by September 6, 2026, and maintaining documentation of education and training. The Department of Human Services will review compliance annually during inspections.

The complaint was substantiated as the resident was found unsupervised outside the facility, leading to a safety incident requiring police intervention.

The facility was found to have failed to provide required assistance to a resident during activities of daily living, resulting in the resident being found alone and confused outside the facility. The facility implemented corrective and preventive actions including increased safety checks and review of resident supervision plans.

The waiver is granted based on submitted documentation verifying equivalent education from outside the United States. The Department will review this waiver annually during inspections to ensure compliance with conditions.

The inspection was complaint-related, investigating incidents including choking, medication errors, and sanitary concerns. The plan of correction was fully implemented as of June 16, 2026.

Multiple deficiencies were identified related to staff response to choking, sanitary conditions, medication administration, medication storage, labeling of food, and documentation errors. Plans of correction were accepted and implemented by June 16, 2026.

The waiver is granted with conditions including enrollment in GED preparation and obtaining the equivalency certificate by April 22, 2026. The Department will review compliance annually and may terminate the waiver or take licensing action if conditions are not met.

The waiver is granted with conditions including enrollment in GED/HiSET prep and obtaining the equivalency certificate by March 2, 2026. The Department will review compliance annually and may terminate the waiver or take licensing action if conditions are not met.

The waiver is granted under specific conditions including documentation requirements and annual review during the facility's annual inspection to ensure compliance. Failure to comply may result in termination of the waiver or other licensing actions.

The waiver is granted with conditions including enrollment in a GED program and obtaining the equivalency certificate by January 24, 2026. The Department will review compliance annually and may terminate the waiver or take licensing action if conditions are not met.

The waiver is granted with conditions including documentation of education equivalency and annual review during inspections to ensure compliance. Failure to comply may result in waiver termination or other licensing actions.

The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.

No regulatory citations or deficiencies were identified as a result of this inspection.

The waiver is granted with conditions including documentation of education equivalency and annual review during inspections. Failure to comply may result in termination of the waiver or other licensing actions.

The waiver allows a specific employee to serve as direct care staff based on education equivalency from outside the United States, subject to documentation and annual review during inspections.

The waiver allows a specific employee to serve as direct care staff despite not meeting the usual high school diploma, GED, or nurse aide registry requirements, based on equivalent education from outside the United States. The waiver is subject to conditions including documentation retention and annual review during inspections.

The submitted plan of correction was found to be fully implemented. A deficiency was noted regarding medications and syringes not being properly locked in a secured area, specifically a partially used tube found on a resident's bedside nightstand without assessment for self-administration.

The visit was complaint-related involving allegations of abuse and neglect. The complaint was substantiated as violations were found including improper transfer causing injury and physical striking of a resident.

The inspection found violations related to abuse and improper treatment of residents, including a staff member performing a one-person transfer causing a skin tear to resident #1, and another staff member striking resident #2 to get attention. Additionally, deficiencies were found in support plans and catheter care.

The waiver is granted with conditions including documentation review by an accredited credential evaluator and record keeping by the facility. The Department will review this waiver annually during inspections to ensure compliance.

The inspection was complaint-related, triggered by incidents involving resident injury due to staff actions and medication security concerns. The plan of correction was reviewed and accepted.

The facility was found to have fully implemented the submitted plan of correction addressing deficiencies related to resident care, abuse prevention, and medication security. The report details specific incidents involving resident injury due to improper wheelchair transport and unsecured medications, along with corrective and preventative actions taken.

The waiver is granted under specific conditions including documentation of equivalency of foreign education and maintenance of records by the facility. The Department will review this waiver annually during inspections to ensure compliance.

The waiver is granted with conditions including documentation of equivalency evaluations and maintenance of records by the facility. The Department will review the waiver annually during inspections to ensure compliance.

The waiver allows a specified employee to serve as direct care staff based on an equivalency evaluation of their foreign education to a Bachelor's degree. The waiver is subject to conditions including documentation retention and annual review during inspections.

The inspection found multiple deficiencies including insufficient staffing for emergency evacuation, improper food labeling, failure to evacuate residents to designated meeting places during fire drills, unsecured medications, outdated prescriptions, unlabeled OTC medications, and errors in medication administration documentation. Plans of correction were accepted and implemented with ongoing monitoring.

The waiver is granted under specific conditions including documentation of educational qualifications and annual review during inspections to ensure compliance. Failure to comply may result in termination of the waiver or other licensing actions.

The waiver is granted based on evaluation of foreign education equivalency to a high school diploma, with conditions requiring documentation retention and annual review during inspections.

The waiver is granted based on evaluation of foreign educational transcripts equivalent to four years of undergraduate work in law in the United States. The waiver is subject to conditions including documentation retention and annual review during inspections.

The complaint was substantiated as the investigation confirmed inappropriate verbal treatment of a resident by staff member B. Protective Services and state inspectors investigated the incident. Staff B was suspended and later terminated for unrelated reasons.

The investigation found that a staff member verbally mistreated a resident by yelling and making disrespectful comments during a transfer. The facility took corrective actions including staff suspension and termination, mandatory abuse reporting, and scheduled training on resident rights and abuse reporting.

The waiver is granted under conditions requiring documentation of education and training to be maintained and reviewed annually during the facility's inspection to ensure compliance.

No regulatory citations or deficiencies were identified as a result of this inspection.

The waiver is granted under specific conditions including the staff member not administering medication until GED completion and documentation requirements. The Department will review compliance annually and may terminate the waiver or take licensing action if conditions are not met.

The inspection identified multiple deficiencies including issues with resident personal equipment, windows, first aid kits, food protection and labeling, medication storage and administration, and annual assessments. Plans of correction were submitted and some were accepted while others were not accepted, indicating ongoing compliance efforts.

The facility was found to have fully implemented the submitted plan of correction addressing a delayed reporting of a physical abuse incident and a resident personal equipment hazard. Continued compliance was required.

No regulatory citations were identified as a result of this inspection.

The submitted plan of correction was found to be fully implemented, with staffing increased to meet resident needs, including safe evacuation requirements. The facility serves 64 residents with a licensed capacity of 75 beds.

The facility was found to have multiple deficiencies related to record confidentiality, furniture and equipment maintenance, medication management, assessments, and documentation. All deficiencies had accepted plans of correction with timely completion dates.

The waiver allows the facility to use documentation from Tabula Pro instead of the Department's forms, subject to ongoing compliance review during annual inspections.

The facility was found to be in substantial compliance with applicable regulations at the time of inspection. One violation was noted regarding the improper installation of carbon monoxide detectors in mechanical rooms.

No inspection findings are reported in this document; it is a license renewal notice and certificate of compliance.