Inspection Reports for Golden Rose Home
8055 Opal Station Dr, Reno, NV 89506, NV, 89506
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
14.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
101% worse than Nevada average
Nevada average: 7.1 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
56% occupied
Based on a November 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 5
Capacity: 9
Deficiencies: 18
Nov 20, 2024
Visit Reason
The inspection was conducted as a result of a State Licensure grading resurvey and a complaint investigation at the facility from 11/19/2024 to 11/20/2024, including investigation of eight complaints.
Findings
The facility received a grade of D with multiple substantiated complaints including visitor restrictions, incomplete and inaccurate records, inappropriate staff conduct, safety concerns with deadbolt locks on resident doors, medication administration issues, and denial of access to a Home Health nurse. Additional deficiencies included lack of proper personnel records, inadequate staff training, failure to maintain proper medication storage and administration, expired food items, and failure to maintain accurate activity calendars and resident assessments.
Complaint Details
Eight complaints were investigated with multiple substantiated allegations including visitor restrictions, incomplete records, inappropriate staff conduct, safety concerns with resident room locks, denial of Home Health nurse entry, medication administration issues, and lack of resident activities.
Severity Breakdown
Level 1: 1
Level 2: 17
Deficiencies (18)
| Description | Severity |
|---|---|
| Administrator failed to provide oversight and direction to ensure residents received needed services and protective supervision. | Level 2 |
| Administrator failed to ensure complete and accurate personnel records; undocumented employee working without file or training. | Level 2 |
| Facility failed to ensure caregiver training requirements were met, including elder abuse training and caregiver qualifications. | Level 2 |
| Administrator failed to maintain monthly written staff schedule for at least six months. | Level 1 |
| Personnel files incomplete for employees, missing physical exams, TB screening, background checks, and CPR/first aid certification. | Level 2 |
| Facility failed to maintain health and sanitation standards; clutter and unsafe storage in garage; bathroom door unable to lock. | Level 2 |
| Resident bedroom doors had deadbolt locks without single motion unlocking, requiring keys not readily available. | Level 2 |
| Resident Home Health nurse was denied entry to provide care due to facility visitation restrictions. | Level 2 |
| Facility failed to provide and document activities as posted on activity calendar; calendar inaccurate and not updated. | Level 2 |
| Expired food items found in refrigerator and kitchen cabinets, including moldy bread and expired sauces. | Level 2 |
| Medication administration deficiencies including missing medication change labels, medications not onsite, and medications not administered as prescribed. | Level 2 |
| Discontinued medications not destroyed and stored improperly in unlocked cabinet. | Level 2 |
| Medication records not properly maintained; MARs initialed after administration without confirmation of administration. | Level 2 |
| Over-the-counter medications not labeled with resident and prescriber names. | Level 2 |
| Medications stored in unlocked cabinet accessible to residents. | Level 2 |
| Initial and annual Activities of Daily Living (ADL) assessments not completed or dated for multiple residents. | Level 2 |
| Physician placement determinations incomplete or missing for some residents. | Level 2 |
| Facility Owner/Caregiver impeded inspection by denying access to garage and storage area, locking doors and refusing entry. | Level 2 |
Report Facts
Complaints investigated: 8
Facility licensed beds: 9
Resident census: 5
Resurvey application fee: 600
Inspection Report
Complaint Investigation
Census: 5
Capacity: 9
Deficiencies: 11
May 10, 2022
Visit Reason
The inspection was conducted as a result of a State Licensure grading resurvey, a COVID-19 Infection Control and Prevention Plan Survey, and a complaint investigation commencing on 2022-03-17 and concluding on 2022-05-10.
Findings
The facility received a grade of D with multiple deficiencies including failure to maintain an Infection Control and Prevention Plan, expired food items and unclean kitchen conditions, lack of activities for residents, inadequate medication management including expired and unlabeled medications, and failure to obtain required endorsements for care of residents with dementia.
Complaint Details
Complaint #NV00066289 alleging failure of the Administrator to protect a resident from physical abuse was investigated and could not be substantiated.
Severity Breakdown
Level 1: 1
Level 2: 10
Deficiencies (11)
| Description | Severity |
|---|---|
| Failure to maintain an Infection Control and Prevention Plan and complete N-95 fit testing for staff. | — |
| Expired food items and unclean refrigerator conditions with yellow and greenish-brown liquid present. | Level 2 |
| Failure to maintain clean and well-maintained premises including bathrooms lacking paper towels and personal massager stored with resident food. | Level 2 |
| Failure to have a written menu planned a week in advance. | Level 1 |
| Failure to provide scheduled activities for residents. | Level 2 |
| Failure to implement and maintain a medication management plan, including expired medications and lack of staff training. | Level 2 |
| Failure to ensure resident medications were available on site and timely refilled. | Level 2 |
| Failure to destroy discontinued and expired medications properly. | Level 2 |
| Medication Administration Record (MAR) did not match physician orders for some medications. | Level 2 |
| Failure to properly label medications with resident and physician information. | Level 2 |
| Failure to obtain required endorsement to care for a resident with Alzheimer's disease or related dementia. | Level 2 |
Report Facts
Facility licensed beds: 9
Census: 5
Survey duration: 54
Resurvey fee: 600
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lawan Sanitnarathorn | Owner | Named as Owner/Caregiver involved in interviews and responsible for facility compliance. |
Inspection Report
Annual Inspection
Census: 2
Capacity: 9
Deficiencies: 16
Dec 28, 2021
Visit Reason
This inspection was conducted as a State Licensure annual grading survey of the residential facility for groups, in accordance with Nevada Administrative Code Chapter 449.
Findings
The facility received a grade of D with multiple deficiencies identified including incomplete resident records, lack of annual caregiver training, health and sanitation issues such as expired food and unclean areas, medication management problems, failure to post required information, and failure to meet endorsement requirements for assisted living and mental health care.
Severity Breakdown
Level 1: 3
Level 2: 12
Deficiencies (16)
| Description | Severity |
|---|---|
| Administrator failed to ensure a resident record was complete, lacking diagnosis, initial physical examination, and activities of daily living assessment for Resident #2. | Level 2 |
| Facility failed to ensure 1 of 2 employees obtained annual caregiver training. | Level 2 |
| Facility failed to maintain health and sanitation standards including dead insects on windowsill, dirt in bathroom, spilled food and expired items in kitchen cabinets, and evidence of mice droppings. | Level 2 |
| Facility failed to ensure the premises were well maintained; wood boards, walker, bed frame, headboard, and disconnected washing machine stored in backyard. | Level 2 |
| Facility failed to post a dated menu. | Level 1 |
| Facility failed to ensure COVID-19 screening for visitors, lacked paper towels in bathrooms, and stored caregiver's personal items in refrigerator with resident food. | Level 2 |
| Facility failed to post service rates in a conspicuous place. | Level 1 |
| Facility failed to ensure proper disposal of an insulin syringe found with resident medication bottles. | Level 2 |
| Facility failed to ensure Resident #2 received a physical examination upon admission. | Level 2 |
| Facility failed to ensure medication was available on site for Resident #2; medication ran out without estimated refill time. | Level 2 |
| Facility failed to ensure medications of a discharged resident were destroyed or sent with the resident; medications remained on site. | Level 2 |
| Facility failed to ensure medications were stored securely; medication cabinet unlocked and Resident #1 had medication unsecured in room. | Level 2 |
| Facility failed to ensure over-the-counter medication was labeled with resident's name and prescribing physician for Resident #2. | Level 2 |
| Facility failed to complete an Activities of Daily Living (ADL) assessment upon admission for Resident #2. | Level 2 |
| Facility failed to meet assisted living facility endorsement requirements due to lack of toilet facilities in five of six resident bedrooms. | Level 1 |
| Facility failed to obtain required mental health endorsement prior to admitting Resident #1 with diagnosis of schizoaffective disorder, bipolar type. | Level 2 |
Report Facts
Facility licensed beds: 9
Current census: 2
Inspection date: Dec 28, 2021
Grade: D
Annual caregiver training missing: 1
Expired food items: multiple
Resident files reviewed: 2
Employee files reviewed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lawan Sanitnarathorn | Owner | Named as owner and responsible party in findings and plan of correction. |
Inspection Report
Follow-Up
Census: 1
Capacity: 2
Deficiencies: 0
Mar 11, 2021
Visit Reason
This follow-up survey was conducted to verify correction of previously identified deficiencies from the Initial State Licensure survey conducted on 03/11/21.
Findings
There were no deficiencies identified during this follow-up survey. The facility is in substantial compliance with the regulations.
Report Facts
Licensed beds: 2
Requested licensed beds: 9
Census: 1
Inspection Report
Original Licensing
Census: 2
Capacity: 2
Deficiencies: 12
Jul 7, 2020
Visit Reason
The inspection was conducted as an Initial State Licensure survey for the facility seeking licensure as a Residential Facility for Groups with nine beds for elderly and disabled persons, including a Chronic Illness endorsement.
Findings
The facility was found to have multiple regulatory deficiencies including failure to ensure required medication management training for caregivers, inadequate health and sanitation conditions such as debris removal, missing window screens, unsanitary laundry and kitchen areas, insufficient bedroom floor space and storage, expired first aid supplies, lack of a working resident telephone, and absence of a documented grievance procedure.
Deficiencies (12)
| Description |
|---|
| Failure to ensure 2 of 2 employees completed required sixteen hours of initial medication management training prior to administering medications. |
| Failure to remove debris and maintain clean and safe exterior and interior premises including backyard clutter and unsafe patio. |
| Failure to ensure all windows and doors had screens to prevent insect entry. |
| Failure to maintain a clean and sanitary laundry room with blocked access and dirty washer and dryer. |
| Failure to ensure kitchen equipment was clean, sanitary, and in good working condition including a non-working microwave and dirty refrigerator and dishwasher. |
| Failure to ensure safe and adequate storage of food including stale odor in refrigerator and cluttered pantry and garage storage. |
| Failure to provide required minimum bedroom floor space for residents in the Master Bedroom. |
| Failure to provide at least 10 square feet of storage space per bed in resident bedrooms, including inadequate storage in Master Bedroom and Bedroom #4. |
| Failure to maintain a usable and up-to-date first aid kit; kit contained expired items. |
| Failure to provide a working telephone for residents and a directory of emergency contacts. |
| Failure to ensure a safe and comfortable environment due to debris, excess furniture, trash, and hazardous items in the backyard and inside the home. |
| Failure to document a procedure for addressing grievances, complaints, or incidents at the facility. |
Report Facts
Census: 2
Total Capacity: 2
Requested Capacity: 9
Medication Training Hours: 16
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lawan Sanitnarathorn | Owner | Named as provider/supplier representative and responsible for facility operations. |
| Employee #1 | Caregiver/Owner | Failed to complete required medication management training prior to administering medications. |
| Employee #2 | Failed to complete required medication management training prior to administering medications. |
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