Inspection Reports for
Golden View Health Care Center
19 NH ROUTE 104, MEREDITH, NH, 03253
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
22% worse than New Hampshire average
New Hampshire average: 4.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Census: 72
Deficiencies: 2
Date: Jan 14, 2026
Visit Reason
The inspection was conducted to evaluate the facility's infection prevention and control program, specifically focusing on Transmission Based Precautions and water management control measures.
Findings
The facility failed to implement infection control policies for one resident regarding Transmission Based Precautions and did not have adequate water management control measures, potentially exposing 72 residents to waterborne pathogens. Observations and interviews confirmed noncompliance with PPE use and lack of flushing protocols for unoccupied areas.
Deficiencies (2)
Failure to implement infection control policies for Transmission Based Precautions for one resident.
Failure to implement water management control measures, including lack of flushing protocols for unoccupied areas.
Report Facts
Residents potentially exposed: 72
Residents reviewed for Transmission Based Precautions: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Interviewed regarding water management and flushing protocols. | |
| Licensed Nursing Assistant | Observed not wearing gown when entering COVID-19 positive resident's room. | |
| Infection Preventionist | Confirmed facility policy on PPE use for COVID-19 positive residents. |
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Nov 6, 2024
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements across multiple areas including medication administration, resident assessments, infection control, food safety, and infection prevention.
Findings
The facility was found deficient in several areas including failure to follow procedures for self-administration of medications, inaccurate coding of Minimum Data Set (MDS) assessments, lack of infection control competencies among licensed staff, medication error rates exceeding 5%, improper sanitization and food storage practices, and failure to implement CDC guidelines for Enhanced Barrier Precautions to prevent infection spread.
Deficiencies (6)
Failed to follow procedures for self-administration of medications for 2 residents without proper assessments or physician orders.
Failed to accurately code Minimum Data Set (MDS) assessments for 4 residents.
Failed to ensure licensed staff had infection control competencies in skills and techniques necessary to care for residents.
Failed to ensure medication error rate less than 5 percent; observed 3 medication errors out of 29 opportunities (10.34% error rate).
Failed to ensure sanitization of dishware and proper labeling and storage of food in accordance with professional standards.
Failed to follow CDC guidelines for Enhanced Barrier Precautions (EBP) to prevent spread of infections for 4 residents.
Report Facts
Medication errors: 3
Medication pass opportunities: 29
Residents reviewed for self-administration: 4
Residents affected by self-administration deficiency: 2
Residents reviewed for MDS coding: 15
Residents affected by MDS coding deficiency: 4
Staff reviewed for infection control competencies: 6
Residents reviewed for Enhanced Barrier Precautions: 15
Residents affected by Enhanced Barrier Precautions deficiency: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Registered Nurse | Confirmed findings related to self-administration of medications deficiencies |
| Staff E | Director of Nurses | Confirmed residents were not assessed to self-administer medications |
| Staff I | Unit Manager | Confirmed inaccurate MDS coding for residents |
| Staff P | Administrator in Training (AIT) | Confirmed lack of infection control competency documentation for staff |
| Staff A | Licensed Practical Nurse | Involved in medication administration errors and infection control observations |
| Staff C | Registered Nurse | Involved in medication administration errors |
| Staff L | Assistant Kitchen Director | Confirmed refrigerator temperature and food storage deficiencies |
| Staff K | Kitchen/Dietary Staff | Confirmed sanitizer testing deficiencies and food storage issues |
| Staff T | Licensed Nursing Assistant (LNA) | Observed not wearing gown during Enhanced Barrier Precautions-required care |
| Staff R | Licensed Nursing Assistant (LNA) | Observed not wearing gown or gloves during Enhanced Barrier Precautions-required care |
Inspection Report
Complaint Investigation
Deficiencies: 7
Date: Dec 15, 2023
Visit Reason
The inspection was conducted to investigate multiple complaints regarding medication consent, notification of missed medications, discharge notices, discharge summaries, psychotropic medication orders, lab result notifications, and food safety practices at the nursing home.
Complaint Details
The visit was complaint-related, investigating issues including medication consent, missed medication notifications, discharge notices, discharge summaries, psychotropic medication orders, lab result notifications, and food safety practices. Substantiation status is not explicitly stated.
Findings
The facility was found deficient in failing to obtain consent for antipsychotic medications for two residents, failing to notify physicians of missed medications for three residents, failing to send required discharge notices to the Ombudsman for two residents, failing to complete a discharge summary for one resident, failing to provide stop dates for PRN psychotropic medications, failing to notify physicians of abnormal lab results, and failing to use facial hair restraints during food preparation and service.
Deficiencies (7)
Failed to inform residents or representatives of risks and benefits of antipsychotic medications for 2 of 5 residents reviewed.
Failed to notify physician of medications not administered to 3 residents.
Failed to send written notice of transfer/discharge to the Office of the State Long Term Care Ombudsman for 2 residents.
Failed to complete a discharge summary containing all necessary elements for 1 resident.
Failed to provide a stop date for an as needed (PRN) psychotropic medication for 1 resident.
Failed to promptly notify ordering practitioner of abnormal lab results for 1 resident.
Failed to use facial hair restraints when preparing or serving food in 2 of 3 units observed.
Report Facts
Residents reviewed for unnecessary medications: 5
Residents in final sample: 18
Residents affected by failure to notify physician of missed medications: 3
Residents affected by failure to send discharge notice: 2
Residents affected by failure to complete discharge summary: 1
Residents affected by failure to provide PRN stop date: 1
Residents affected by failure to notify physician of abnormal labs: 1
Lab results for Dilantin: 3.2
Lab results for Dilantin: 4.3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff E | Director of Nursing | Confirmed no consent for Resident #42's medication, no notification of missed medications, no discharge summary, and lab notification failures. |
| Staff G | Medication Nursing Assistant | Confirmed no consent for Resident #25 and #42 medications and no documentation of provider notification for missed doses. |
| Staff H | Licensed Practical Nurse (LPN) | Administered medications to Resident #17 and confirmed no notification of missed doses. |
| Staff B | Director of Resident Relations | Confirmed no notice sent to Ombudsman for Resident #62 discharge. |
| Staff F | Medical Doctor | Resident #23's physician, unaware of low lab results. |
| Staff I | Registered Nurse | Confirmed Resident #59's PRN medication order lacked a stop date. |
| Staff A | Cook | Observed preparing and serving food without facial hair covering. |
| Staff C | Dietary Assistant | Observed serving food with uncovered beard. |
| Staff D | Dietary Manager | Confirmed no facial hair covering policy or supplies. |
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