Inspection Report
Renewal
Deficiencies: 2
Oct 3, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the Goldstone facility to assess compliance with applicable rules and regulations.
Findings
The inspection found that the facility did not meet construction, building, and fire code requirements. Specifically, the downstairs basement door leading to two resident rooms was not operable with a single motion to exit, and the front door exit had a deadbolt that would not open with a single motion.
Deficiencies (2)
| Description |
|---|
| Downstairs basement door leading to 2 resident rooms is not operable with a single motion to exit on the residents side. |
| Front door exit has a deadbolt and would not open with a single motion to exit. |
Inspection Report
Renewal
Deficiencies: 3
Aug 2, 2018
Visit Reason
The inspection was conducted as a renewal inspection of the Goldstone facility to assess compliance with licensing requirements.
Findings
The inspection identified deficiencies including lack of documentation for disposition of a resident's personal possessions, absence of single motion door knobs in resident rooms, and a malfunctioning call system in a resident bathroom.
Deficiencies (3)
| Description |
|---|
| No documentation of the disposition of Resident #4 personal possessions. |
| No resident rooms are equipped with single motion door knobs. |
| The call system in resident room #2 bathroom was loosely fixed and did not activate when the call cord was pulled. |
Inspection Report
Renewal
Deficiencies: 4
Sep 20, 2016
Visit Reason
The inspection was conducted as a renewal inspection of the Goldstone facility to assess compliance with regulatory requirements.
Findings
The inspection identified multiple deficiencies including outdated resident service plans not reflecting recent significant changes, missing resident weights in files, lack of physician notification in incident reports, and incomplete health care plans missing key resident-specific information.
Severity Breakdown
Category A: 1
Category B: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Resident service plan and needs assessment not updated with resident's recent significant change (Resident #1 hospice care). | Category A |
| Residents #2 and #3 do not have a weight listed in their resident file. | — |
| Incident reports (13 of 13) contained no physician notification; multiple residents had falls with injuries or complaints. | — |
| Health Care Plan for resident #3 is not resident specific and missing multiple key health and functional status elements. | Category B |
Report Facts
Incident reports reviewed: 13
Inspection Report
Complaint Investigation
Deficiencies: 4
Apr 16, 2015
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with resident service plans, activities, call systems, and oxygen use in the facility.
Findings
The inspection found that Resident #1’s service plan and needs assessment were not reviewed and updated annually, the facility lacked an activity calendar, the call system was inadequate with cords too short to be accessible, and oxygen use rooms had running concentrators without required signage.
Complaint Details
Inspection was triggered by a complaint and conducted as a complaint inspection.
Deficiencies (4)
| Description |
|---|
| Resident #1’s Resident Needs Assessment and Service Plan have not been reviewed and updated annually. |
| An activity calendar was not found in the facility. |
| The facility does not utilize a fixed call system; call cords in bathrooms and shower rooms are too short to be accessible to residents on the floor. |
| Oxygen concentrators were running in two rooms despite residents not being present, and required oxygen use signs were not posted. |
Report Facts
Resident rooms inspected: 2
Inspection Report
Renewal
Deficiencies: 4
Aug 29, 2014
Visit Reason
The inspection was conducted as a renewal inspection of the Goldstone facility to assess compliance with regulatory standards and licensing requirements.
Findings
The inspection identified multiple deficiencies including lack of written documentation of policy and procedure manual review, missing Heimlich maneuver training documentation in employee files, numerous outdated medications in storage, and inadequate infection control practices such as failure to change gloves or wash hands between resident cares.
Deficiencies (4)
| Description |
|---|
| Review of the P&P manual does not include written documentation of review. |
| Four employee files lack documentation of Heimlich maneuver training; employee #3 signed job descriptions and training materials for others despite job description stating no supervisory role. |
| Multiple (25+) medications found in locked med cabinet, narcotic box, and medication refrigerator are outdated or improperly stored. |
| Aide observed not removing or changing gloves and not washing hands between resident cares. |
Report Facts
Number of outdated medications: 25
Number of employee files reviewed: 4
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