All citations for Golden Estates Rehabilitation Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Golden Estates Rehabilitation Center

Last standard health inspection on record

August 15, 2025

Showing 1 to 25 of 33 citations

  1. Immediate jeopardy to resident health or safety

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of February 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 1, 2025).

  2. Immediate jeopardy to resident health or safety

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of June 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 5, 2023).

  3. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 30, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

  4. Immediate jeopardy to resident health or safety

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of July 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 28, 2024).

  5. Immediate jeopardy to resident health or safety

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of July 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 28, 2024).

  6. Immediate jeopardy to resident health or safety

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of July 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 28, 2024).

  7. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 28, 2024).

  8. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of August 15, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 16, 2025).

  9. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0921, Environmental Deficiencies. Inspection of August 15, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 16, 2025).

  10. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of July 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 28, 2024).

  11. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 29, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 30, 2024).

  12. No harm, with potential for more than minimal harm

    Keep all essential equipment working safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0908, Environmental Deficiencies. Inspection of January 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 20, 2024).

  13. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 11, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 12, 2026).

  14. No harm, with potential for more than minimal harm

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0552, Resident Rights Deficiencies. Inspection of November 21, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2025).

  15. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of November 21, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2025).

  16. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of November 21, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2025).

  17. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of August 15, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 16, 2025).

  18. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 15, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 16, 2025).

  19. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of May 30, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

  20. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Isolated (one or a few residents). CMS level D.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of May 30, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

  21. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of May 30, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

  22. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  23. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 1, 2025).

  24. No harm, with potential for more than minimal harm

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of July 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 28, 2024).

  25. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of July 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 28, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.