All citations for Golden Pavilion Healthcare

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 Pavilion Healthcare

Last standard health inspection on record

May 27, 2025

Showing 1 to 25 of 106 citations

  1. Harm to a resident

    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 G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 22, 2026. Found during a complaint inspection.

    No plan of correction on record.

  2. Harm to a resident

    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 G.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of December 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 9, 2025).

  3. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 2021).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of May 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 9, 2025).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2024).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

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

    Properly provide smoke detection systems in areas open to corridors.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

  12. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2022).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2021).

  14. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 7, 2026).

  15. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

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

    Provide a written emergency evacuation plan.

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

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of May 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of January 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 13, 2025).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 13, 2025).

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

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

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of October 3, 2024. Found during a complaint inspection.

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

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.