Glendale, CA

Golden Haven Care Center

1-star overall rating with 1-star inspections with $74,602 in total fines with 22 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

409 W. Glenoaks Blvd., Glendale, CA

(818) 240-4300

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

99

Certified beds

Average residents

85

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Helene Mayer

Operator or chain grouping

Approved since

1985-09-25

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 2 overall / 2 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.41

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.79

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.48

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

3.67

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.19

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.53

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.30

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.36

CMS adjusted RN staffing hours

Adjusted total hours

3.22

CMS adjusted total nurse staffing hours

Case-mix index

1.56

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

52%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,555

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

29.44

Composite VBP score used to determine payment impact.

Payment multiplier

0.9855

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.55

Performance 19.32% · Measure score 4.55 · Achievement 4.55 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

2.72

Performance 7.02% · Measure score 2.72 · Achievement 2.72 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

2.88

Baseline 30.91% · Performance 51.90% · Measure score 2.88 · Achievement 2.88 · Improvement 0

Adjusted total nurse staffing

1.62

Baseline 4.06 hours · Performance 3.54 hours · Measure score 1.62 · Achievement 1.62 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.55%
10.72%
0.2 pts better
No Different than the National Rate · Eligible stays 40 · Observed rate 10% · Lower 95% interval 6.91%
Discharge to community 40.36%
50.57%
10.2 pts worse
No Different than the National Rate · Eligible stays 25 · Observed rate 28% · Lower 95% interval 27.59%
Medicare spending per beneficiary 1.39
1.02
0.4 pts worse
Drug regimen review with follow-up 94.53%
95.27%
0.7 pts worse
Numerator 121 · Denominator 128
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 128
Discharge self-care score 36.96%
53.69%
16.7 pts worse
Numerator 34 · Denominator 92
Discharge mobility score 22.83%
50.94%
28.1 pts worse
Numerator 21 · Denominator 92
Pressure ulcers or injuries, new or worsened 3.91%
2.29%
1.6 pts worse
Numerator 5 · Denominator 128 · Adjusted rate 3.05%
Healthcare-associated infections requiring hospitalization 7.02%
7.12%
0.1 pts better
No Different than the National Rate · Eligible stays 40 · Observed rate 7.5% · Lower 95% interval 3.96%
Staff COVID-19 vaccination coverage 4.94%
8.2%
3.3 pts worse
Numerator 4 · Denominator 81
Staff flu vaccination coverage 22.32%
42%
19.7 pts worse
Numerator 25 · Denominator 112
Discharge function score 22.83%
56.45%
33.6 pts worse
Numerator 21 · Denominator 92
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 39 · Denominator 39
Transfer of health information to patient 89.36%
96.28%
6.9 pts worse
Numerator 42 · Denominator 47
Resident COVID-19 vaccinations up to date 30.12%
25.2%
4.9 pts better
Numerator 25 · Denominator 83

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.1
2.3
0.2 pts better
1.9
0.2 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 3.0 · Expected 2.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.4
1.6
1.2 pts better
1.8
1.4 pts better
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.4 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 90.8%
98.5%
7.7 pts worse
93.4%
2.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 79.1% · Q2 86.6% · Q3 94.9% · Q4 100.0% · 4Q avg 90.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.2%
98.2%
5 pts worse
95.5%
2.3 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.2%
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
1.6%
1.6 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 13.1%
6.8%
6.3 pts worse
11.4%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 17.2% · Q3 15.1% · Q4 15.3% · 4Q avg 13.1%
Percentage of long-stay residents who lose too much weight 4.3%
4.1%
0.2 pts worse
5.4%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 0.0% · Q3 5.8% · Q4 2.8% · 4Q avg 4.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.1%
13.7%
0.6 pts better
19.6%
6.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 12.9% · Q3 13.3% · Q4 9.3% · 4Q avg 13.1%
Percentage of long-stay residents who received an antipsychotic medication 16.2%
14.2%
2 pts worse
16.7%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 9.5% · Q3 20.5% · Q4 20.0% · 4Q avg 16.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.4%
0.4 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 9.7%
11.0%
1.3 pts better
16.3%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q3 9.2% · Q4 9.8% · 4Q avg 9.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 16.4%
10.7%
5.7 pts worse
14.9%
1.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 28.8% · Q3 12.3% · Q4 12.5% · 4Q avg 16.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.1%
1.0%
1.1 pts worse
1.0%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 1.9% · Q3 0.9% · Q4 0.9% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.8%
1.2%
0.6 pts worse
1.7%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.0% · Q3 0.0% · Q4 3.9% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 4.9%
10.9%
6 pts better
19.8%
14.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 5.7% · Q3 3.0% · Q4 8.5% · 4Q avg 4.9%
Percentage of long-stay residents with pressure ulcers 9.0%
4.7%
4.3 pts worse
5.1%
3.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 11.1% · Q3 7.0% · Q4 11.9% · 4Q avg 9.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 70.9%
94.0%
23.1 pts worse
81.7%
10.8 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 59.2% · Q2 62.2% · Q3 81.8% · Q4 87.2% · 4Q avg 70.9%
Percentage of short-stay residents who had an outpatient emergency department visit 9.3%
11.2%
1.9 pts better
12.0%
2.7 pts better
Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 9.5% · Expected 11.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.0%
1.5%
0.5 pts worse
1.6%
0.4 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 2.3% · Q4 3.7% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 66.3%
93.2%
26.9 pts worse
79.7%
13.4 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 66.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 20.8%
23.2%
2.4 pts better
23.9%
3.1 pts better
Short Stay · 20240701-20250630 · Adjusted 20.8% · Observed 21.0% · Expected 24.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-07 · Fire 2024-12-07

22 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-12-08 · Fire 2023-12-08

30 health deficiencies

Top issue: Quality of Life and Care (10 deficiencies)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 3 Health 2022-12-12 · Fire 2022-12-12

36 health deficiencies

Top issue: Quality of Life and Care (11 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-07

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-12-30

F · Potential for more than minimal harm 2024-12-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-12-30

F · Potential for more than minimal harm 2024-12-07

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-12-30

E · Potential for more than minimal harm 2024-12-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-30

F · Potential for more than minimal harm 2023-12-08

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-01-05

F · Potential for more than minimal harm 2023-12-08

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-01-05

F · Potential for more than minimal harm 2023-12-08

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-12-08

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-12-08

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-12-08

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-12-08

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-12-08

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-01-05

F · Potential for more than minimal harm 2022-12-12

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-02-01

F · Potential for more than minimal harm 2022-12-12

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-02-01

F · Potential for more than minimal harm 2022-12-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-02-01

F · Potential for more than minimal harm 2022-12-12

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-02-01

F · Potential for more than minimal harm 2022-12-12

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2023-02-01

F · Potential for more than minimal harm 2022-12-12

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-02-01

F · Potential for more than minimal harm 2022-12-12

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-02-01

E · Potential for more than minimal harm 2022-12-12

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-02-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-29

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2026-01-15

D · Potential for more than minimal harm 2025-05-21

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-06-06

D · Potential for more than minimal harm 2025-02-19

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-03-07

J · Immediate jeopardy 2024-12-07

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-12-30

E · Potential for more than minimal harm 2024-12-07

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-12-30

E · Potential for more than minimal harm 2024-12-07

F580 · Resident Rights Deficiencies

Health

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

Corrected 2024-12-30

E · Potential for more than minimal harm 2024-12-07

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-12-30

E · Potential for more than minimal harm 2024-12-07

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-12-30

E · Potential for more than minimal harm 2024-12-07

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-12-30

E · Potential for more than minimal harm 2024-12-07

F867 · Administration Deficiencies

Health

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

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-12-07

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-12-07

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-12-07

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-12-07

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-12-07

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-12-07

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-12-07

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-12-07

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-12-07

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-12-07

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-12-07

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-12-07

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-12-07

F807 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Corrected 2024-12-30

J · Immediate jeopardy 2024-08-10

F635 · Resident Assessment and Care Planning Deficiencies

Health

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2024-08-24

J · Immediate jeopardy 2024-08-10

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-24

D · Potential for more than minimal harm 2024-08-10

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2024-08-24

D · Potential for more than minimal harm 2024-08-10

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-08-24

D · Potential for more than minimal harm 2024-07-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-13

D · Potential for more than minimal harm 2024-06-04

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-06-29

D · Potential for more than minimal harm 2024-06-04

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-06-29

D · Potential for more than minimal harm 2024-06-04

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-06-29

G · Actual harm 2024-05-17

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-16

D · Potential for more than minimal harm 2024-05-17

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-06-16

E · Potential for more than minimal harm 2024-04-23

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-05-20

E · Potential for more than minimal harm 2024-04-23

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-05-20

D · Potential for more than minimal harm 2024-04-23

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-05-20

E · Potential for more than minimal harm 2024-03-01

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-03-01

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-03-22

E · Potential for more than minimal harm 2024-02-14

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-04

D · Potential for more than minimal harm 2024-02-14

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-03-04

E · Potential for more than minimal harm 2023-12-08

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-01-01

E · Potential for more than minimal harm 2023-12-08

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-01-01

E · Potential for more than minimal harm 2023-12-08

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-01-01

E · Potential for more than minimal harm 2023-12-08

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-01

E · Potential for more than minimal harm 2023-12-08

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-01-01

E · Potential for more than minimal harm 2023-12-08

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-01-01

E · Potential for more than minimal harm 2023-12-08

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-01-01

E · Potential for more than minimal harm 2023-12-08

F867 · Administration Deficiencies

Health

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

Corrected 2024-01-01

E · Potential for more than minimal harm 2023-12-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-01

E · Potential for more than minimal harm 2023-12-08

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-01-01

D · Potential for more than minimal harm 2023-12-08

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-01-01

D · Potential for more than minimal harm 2023-12-08

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-01

D · Potential for more than minimal harm 2023-12-08

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-01-01

D · Potential for more than minimal harm 2023-12-08

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2024-01-01

J · Immediate jeopardy 2023-09-13

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-10-06

J · Immediate jeopardy 2023-09-13

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-10-06

D · Potential for more than minimal harm 2023-09-13

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2023-11-05

J · Immediate jeopardy 2023-08-25

F580 · Resident Rights Deficiencies

Health

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

Corrected 2023-09-21

J · Immediate jeopardy 2023-08-25

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-09-21

E · Potential for more than minimal harm 2023-08-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-21

D · Potential for more than minimal harm 2023-08-25

F624 · Resident Rights Deficiencies

Health

Prepare residents for a safe transfer or discharge from the nursing home.

Corrected 2023-09-21

D · Potential for more than minimal harm 2023-08-25

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-21

E · Potential for more than minimal harm 2022-12-12

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F572 · Resident Rights Deficiencies

Health

Give residents a notice of rights, rules, services and charges.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-12

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2023-01-20

Penalties and ownership

What sits behind the stars

$32,221 2024-12-07

Fine

Fine · fine $32,221

Fine

$16,800 2024-07-23

Fine

Fine · fine $16,800

Fine

$0 2024-04-23

Payment Denial

Payment Denial · denial start 2024-06-25 · 4 days

4 day denial

$25,581 2023-08-25

Fine

Fine · fine $25,581

Fine

Ownership

Golden State Health Centers, Inc.

5% Or Greater Direct Ownership Interest · Organization

65% 2 facilities 2023-03-02
Weiss, Howard

5% Or Greater Indirect Ownership Interest · Individual

15% 3 facilities 2023-03-02
Mayer, Helene

5% Or Greater Indirect Ownership Interest · Individual

13% 12 facilities 2023-03-02
Weiss, Martin

5% Or Greater Indirect Ownership Interest · Individual

13% 9 facilities 2023-03-02
The Chani Levitin Gst Non-Exempt Trust

5% Or Greater Indirect Ownership Interest · Organization

12% 3 facilities 2023-06-07
Levitin Marasow, Frumi

5% Or Greater Indirect Ownership Interest · Individual

11% 1 facilities 2023-03-02
Levitin, Alter

5% Or Greater Indirect Ownership Interest · Individual

11% 4 facilities 2023-03-02
The Chani Levitin Gst Non-Exempt Trust

5% Or Greater Direct Ownership Interest · Organization

9% 3 facilities 2023-03-02
Weiss, Howard

5% Or Greater Direct Ownership Interest · Individual

9% 3 facilities 2023-03-02
Weiss, Martin

5% Or Greater Direct Ownership Interest · Individual

9% 9 facilities 2023-03-02
Cabral, Isela

Operational/Managerial Control · Individual

0% 1 facilities 2024-05-27
Hmayakyan, Samvel

Operational/Managerial Control · Individual

0% 3 facilities 2023-07-07
Levine, Henry

Operational/Managerial Control · Individual

0% 1 facilities 2023-06-07

Nearby options

Other facilities in reach

#1

Broadway Manor Care Center

Glendale, CA

2-star overall rating with 2-star inspections with $36,090 in total fines with 17 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
4 / 5
Fines
$36,090
#2

Royal Palms Post Acute

Glendale, CA

2-star overall rating with 1-star inspections with $79,980 in total fines with 20 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
1 / 5
Staffing
4 / 5
Fines
$79,980
#3

Dreier's Nursing Care Center

Glendale, CA

2-star overall rating with 2-star inspections with $48,700 in total fines with 16 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$48,700

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