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Complaint Investigation

Golden Empire

Inspection Date: August 22, 2025
Total Violations 15
Facility ID 056391
Location GRASS VALLEY, CA
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Inspection Findings

F-Tag F0583

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOLDEN EMPIRE in GRASS VALLEY, CA for a deficiency under regulatory tag F-F0583 during a standard health inspection conducted on 2025-08-22.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Keep residents' personal and medical records private and confidential.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of GOLDEN EMPIRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOLDEN EMPIRE in GRASS VALLEY, CA for a deficiency under regulatory tag F-F0600 during a standard health inspection conducted on 2025-08-22.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of GOLDEN EMPIRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0637

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOLDEN EMPIRE in GRASS VALLEY, CA for a deficiency under regulatory tag F-F0637 during a standard health inspection conducted on 2025-08-22.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Assess the resident when there is a significant change in condition

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of GOLDEN EMPIRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0641

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOLDEN EMPIRE in GRASS VALLEY, CA for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-08-22.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of GOLDEN EMPIRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0658

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOLDEN EMPIRE in GRASS VALLEY, CA for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-08-22.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of GOLDEN EMPIRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOLDEN EMPIRE in GRASS VALLEY, CA for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-08-22.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of GOLDEN EMPIRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0697

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOLDEN EMPIRE in GRASS VALLEY, CA for a deficiency under regulatory tag F-F0697 during a standard health inspection conducted on 2025-08-22.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe, appropriate pain management for a resident who requires such services.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of GOLDEN EMPIRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0755

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOLDEN EMPIRE in GRASS VALLEY, CA for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2025-08-22.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of GOLDEN EMPIRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0761

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOLDEN EMPIRE in GRASS VALLEY, CA for a deficiency under regulatory tag F-F0761 during a complaint investigation conducted on 2025-08-22.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of GOLDEN EMPIRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0812

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOLDEN EMPIRE in GRASS VALLEY, CA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-22.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of GOLDEN EMPIRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0814

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOLDEN EMPIRE in GRASS VALLEY, CA for a deficiency under regulatory tag F-F0814 during a standard health inspection conducted on 2025-08-22.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Dispose of garbage and refuse properly.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of GOLDEN EMPIRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0849

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOLDEN EMPIRE in GRASS VALLEY, CA for a deficiency under regulatory tag F-F0849 during a standard health inspection conducted on 2025-08-22.

Category: Administration Deficiencies

The facility was found deficient in the following area: Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of GOLDEN EMPIRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0868

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOLDEN EMPIRE in GRASS VALLEY, CA for a deficiency under regulatory tag F-F0868 during a standard health inspection conducted on 2025-08-22.

Category: Administration Deficiencies

The facility was found deficient in the following area: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of GOLDEN EMPIRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOLDEN EMPIRE in GRASS VALLEY, CA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-22.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of GOLDEN EMPIRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0925

Environmental Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOLDEN EMPIRE in GRASS VALLEY, CA for a deficiency under regulatory tag F-F0925 during a standard health inspection conducted on 2025-08-22.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of GOLDEN EMPIRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

πŸ“‹ Inspection Summary

GOLDEN EMPIRE in GRASS VALLEY, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GRASS VALLEY, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from GOLDEN EMPIRE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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