Golden Rose Care Center
GOLDEN ROSE CARE CENTER in PASADENA, CA — inspection on August 7, 2024.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During a review of Resident 1's Minimum Data Set (MDS, a standardized assessment and care screening tool), dated 4/26/2024, indicated Resident 1 had no impairment of cognitive skills (mental action or process of acquiring knowledge and understanding through thought and the senses) for daily decision making.
The MDS indicated Resident 1 required setup or clean-up assistance (helper sets up or cleans up; resident completes activity.
Helper assists only prior to or following the activity) with eating.
The MDS indicated Resident 1 required partial/moderate assistance (helper does less than half the effort.
Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort) with oral hygiene, toileting hygiene, shower, upper and lower body dressing, putting on/taking off footwear and personal hygiene.
During a review of Resident 1's progress note dated 7/28/2024, time indicated 1:20 PM, it indicated Resident 1 has an allegation of abuse.
During an interview on 8/7/2024 at 3:50 PM, with Licensed Vocational Nurse 1 (LVN 1), LVN 1 stated, the alleged abuse should be reported to local agencies, which included California Department of Public Health, ombudsman, and local enforcement agency within two (2) hours form when the allegation was made.
During a concurrent record review of Resident 1's progress notes dated 7/28/2024, timed 1:20 PM, and interview with LVN 1 on 8/7/2024 at 3:55 PM, LVN 1 stated, he documented the progress notes on 7/28/2024 at 1:20 PM, and he indicated in progress notes that Resident 1 stated of being abused by a Certified Nurse Assistant (CNA). LVN 1 stated he did not think of reporting it as an abuse because Resident 1 was just not happy with the CNA.
055862
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 055862 B.
Wing 08/07/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Golden Rose Care Center 1899 N Raymond Ave Pasadena, CA 91103
During a review of Resident 1's Minimum Data Set (MDS, a standardized assessment and care screening tool), dated 4/26/2024, indicated Resident 1 had no impairment of cognitive skills (mental action or process of acquiring knowledge and understanding through thought and the senses) for daily decision making.
The MDS indicated Resident 1 required setup or clean-up assistance (helper sets up or cleans up; resident completes activity.
Helper assists only prior to or following the activity) with eating.
The MDS indicated Resident 1 required partial/moderate assistance (helper does less than half the effort.
Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort) with oral hygiene, toileting hygiene, shower, upper and lower body dressing, putting on/taking off footwear and personal hygiene.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
055862
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 055862 B.
Wing 08/07/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Golden Rose Care Center 1899 N Raymond Ave Pasadena, CA 91103