Golden Hill Post Acute
Inspection Findings
F-Tag F0550
Federal health inspectors cited GOLDEN HILL POST ACUTE in SAN DIEGO, CA for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2025-08-28.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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 14 deficiencies cited during this inspection of GOLDEN HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.
F-Tag F0655
Federal health inspectors cited GOLDEN HILL POST ACUTE in SAN DIEGO, CA for a deficiency under regulatory tag F-F0655 during a standard health inspection conducted on 2025-08-28.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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 14 deficiencies cited during this inspection of GOLDEN HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
resident assessment tool) dated 7/9/25, indicated Resident 40's brief interview for mental status (BIMS, ability to recall) score was 15/15, which meant Resident 40's cognition was intact. The MDS also indicated Resident 40's functional abilities indicated he had upper and lower extremities impairment and that he required assistance from the staff on his activities of daily living (ADLs, like transferring). On 8/25/25 at 10:56 A.M., an observation and an interview was conducted with Resident 40 in his room. Resident 40 laid
in bed watching a television show. Resident 40 stated he had been in the facility for almost two months.
Resident 40 stated he was always in his bed and was bored. Resident 40 stated he needed help getting up and out of bed. Resident 40 stated he wanted to attend the activity but, They don't take me out. I wanted to attend. On 8/26/25, a review of Resident 40's care plan related to leisure activity was conducted. Resident 40's care plan indicated, Interventions.Invite to scheduled activities.Needs assistance activity functions. On 8/26/25 at 9:55 A.M., a follow up observation and an interview was conducted with Resident 40 in his room.
Resident 40 stated, I just lay here, and they (staff) don't get me up. They don't offer me to attend the activity.
Resident 40 stated he received the activity sheet, but staff did not offer him to get up and attend the activity.
Resident 40 stated, How can I go there if they don't get me up? On 8/27/25 at 9:19 A.M., an interview was conducted with Certified Nursing Assistant (CNA) 2. CNA 2 stated Resident 40 was very alert and could make his needs known. CNA 2 stated Resident 40 wanted to get up, but he did not have his own wheelchair. On 8/27/25 at 9:39 A.M., an interview was conducted with CNA 3. CNA 3 stated Resident 40 was very alert and oriented. CNA 3 stated Resident 40 required a mechanical lift when transferring from the bed to the wheelchair. CNA 3 stated Resident 40 did not have his own wheelchair. CNA 3 stated she did not remember if she offered Resident 40 to get up and out of bed. CNA 3 stated she should have offered Resident 40 to attend activities to prevent boredom, bedsore and depression. On 8/27/25 at 3:00 P.M., a joint review of Resident 40's clinical record and an interview was conducted with Licensed Nurse (LN) 1. LN 1 stated Resident 40 was admitted to the facility on [DATE REDACTED] for treatment of his lower extremity wound. LN 1 stated she was not aware Resident 40 wanted to attend the facility's activity program. LN 1 stated the staff should have offered Resident 40 the activity program so he was not confined to his room, did not feel boredom and to brighten his moods. LN 1 stated Resident 40's care plan on leisure activity was not implemented. On 8/28/25 at 8:41 A.M., a joint review of Resident 40's clinical record and an interview was conducted with the Director of Nursing (DON) 1 with the presence of DON 2. DON 1 stated Resident 40 required assistance from the staff when getting up and out of bed. DON 1 stated Resident 40's care plan was not implemented related to his leisure activity. DON 1 stated the staff should have offered Resident 40 to attend the activities for him to enjoy his stay at the facility. A review of the facility's policy titled, Comprehensive Resident Centered Care Plan, revised 5/2025 indicated, it is the policy of this facility that
the interdisciplinary team (IDT) shall develop a comprehensive care plan for each resident. The policy did not indicate implementation of the care plan.
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If continuation sheet
F-Tag F0658
Federal health inspectors cited GOLDEN HILL POST ACUTE in SAN DIEGO, CA for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-08-28.
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 14 deficiencies cited during this inspection of GOLDEN HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.
F-Tag F0677
Federal health inspectors cited GOLDEN HILL POST ACUTE in SAN DIEGO, CA for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-08-28.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.
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 14 deficiencies cited during this inspection of GOLDEN HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.
F-Tag F0679
Federal health inspectors cited GOLDEN HILL POST ACUTE in SAN DIEGO, CA for a deficiency under regulatory tag F-F0679 during a standard health inspection conducted on 2025-08-28.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide activities to meet all resident's needs.
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 14 deficiencies cited during this inspection of GOLDEN HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.
F-Tag F0693
Federal health inspectors cited GOLDEN HILL POST ACUTE in SAN DIEGO, CA for a deficiency under regulatory tag F-F0693 during a standard health inspection conducted on 2025-08-28.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: 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.
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 14 deficiencies cited during this inspection of GOLDEN HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.
F-Tag F0694
Federal health inspectors cited GOLDEN HILL POST ACUTE in SAN DIEGO, CA for a deficiency under regulatory tag F-F0694 during a standard health inspection conducted on 2025-08-28.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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 14 deficiencies cited during this inspection of GOLDEN HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.
F-Tag F0695
Federal health inspectors cited GOLDEN HILL POST ACUTE in SAN DIEGO, CA for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-08-28.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
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 14 deficiencies cited during this inspection of GOLDEN HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.
F-Tag F0697
Federal health inspectors cited GOLDEN HILL POST ACUTE in SAN DIEGO, CA for a deficiency under regulatory tag F-F0697 during a standard health inspection conducted on 2025-08-28.
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 14 deficiencies cited during this inspection of GOLDEN HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.
F-Tag F0755
Federal health inspectors cited GOLDEN HILL POST ACUTE in SAN DIEGO, CA for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2025-08-28.
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 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 14 deficiencies cited during this inspection of GOLDEN HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.
F-Tag F0757
Federal health inspectors cited GOLDEN HILL POST ACUTE in SAN DIEGO, CA for a deficiency under regulatory tag F-F0757 during a standard health inspection conducted on 2025-08-28.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure each resident’s drug regimen must be free from unnecessary drugs.
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 14 deficiencies cited during this inspection of GOLDEN HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.
F-Tag F0759
Federal health inspectors cited GOLDEN HILL POST ACUTE in SAN DIEGO, CA for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2025-08-28.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.
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 14 deficiencies cited during this inspection of GOLDEN HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.
F-Tag F0812
Federal health inspectors cited GOLDEN HILL POST ACUTE in SAN DIEGO, CA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-28.
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 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 14 deficiencies cited during this inspection of GOLDEN HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.
GOLDEN HILL POST ACUTE in SAN DIEGO, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 SAN DIEGO, 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 HILL POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.