GOLDEN LIVING CENTER - WILLOW SPRINGS

πŸ“ 2002 WEST 86TH STREET, indianapolis, IN 46260 πŸ“ž 3178728811 πŸ›οΈ 134 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐
2/5

Inspection History Overview

102
Total Violations
8 years of data
$45,966
Total Fines
3 penalties
15
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 20 violations

Tag 0557 D Jun 28, 2024

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

βœ“ Corrected: Jul 26, 2024
Tag 0578 D Jun 28, 2024

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.

βœ“ Corrected: Jul 26, 2024
Tag 0623 D Jun 28, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Jul 26, 2024
Tag 0625 D Jun 28, 2024

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

βœ“ Corrected: Jul 26, 2024
Tag 0684 D Jun 28, 2024

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

βœ“ Corrected: Jul 26, 2024
Tag 0691 D Jun 28, 2024

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

βœ“ Corrected: Jul 26, 2024
Tag 0695 D Jun 28, 2024

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

βœ“ Corrected: Jul 26, 2024
Tag 0700 D Jun 28, 2024

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.

βœ“ Corrected: Jul 26, 2024
Tag 0756 D Jun 28, 2024

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

βœ“ Corrected: Jul 26, 2024
Tag 0761 D Jun 28, 2024

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.

βœ“ Corrected: Jul 26, 2024
Tag 0791 D Jun 28, 2024

Provide or obtain dental services for each resident.

βœ“ Corrected: Jul 26, 2024
Tag 0812 D Jun 28, 2024

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

βœ“ Corrected: Jul 26, 2024
Tag 0842 D Jun 28, 2024

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

βœ“ Corrected: Jul 26, 2024
Tag 0849 D Jun 28, 2024

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.

βœ“ Corrected: Jul 26, 2024
Tag 0584 D Mar 14, 2024

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Apr 5, 2024
Tag 0684 D Mar 14, 2024

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

βœ“ Corrected: Apr 5, 2024
Tag 0695 D Mar 14, 2024

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

βœ“ Corrected: Apr 5, 2024
Tag 0602 D Feb 13, 2024

Protect each resident from the wrongful use of the resident's belongings or money.

βœ“ Corrected: Jan 30, 2024
Tag 0689 D Feb 13, 2024

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

Tag 0684 D Jan 26, 2024

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

βœ“ Corrected: Apr 5, 2024

2023 10 violations

Tag 0921 D Aug 31, 2023

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Sep 21, 2023
Tag 0600 J Jun 12, 2023

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

βœ“ Corrected: Jun 26, 2023
Tag 0839 D Jun 12, 2023

Employ staff that are licensed, certified, or registered in accordance with state laws.

βœ“ Corrected: Jun 26, 2023
Tag 0657 D Mar 27, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Apr 24, 2023
Tag 0689 E Mar 27, 2023

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

βœ“ Corrected: Apr 24, 2023
Tag 0695 D Mar 27, 2023

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

βœ“ Corrected: Apr 24, 2023
Tag 0761 D Mar 27, 2023

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.

βœ“ Corrected: Apr 24, 2023
Tag 0812 D Mar 27, 2023

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

βœ“ Corrected: Apr 24, 2023
Tag 0921 E Mar 27, 2023

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Apr 24, 2023
Tag 0584 E Jan 10, 2023

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Feb 10, 2023

2022 13 violations

Tag 0698 D Aug 17, 2022

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Sep 13, 2022
Tag 0842 D Aug 17, 2022

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

βœ“ Corrected: Sep 13, 2022
Tag 0558 D Apr 25, 2022

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: May 31, 2022
Tag 0657 E Apr 25, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: May 31, 2022
Tag 0689 D Apr 25, 2022

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

βœ“ Corrected: May 31, 2022
Tag 0690 D Apr 25, 2022

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

βœ“ Corrected: May 31, 2022
Tag 0693 D Apr 25, 2022

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.

βœ“ Corrected: May 31, 2022
Tag 0695 D Apr 25, 2022

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

βœ“ Corrected: May 31, 2022
Tag 0698 D Apr 25, 2022

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: May 31, 2022
Tag 0803 D Apr 25, 2022

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.

βœ“ Corrected: May 31, 2022
Tag 0880 D Apr 25, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 31, 2022
Tag 0602 D Jan 5, 2022

Protect each resident from the wrongful use of the resident's belongings or money.

βœ“ Corrected: Jan 20, 2022
Tag 0686 G Jan 5, 2022

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

βœ“ Corrected: Jan 20, 2022

2021 5 violations

Tag 0842 D Aug 12, 2021

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

βœ“ Corrected: Aug 28, 2021
Tag 0677 D May 13, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jun 12, 2021
Tag 0725 E May 13, 2021

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Jun 12, 2021
Tag 0759 D May 13, 2021

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Jun 12, 2021
Tag 0880 D Jan 27, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Feb 26, 2021

2020 8 violations

Tag 0656 D Nov 24, 2020

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

βœ“ Corrected: Dec 18, 2020
Tag 0684 D Nov 24, 2020

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

βœ“ Corrected: Dec 18, 2020
Tag 0610 D Oct 29, 2020

Respond appropriately to all alleged violations.

βœ“ Corrected: Dec 7, 2020
Tag 0686 D Oct 29, 2020

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

βœ“ Corrected: Dec 7, 2020
Tag 0700 D Oct 29, 2020

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.

βœ“ Corrected: Dec 7, 2020
Tag 0842 E Oct 29, 2020

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

βœ“ Corrected: Dec 7, 2020
Tag 0880 F Oct 29, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Dec 10, 2020
Tag 0732 D Jan 3, 2020

Post nurse staffing information every day.

βœ“ Corrected: Jan 27, 2020

2019 21 violations

Tag 0554 D Sep 25, 2019

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Oct 22, 2019
Tag 0568 E Sep 25, 2019

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

βœ“ Corrected: Oct 22, 2019
Tag 0580 D Sep 25, 2019

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

βœ“ Corrected: Oct 22, 2019
Tag 0657 E Sep 25, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Oct 22, 2019
Tag 0684 D Sep 25, 2019

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

βœ“ Corrected: Oct 22, 2019
Tag 0695 D Sep 25, 2019

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

βœ“ Corrected: Oct 22, 2019
Tag 0698 D Sep 25, 2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Oct 22, 2019
Tag 0711 D Sep 25, 2019

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

βœ“ Corrected: Oct 22, 2019
Tag 0755 D Sep 25, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Oct 22, 2019
Tag 0757 D Sep 25, 2019

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Oct 22, 2019
Tag 0758 D Sep 25, 2019

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.

βœ“ Corrected: Oct 22, 2019
Tag 0740 D Jul 16, 2019

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

βœ“ Corrected: Aug 9, 2019
Tag 0812 F Jul 16, 2019

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

βœ“ Corrected: Aug 9, 2019
Tag 0580 D Jun 14, 2019

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

βœ“ Corrected: Jul 12, 2019
Tag 0585 D Jun 14, 2019

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Jul 12, 2019
Tag 0689 D Jun 14, 2019

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

βœ“ Corrected: Jul 12, 2019
Tag 0760 G Jun 14, 2019

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Jul 12, 2019
Tag 0732 C Jan 26, 2019

Post nurse staffing information every day.

βœ“ Corrected: Feb 25, 2019
Tag 0761 D Jan 26, 2019

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.

βœ“ Corrected: Feb 25, 2019
Tag 0804 F Jan 26, 2019

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

βœ“ Corrected: Feb 25, 2019

2018 16 violations

Tag 0584 D Dec 6, 2018

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Jan 5, 2019
Tag 0553 D Aug 29, 2018

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

βœ“ Corrected: Sep 26, 2018
Tag 0578 E Aug 29, 2018

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.

βœ“ Corrected: Sep 26, 2018
Tag 0583 E Aug 29, 2018

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Sep 26, 2018
Tag 0655 D Aug 29, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Sep 26, 2018
Tag 0656 D Aug 29, 2018

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

βœ“ Corrected: Sep 26, 2018
Tag 0677 D Aug 29, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Sep 26, 2018
Tag 0693 D Aug 29, 2018

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.

βœ“ Corrected: Sep 26, 2018
Tag 0744 D Aug 29, 2018

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: Sep 26, 2018
Tag 0758 D Aug 29, 2018

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.

βœ“ Corrected: Sep 26, 2018
Tag 0761 E Aug 29, 2018

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.

βœ“ Corrected: Sep 26, 2018
Tag 0804 D Aug 29, 2018

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

βœ“ Corrected: Sep 26, 2018
Tag 0812 E Aug 29, 2018

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

βœ“ Corrected: Sep 26, 2018
Tag 0880 D Aug 29, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 26, 2018
Tag 0686 D Jul 16, 2018

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

βœ“ Corrected: Aug 13, 2018
Tag 0686 D Apr 27, 2018

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

βœ“ Corrected: May 18, 2018

2017 9 violations

Tag 0328 D Aug 30, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

βœ“ Corrected: Sep 29, 2017
Tag 0157 D Aug 18, 2017

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

βœ“ Corrected: Sep 17, 2017
Tag 0250 D Aug 18, 2017

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

βœ“ Corrected: Sep 17, 2017
Tag 0278 D Aug 18, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

βœ“ Corrected: Sep 17, 2017
Tag 0323 D Aug 18, 2017

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

βœ“ Corrected: Sep 17, 2017
Tag 0329 D Aug 18, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Sep 17, 2017
Tag 0371 F Aug 18, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Sep 17, 2017
Tag 0406 D Aug 18, 2017

Give or get specialized rehabilitative services per the patient's assessment or plan of care.

βœ“ Corrected: Sep 17, 2017
Tag 0431 E Aug 18, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

βœ“ Corrected: Sep 17, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 1 penalties totaling $15,000

$15,000
Fine
January 27, 2021
Average: $15,000 | Range: $15,000 - $15,000

2019 2 penalties totaling $30,966

$8,626
Fine
June 14, 2019
$22,340
Fine
January 26, 2019
Average: $15,483 | Range: $8,626 - $22,340

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

June 28, 2024
0.00

Health

March 14, 2024
0.00

Health

February 13, 2024
0.00

Health

January 26, 2024
0.00

Health

August 31, 2023
0.00

Health

June 12, 2023
0.00

Health

March 27, 2023
0.00

Health

January 10, 2023
0.00

Health

August 17, 2022
0.00

Health

April 25, 2022
0.00

Health

January 5, 2022
0.00

Health

August 12, 2021
0.00

Health

May 13, 2021
0.00

Health

January 27, 2021
0.00

Health

September 25, 2019
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
155834
155834
3178728811
Marion

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Individual