Golden Hill Nursing And Rehabilitation Center
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
stated that when a nurse signs to administer the 70/30 insulin the system prompts them to enter a blood sugar reading. It seems some nurses were uncertain and only some blood sugars were obtained from 09/24/2025 until 10/07/2025. Registered Nurse Unit Manager #8 stated that on 10/08/2025 there was a separate order entered for blood sugars to be obtained before meals and at hour of sleep. This order was entered after the family expressed concern about the monitoring of Resident #1's blood sugar. During an
interview on 10/22/2025 at 12:18 PM, it was determined that Physician #9 was documenting in their notes starting 09/29/2025, prior to their order on 10/08/2025, that Resident #1's blood sugar was being monitored
before meals and at bedtime. Physician #9 stated that the frequency of monitoring was not essential because of the type of insulin they were receiving, however it would assist in evaluating the trends for the management of their diabetes. Physician #9 was unable to state why there was no order to correspond with
the notes they had been writing prior to 10/08/2025. During an interview on 10/22/2025 at 1:15PM Charge Licensed Practical Nurse #10 stated that orders could be entered by a nurse after a verbal request from the physician, or the physician will enter the order themselves. Charge Licensed Practical Nurse #10 referred to
a conversation that occurred on 10/06/2025, when Resident #1's family expressed a concern about the frequency and timing of Resident #1's blood sugar monitoring. Charge Licensed Practical Nurse #10 stated
they had not received any concerns from the family or resident regarding blood sugar monitoring, or any requests from the physician to enter an order for blood sugars to be monitored before meals and at the hour of sleep, before the conversation with the family on 10/06/2025. Charge Licensed Practical Nurse #10 stated they were uncertain why the blood sugar monitoring was done inconsistently prior to the 10/08/2025 order. During an interview on 10/22/025 at 03:50PM the Director of Nursing stated they reviewed the record for Resident #1 and did not see a separate order for the blood sugar monitoring prior to 10/08/2025. They could not say why there were inconsistencies with the blood sugar monitoring prior to the order being entered. And they were uncertain why the physician had documented blood sugar monitoring before meals and at the hour of sleep prior to there being an order for that on 10/08/2025. 10NYCRR 415.12
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GOLDEN HILL NURSING AND REHABILITATION CENTER in KINGSTON, NY 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 KINGSTON, NY, (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 NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.