Golden Hill Nursing And Rehabilitation Center
GOLDEN HILL NURSING AND REHABILITATION CENTER in KINGSTON, NY — inspection on October 22, 2025.
Found 1 citation. 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 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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