GOLDEN ROSE CARE CENTER
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Inadequate Staffing
Infection Control
Medication Error
Resident Neglect
Wound Care
Penalty
$175,941
Outcome
GOLDEN ROSE CARE CENTER in PASADENA, CA was fined $175,941 by CMS across 22 separate penalties following 130 deficiency citations identified during federal surveys.
Details
GOLDEN ROSE CARE CENTER (PASADENA, CA) — $175,941 in CMS Fines
Outcome: GOLDEN ROSE CARE CENTER in PASADENA, CA was fined $175,941 by CMS across 22 separate penalties following 130 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Provide routine and 24-hour emergency dental care for each resident.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- Provide care and assistance to perform activities of daily living for any resident who is unable.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Make sure that a working call system is available in each resident's bathroom and bathing area.
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 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.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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