Golden Palms Rehabilitation And Retirement

Penalties

• Jan 25, 2025 — Fine ($9,113)
• Jun 25, 2024 — Fine ($2,867)
• Feb 23, 2024 — Fine ($4,017)

Inspection findings

1. May 13, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

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

     Corrected May 14, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

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

     Corrected May 14, 2026 · CMS health inspection

2. Apr 15, 2026 Health · 2 findings
   • Not serious Scope/severity E

     F0584 Resident Rights Deficiencies

     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.

     Corrected Apr 16, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0628 Resident Rights Deficiencies

     Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

     Corrected Apr 16, 2026 · CMS health inspection

3. Apr 11, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

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

     Corrected Apr 12, 2026 · CMS health inspection

4. Feb 20, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

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

     Corrected Feb 21, 2026 · CMS health inspection

5. Dec 10, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0727 Nursing and Physician Services Deficiencies

     Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

     Corrected Dec 11, 2025 · CMS health inspection

6. May 15, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

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

     Corrected May 16, 2025 · CMS health inspection

7. May 8, 2025 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected May 9, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0692 Quality of Life and Care Deficiencies

     Provide enough food/fluids to maintain a resident's health.

     Corrected May 9, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

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

     Corrected May 9, 2025 · CMS health inspection

8. Apr 15, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

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

     Corrected Apr 16, 2025 · CMS health inspection

9. Jan 25, 2025 Health · 8 findings
   • Not serious Scope/severity D Complaint

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Jan 27, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Oct 3, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Jan 27, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Jan 27, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0271 Egress Deficiencies

     Have exits that are accessible at all times.

     Corrected Feb 11, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Feb 11, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Feb 11, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Feb 11, 2025 · CMS fire safety

10. Nov 21, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0755 Pharmacy Service Deficiencies

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

      Corrected Nov 22, 2024 · CMS health inspection

11. Jun 25, 2024 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Jun 26, 2024 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0689 Quality of Life and Care Deficiencies

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

      Corrected Jun 26, 2024 · CMS health inspection

12. Feb 23, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0626 Resident Rights Deficiencies

      Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

      Corrected Feb 24, 2024 · CMS health inspection

13. Nov 9, 2023 Health · 2 findings
    • Not serious Scope/severity D

      F0677 Quality of Life and Care Deficiencies

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

      Corrected Nov 10, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0689 Quality of Life and Care Deficiencies

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

      Corrected Nov 10, 2023 · CMS health inspection

14. Oct 19, 2023 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0921 Environmental Deficiencies

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

      Corrected Nov 30, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• ASHTON, ANDREW — corporate officer, NOT APPLICABLE, since 04/16/2019
• BURNAM, SOON — corporate officer, NOT APPLICABLE, since 04/16/2019
• BURNAM, SOON — managing control - governing body, NOT APPLICABLE, since 04/16/2019
• BURTON, SPENCER — corporate officer, NOT APPLICABLE, since 05/30/2015
• CHRISTENSEN, CHRISTOPHER — corporate officer, NOT APPLICABLE, since 11/01/2014
• GUZMAN, NEFI — adp of the snf, NOT APPLICABLE, since 04/14/2025
• GUZMAN, NEFI — managing control - governing body, NOT APPLICABLE, since 06/01/2019
• GUZMAN, NEFI — operational/managerial control, NOT APPLICABLE, since 06/01/2019
• KEETCH, CHAD — corporate officer, NOT APPLICABLE, since 06/01/2019
• PORT, BARRY — corporate officer, NOT APPLICABLE, since 06/01/2019
• SNAPPER, SUZANNE — corporate officer, NOT APPLICABLE, since 08/01/2009
• WITTEKIND, BEVERLY — corporate officer, NOT APPLICABLE, since 09/29/2008
• ENSIGN SERVICES INC — adp of the snf, NOT APPLICABLE, since 06/01/2019
• STANDARD BEARER HEALTHCARE OP, LP — adp of the snf, NOT APPLICABLE, since 01/01/2022
• THE ENSIGN GROUP INC — adp of the snf, NOT APPLICABLE, since 01/01/2022
• TREASURE HILLS HEALTH HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 01/01/2022