SeniorHomeViolations
C-
58/100

Golden Gate Rehabilitation & Health Care Center Inspection Report, Violations & Safety Grade (Staten Island, New York)

191 Bradley Avenue, Staten Island, New York 10314

Phone: 7186988800

CMS Overall:1/5

Overview & Bed Count

Certified Beds
238
Avg Residents/Day
226.6
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Richmond
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing3/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityNew York AvgDifference
RN Hours per Resident per Day0.680.73-0.05
Total Nurse Hours per Resident per Day2.823.69-0.87
CMS Staffing Rating3/52.9/5-
Nursing Staff Turnover31.1%40.3%-

Health Citation History

18 health citations on record

DateCategoryDescriptionSeverity
2024-05-29Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2024-05-29Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2024-05-29Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2024-05-29Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2024-05-29Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2023-11-02Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2023-11-02Resident Assessment and Care Planning DeficienciesEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D – Moderate Harm Potential
2022-03-03Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K – Immediate Jeopardy
2022-03-03Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.K – Immediate Jeopardy
2022-03-03Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.J – Immediate Jeopardy
2022-03-03Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E – Moderate Harm Potential
2022-03-03Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2022-03-03Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2019-06-27Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2019-06-27Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.D – Moderate Harm Potential
2019-06-27Nursing and Physician Services DeficienciesEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.D – Moderate Harm Potential
2019-06-27Pharmacy Service DeficienciesImplement 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.D – Moderate Harm Potential
2019-06-27Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

6 fire safety citations on record

DateCategoryDescriptionSeverity
2024-05-29Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.E – Moderate Harm Potential
2024-05-29Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2022-03-03Smoke DeficienciesHave an enclosure around a vertical opening shaft.E – Moderate Harm Potential
2019-06-27Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2019-06-27Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2019-06-27Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.C – Minimal Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

Need Help Finding Safe Care?

Our family advisors can help you find vetted, top-rated facilities in the Staten Island area at no cost.

Find Safe, Vetted Facilities Near Staten Island
(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.