Golden Haven Care Center, Glendale, CA: Nursing home

Overall1★☆☆☆☆

Inspections1★☆☆☆☆

Staffing2★★☆☆☆

Quality3★★★☆☆

Federal fines$49,0212 fines

Inspection citations

14’23

37’24

3’25

12’26

Year

66 shown

Date	Severity	What inspectors found	Visit
Jul 10, 2026	D · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Complaint
Jan 16, 2026	D · potential	Reasonably accommodate the needs and preferences of each resident.	Routine
Jan 16, 2026	D · potential	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	Routine
Jan 16, 2026	D · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Routine
Jan 16, 2026	D · potential	Provide care and assistance to perform activities of daily living for any resident who is unable.	Routine
Jan 16, 2026	D · potential	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	Routine
Jan 16, 2026	D · potential	Provide safe and appropriate respiratory care for a resident when needed.	Routine
Jan 16, 2026	D · potential	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	Routine
Jan 16, 2026	D · potential	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	Routine
Jan 16, 2026	E · potential	Ensure each resident’s drug regimen must be free from unnecessary drugs.	Routine
Jan 16, 2026	D · potential	Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.	Routine
Jan 16, 2026	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Dec 29, 2025	D · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Complaint
May 21, 2025	D · potential	Make sure that a working call system is available in each resident's bathroom and bathing area.	Complaint
Feb 19, 2025	D · potential	Implement 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.	Complaint
Dec 7, 2024	D · potential	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Routine
Dec 7, 2024	D · potential	Reasonably accommodate the needs and preferences of each resident.	Routine
Dec 7, 2024	E · potential	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.	Routine
Dec 7, 2024	E · potential	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Routine
Dec 7, 2024	D · potential	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	Routine
Dec 7, 2024	D · potential	PASARR screening for Mental disorders or Intellectual Disabilities	Routine
Dec 7, 2024	D · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Routine
Dec 7, 2024	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Routine
Dec 7, 2024	D · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Routine
Dec 7, 2024	E · potential	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	Routine
Dec 7, 2024	D · potential	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	Routine
Dec 7, 2024	J · harm	Provide safe and appropriate respiratory care for a resident when needed.	Routine
Dec 7, 2024	D · potential	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	Routine
Dec 7, 2024	E · potential	Post nurse staffing information every day.	Routine
Dec 7, 2024	D · potential	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	Routine
Dec 7, 2024	D · potential	Implement 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.	Routine
Dec 7, 2024	D · potential	Ensure medication error rates are not 5 percent or greater.	Routine
Dec 7, 2024	E · potential	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.	Routine
Dec 7, 2024	D · potential	Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.	Routine
Dec 7, 2024	E · potential	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	Routine
Aug 10, 2024	J · harm	Provide doctor's orders for the resident's immediate care at the time the resident was admitted.	Complaint
Aug 10, 2024	J · harm	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
Aug 10, 2024	D · potential	Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.	Complaint
Aug 10, 2024	D · potential	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	Complaint
Jul 23, 2024	D · potential	Provide and implement an infection prevention and control program.	Complaint
Jun 4, 2024	D · potential	Provide safe and appropriate respiratory care for a resident when needed.	Complaint
Jun 4, 2024	D · potential	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	Complaint
Jun 4, 2024	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Complaint
May 17, 2024	D · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Complaint
May 17, 2024	G · harm	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
Apr 23, 2024	D · potential	Post nurse staffing information every day.	Complaint
Apr 23, 2024	E · potential	Ensure that residents are free from significant medication errors.	Complaint
Apr 23, 2024	E · potential	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.	Complaint
Mar 1, 2024	D · potential	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	Complaint
Mar 1, 2024	E · potential	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	Complaint
Feb 14, 2024	D · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Complaint
Feb 14, 2024	E · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
Dec 8, 2023	E · potential	Reasonably accommodate the needs and preferences of each resident.	Routine
Dec 8, 2023	E · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Routine
Dec 8, 2023	D · potential	Provide activities to meet all resident's needs.	Routine
Dec 8, 2023	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Routine
Dec 8, 2023	E · potential	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	Routine
Dec 8, 2023	E · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
Dec 8, 2023	D · potential	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	Routine
Dec 8, 2023	D · potential	Provide medically-related social services to help each resident achieve the highest possible quality of life.	Routine
Dec 8, 2023	E · potential	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	Routine
Dec 8, 2023	E · potential	Implement 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.	Routine
Dec 8, 2023	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Dec 8, 2023	E · potential	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	Routine
Dec 8, 2023	E · potential	Provide and implement an infection prevention and control program.	Routine
Dec 8, 2023	E · potential	Develop and implement policies and procedures for flu and pneumonia vaccinations.	Routine

Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.

Questions to ask on a visit

Golden Haven Care Center
409 W. Glenoaks Blvd., Glendale, CA 91202 · (818) 240-4300

Visit date: ____________ Spoke with: ______________________

How many nurses and aides work each shift, including nights and weekends?
How do you handle the most recent citations on your record?
Do you accept Medi-Cal if private funds run out?
Who will be the main contact for the family?
How do you prevent falls, pressure sores and infections?

Record on file

Certification: Medicare and Medi-Cal certified skilled nursing facility
Medicare number (CCN): 056317
Certified beds: 99
Legal owner: Golden Haven Care Center LLC

Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.

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Golden Haven Care Center

Inspection citations

Questions to ask on a visit

Record on file

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