GOLDEN PAVILION HEALTHCARE
GOLDEN PAVILION HEALTHCARE is a 239-bed nursing home in DALY CITY, California. CMS has certified it for Medicare and Medicaid since 1973-07-16. It averages 223.6 residents a day.
What harm was found in the violations cited at GOLDEN PAVILION HEALTHCARE?
CMS lists 65 health-inspection deficiencies for GOLDEN PAVILION HEALTHCARE since 2021-06-28, 56 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-09.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-09 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2025-12-04 | F0693 | 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. | G |
| 2025-06-24 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-06-05 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-05-27 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-05-27 | F0657, F0740, F0880 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide and implement an infection prevention and control program. | D |
| 2025-03-20 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-01-13 | F0641, F0684 | Ensure each resident receives an accurate assessment. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2025-01-13 | F0610, F0656 | Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-10-03 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2024-08-22 | F0557, F0600, F0697 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide safe, appropriate pain management for a resident who requires such services. | D |
| 2024-06-24 | F0609, F0685, F0687, F0791 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate foot care. / Provide or obtain dental services for each resident. | D |
| 2024-05-16 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-04-30 | F0550, F0697 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide safe, appropriate pain management for a resident who requires such services. | D |
| 2024-04-12 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2024-04-12 | F0583, F0609, F0641, F0644, F0645, F0658 | Keep residents' personal and medical records private and confidential. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-04-12 | F0732 | Post nurse staffing information every day. | C |
| 2024-01-22 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2024-01-12 | F0550, F0656 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-01-11 | F0609, F0641, F0756, F0757 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident receives an accurate assessment. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| 2023-12-19 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| 2023-12-19 | F0580, F0676 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D |
| 2023-12-15 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-12-06 | F0637, F0656, F0684 | Assess the resident when there is a significant change in condition / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2023-11-15 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E |
| 2023-11-15 | F0565, F0580, F0585, F0726, F0760 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / 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. / Ensure that residents are free from significant medication errors. | D |
| 2023-09-21 | F0600, F0609, F0656, F0689 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2021-06-28 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2021-06-28 | F0761, F0867 | 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F |
| 2021-06-28 | F0758, F0880 | 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. / Provide and implement an infection prevention and control program. | E |
| 2021-06-28 | F0655, F0836, F0849, F0921 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
Why was GOLDEN PAVILION HEALTHCARE fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2026-06-09 | Fine | $27,378 |
| 2025-12-04 | Fine | $9,110 |
| 2024-02-20 | Fine | $4,938 |
How is GOLDEN PAVILION HEALTHCARE staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.85747 | 4.51570 |
| Total nursing staff turnover (%) | 39.6 | 36.7 |
| Average number of residents per day | 223.6 | 87.9 |
Who owns GOLDEN PAVILION HEALTHCARE, and what chain is it in?
GOLDEN PAVILION HEALTHCARE is registered with CMS as For profit - Corporation, operates under the legal business name GOLDEN PAVILION OPERATIONS, LLC and belongs to the GOLDEN SNF OPERATIONS chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | GOLDEN SNF OPERATIONS HOLDINGS LLC | since 04/08/2021 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | CH GOLDEN HOLDINGS, LLC, CW GOLDEN HOLDINGS LLC | since 04/08/2021 |
| MANAGING CONTROL - GOVERNING BODY | BRUCE, MARTHA, EARL, STEVEN | since 08/31/2023 |
| CORPORATE OFFICER | YENOWITZ, YITZCHOK | since 04/08/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | COUVE HEALTHCARE CONSULTING LLC, GOLDEN PAVILION OPERATIONS, LLC, GOLDEN SNF CONSULTING LLC, GOLDEN SNF OPCO MANAGER LLC, VERITAS HEALTH SOLUTIONS LLC, BRAHIER, KATHY, BRUCE, MARTHA, EARL, STEVEN, HERZKA, YISROEL, PATEL, MITESHKUMAR, PONGBANDITH, BE, SPIELMAN, SHIMON, YENOWITZ, YITZCHOK | since 03/03/2025 |
| ADP OF THE SNF | CH GOLDEN HOLDINGS LLC, COUVE HEALTHCARE CONSULTING LLC, GOLDEN PAVILION OPERATIONS, LLC, GOLDEN SNF CONSULTING LLC, GOLDEN SNF OPCO MANAGER LLC, VERITAS HEALTH SOLUTIONS LLC, WC - DALY CITY II LLC, WITZCORP LLC, BRAHIER, KATHY, BRUCE, MARTHA, EARL, STEVEN, HERZKA, YISROEL, KOPELOWITZ, SHAUL, PATEL, MITESHKUMAR, PONGBANDITH, BE, SPIELMAN, SHIMON, YENOWITZ, YITZCHOK | since 03/03/2025 |
Were you or a family member harmed at GOLDEN PAVILION HEALTHCARE?