Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Golden View Health Care Center during CMS and state inspections, most recent first.
Failure to timely report allegations of neglect and an injury of unknown source. A resident had an unexplained skin tear, another resident reported rough overnight care and being left in a bathroom chair, and two residents were found in the same clothing from the prior shift and smelling like sweat. The DON confirmed the first two allegations were not reported to the SSA, and the Administrator was not aware of the concerns involving the two residents.
The facility failed to keep evidence of the outcome of 2 grievances and did not include required details in the written decisions. Two residents reported concerns involving an LNA's care and communication, but the grievance log lacked grievance forms, investigation steps, and the date the decisions were issued; the DON and Administrator confirmed the missing documentation.
The facility failed to follow IPC policies for a resident on TBP for COVID-19 when an LNA entered the room without a gown, despite the resident testing positive and the facility’s policy requiring full PPE, including an N95, gown, gloves, and eye protection. The facility also lacked defined flushing time frames for unoccupied areas and could not provide documentation that empty rooms were being flushed, even though its Legionella control plan called for flushing sinks and fixtures in unoccupied units.
The facility failed to ensure proper sanitization of dishware and appropriate labeling and storage of food, leading to potential foodborne illness risks. Observations revealed missing refrigerator temperature logs, absent thermometers, and inadequate dish machine temperature logs. Additionally, expired and moldy food items were found, and food storage practices were not followed according to guidelines.
The facility failed to follow CDC guidelines for Enhanced Barrier Precautions (EBP) for four residents, leading to a deficiency in infection control. A resident with a urinary catheter and another with an open wound did not receive care with the required gowns and gloves. Additionally, two residents with indwelling catheters lacked EBP signage, and staff were unaware of their EBP status.
Two residents were found self-administering medications without proper assessments or physician orders, contrary to the facility's policy. One resident used expired nasal spray, while another used eye drops and lidocaine spray. The facility's policy requires an interdisciplinary team to assess and approve self-administration, which was not done.
The facility failed to ensure that licensed staff had documented infection control competencies, including standard universal precautions, PPE use, and hand hygiene, for six staff members. This deficiency was confirmed by the Administrator in Training, despite the facility's policy requiring such competencies.
The facility exceeded the acceptable medication error rate, with errors observed in the administration of medications to three residents. An LPN administered incorrect dosages of Calcium Carbonate and Flonase Allergy Relief, while an RN prepared a Multivitamin incorrectly. These actions resulted in a medication error rate of 10.34 percent.
The facility inaccurately coded MDS assessments for four residents, leading to discrepancies in their records. A resident's PASARR status was incorrectly documented, another's medication use was misreported, and bed rail usage was inaccurately classified as a restraint. Staff interviews confirmed these errors.
Failure to Timely Report Allegations of Neglect and an Injury of Unknown Source
Penalty
Summary
The facility failed to ensure that three allegations of neglect and one injury of unknown source were reported timely to the Administrator and the State Survey Agency for four residents reviewed for abuse or neglect. One resident had a skin tear to the left elbow documented in a progress note as approximately 2 cm by 0.6 cm, with wound cleansing, bacitracin, steri strips, and dressings applied; the Director of Nursing stated the resident was unable to provide a causative factor for the skin tear and that it was not reported to the SSA. Another resident’s record documented that the resident was found in a bathroom chair adjacent to the toilet, agitated, and unhappy with overnight care, stating that an LNA was “very rough” while getting the resident up and then left the resident there; the DON confirmed this allegation was not reported to the SSA. For two additional residents, an LNA reported concerns to the Unit Manager that the residents had not received care on the previous shift. The written note stated the residents were found in the same room, still in the same clothing from the prior shift, and smelling like sweat. The DON was aware of these allegations, but the Administrator stated they were not aware of them. The facility policy required any suspicion of abuse, neglect, or injuries of unknown source to be immediately reported internally and externally to the state survey and certification agency.
Incomplete Grievance Investigation and Documentation
Penalty
Summary
The facility failed to maintain evidence showing the result of all grievances and failed to ensure that written grievance decisions included the required elements for 2 of 2 grievances reviewed. The grievances involved Resident #3, who reported that an LNA put cream on while it was burning, washed it off, and did not return after placing the resident in front of the sink to brush teeth, and Resident #1, who reported that an LNA was too fast, rushed the resident, made the resident feel anxious, and left the resident's spouse's torso uncovered after care. The grievance log documented outcomes such as "No abuse, neglect" and "Communication/technique. Staff educated," but there was no grievance form for either grievance, no documentation of the steps taken to investigate the grievances, and no date showing when the decision was issued. The DON stated that a grievance form would be completed when grievances are received, and the Administrator confirmed the findings.
Infection Control and Water Management Failures
Penalty
Summary
The facility failed to implement infection control policies for a resident on Transmission Based Precautions for COVID-19. Resident #12 tested positive for COVID-19 and had a physician order for TBP. During observation, a Droplet Precaution sign was posted outside the resident’s room, and a staff member entered the room wearing an N95 mask and gloves but did not wear a gown. The staff member carried the resident’s lunch tray into the room, moved the resident’s personal items on the bedside table, and then placed the tray on the bedside table. The Infection Preventionist confirmed that the resident was on droplet precaution for COVID-19 and that the facility’s policy required an N95 mask, gown, gloves, and eye protection when entering the room of a COVID-19 positive resident. The facility also failed to implement water management control measures. The Maintenance Director confirmed there were no time frames for when unoccupied areas should be flushed and was unable to provide documentation that unoccupied areas were flushed, although empty rooms were present and would be flushed. Review of the facility’s Legionella Control risk management plan stated that when units are unoccupied and water usage decreases, the Director of Property Management or designee implements counteractive measures including flushing sinks and fixtures with hot and cold water, but the plan did not specify how often unoccupied areas would be flushed.
Deficiencies in Food Safety and Sanitization Practices
Penalty
Summary
The facility failed to ensure proper sanitization of dishware and appropriate labeling and storage of food, which are essential to prevent foodborne illness. Observations revealed that refrigerator temperature logs were missing for several days in October and November, and a thermometer was absent in the third-floor refrigerator. Interviews with staff confirmed these findings, and the facility's policy required daily temperature logging. Additionally, dish machine temperature logs were unavailable for several months, and the sanitizer sink's parts per million (PPM) levels were outside the effective range, as confirmed by staff interviews and observations. Food storage practices were also inadequate, with expired and moldy food items found in the Main Kitchen refrigerator and unlabeled, uncovered, and undated food items in the Cascade/Retreat refrigerator. Staff interviews confirmed these observations, and the facility's policy required daily assessment and discarding of food items according to guidelines. The U.S. Food and Drug Administration Food Code emphasizes the importance of segregating and storing unsalable goods to prevent contamination, which the facility failed to adhere to.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to adhere to the CDC guidelines for Enhanced Barrier Precautions (EBP) for four residents, leading to a deficiency in infection prevention and control. Resident #16 had a physician order for EBP due to a urinary catheter, but staff did not consistently wear gowns and gloves while providing care. Observations revealed that a Licensed Nursing Assistant (LNA) transferred Resident #16 without wearing a gown, and the resident confirmed that staff often did not wear the required protective equipment. Similarly, Resident #23, who had an open wound and a physician order for EBP, was transferred by staff without the use of gowns or gloves. Staff involved were unaware of the EBP requirements for this resident. Additionally, Residents #12 and #39, both with indwelling catheters, lacked signage indicating EBP, and staff were unaware of their EBP status. The facility's policy required EBP signs and PPE for residents with certain conditions, but these measures were not consistently implemented.
Failure to Follow Self-Administration Procedures
Penalty
Summary
The facility failed to adhere to its procedures for allowing residents to self-administer medications, as evidenced by the cases of two residents. Resident #38 was observed with a bottle of nasal spray on their walker tray, which had expired, and they admitted to using it occasionally. However, there was no physician order for the nasal spray, and the resident's medical record lacked an assessment for self-administration of medications. This was confirmed by a registered nurse during an interview. Similarly, Resident #28 was found with eye drops and lidocaine spray in their room, which they used regularly without a physician's order. Like Resident #38, there was no assessment in their medical record to determine their capability to self-administer medications. The Director of Nurses confirmed that neither resident had been assessed for self-administration. The facility's policy requires an interdisciplinary team to assess and approve residents for self-administration, which was not followed in these cases.
Infection Control Competency Deficiency
Penalty
Summary
The facility failed to ensure that licensed staff possessed the necessary infection control competencies to meet residents' needs. During a review of the facility's infection control in-service competency records, it was found that there were no documented competencies for standard universal precautions, donning and doffing of personal protective equipment (PPE), and hand hygiene for six staff members, including a Licensed Practical Nurse, two Registered Nurses, and three Licensed Nursing Assistants. This lack of documentation was confirmed during an interview with the Administrator in Training, who acknowledged the absence of records showing that these staff members had completed the required competencies. The facility's assessment, reviewed in September 2024, highlighted the need for competencies in infection control, including hand hygiene, isolation, standard universal precautions, and the use of PPE. Additionally, the facility's policy on in-service education outlined the requirement for continuing education and training for all personnel, including job position orientation and demonstrations of simple procedures. Despite these outlined requirements, the facility did not provide evidence that the necessary infection control competencies were completed by the staff in question.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to maintain a medication error rate below 5 percent, as evidenced by three medication errors observed during administration. For Resident #22, a Licensed Practical Nurse (LPN) administered 1,000 mg of Calcium Carbonate, contrary to the physician's order of 500 mg calcium (1,250 mg) daily. For Resident #47, the same LPN administered only 1 spray of Flonase Allergy Relief per nostril instead of the prescribed 2 sprays. Additionally, for Resident #25, a Registered Nurse (RN) prepared a Multivitamin with minerals, but the review of the Medication Administration Record (MAR) for Resident #44 indicated a physician's order for 1 tablet in the morning. These errors resulted in a medication error rate of 10.34 percent, exceeding the acceptable threshold.
Inaccurate MDS Coding for Residents
Penalty
Summary
The facility failed to accurately code Minimum Data Set (MDS) assessments for four residents, leading to discrepancies in their records. Resident #15's Preadmission Screening and Resident Review (PASARR) Determination Summary indicated approval for Nursing Facility Services due to mental illness, but the Annual MDS was incorrectly coded as 'No' for Level II PASARR. Similarly, Resident #24 had a PASARR Level II Evaluation indicating a serious mental illness, yet the Admission MDS was coded as 'No' for the same. These inaccuracies suggest a failure in correctly documenting the mental health status of these residents. Additionally, Resident #3's MDS was inaccurately coded to reflect the use of anticoagulant medication, despite the Medication Administration Record showing no such medication was ordered or administered. Furthermore, Resident #27's MDS indicated daily use of bed rails as a restraint, whereas the Bed Rail Assessment confirmed their use for bed mobility assistance, not as a restraint. Interviews with staff confirmed these discrepancies, highlighting a lack of accurate documentation in the residents' MDS assessments.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Meredith
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Belknap County Nursing Home | 3.9 mi | ★★★★★ | 14 | 0 |
| Laconia Rehabilitation Center | 4.2 mi | ★★★★★ | 0 | 0 |
| Saint Francis Rehabilitation And Nursing Center | 5.6 mi | ★★★★★ | 0 | 0 |
| Mountain Ridge Center, Genesis Healthcare | 13.3 mi | ★★★★★ | 0 | 0 |
| Wolfeboro Bay Center | 14.2 mi | ★★★★★ | 7 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.