Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Golden Years Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
Menus were not prepared and posted in advance or made accessible to residents. Staff observed no menus posted in the dining room, a menu being written on a chalkboard right before lunch, and an outdated menu on a board in small print. Residents stated they did not know what meals they would receive, did not have menus in their rooms, and could not find where menus were located. The DM said residents only got a menu if they asked for it, while the ADM acknowledged menus should be accessible in more than one place and large enough for residents to see.
Kitchen Food Storage and Sanitation Deficiencies: The facility failed to properly date and discard food items, store clean utensils separately from dirty items, and sanitize the food processor between food items. Observations found moldy and undated foods in the walk-in cooler, debris on cups and serving utensils, mixed clean and dirty utensils in a dishwasher rack, and CK A using the food processor repeatedly without sanitizing it between pureed items. Staff interviews confirmed expectations for dating, discarding, and sanitizing, and one cook stated he forgot to sanitize the equipment and had not had training in a while.
A resident with multiple health conditions was transferred to a hospital without complete and accurate documentation, including nursing progress notes, assessments, or transfer documents. The LVN responsible did not document due to a busy schedule, and the facility's policy requires such documentation to ensure proper communication and care.
The facility did not ensure residents could access the results of the most recent survey, as required. Survey results from 04/27/23 were not posted in any public area by 07/01/24. Interviews with 11 residents revealed none had seen previous inspection results, and seven expressed interest in viewing them. The ADM, new to the facility, acknowledged the oversight and the facility's policy required survey reports to be accessible in the residents' day room and information posted on bulletin boards.
A resident with a history of congestive heart failure and diabetes did not receive the ordered wound treatment for a blister on her left fifth toe. The LVN responsible mistakenly documented the treatment as completed, leading to a deficiency. The DON, new to the facility, had not yet established a monitoring system to ensure wound care was completed.
A resident with schizophrenia and mild intellectual disabilities eloped from the facility despite having a wander guard and interventions in place. The front door was left unlocked for visiting hours, and no staff was present at the desk after hours, contributing to the incident. Although staff were aware of elopement procedures, the execution of these protocols was insufficient to prevent the resident from leaving unnoticed.
A resident's Ativan medication was misappropriated after being delivered to the facility. The medication was signed for by an LVN but was not found during the next shift. Despite a search and investigation, the medication was not recovered, and no perpetrator was identified. The resident, who had Alzheimer's and was receiving hospice care, was not harmed as the medication was available in the emergency drug kit.
Menus Not Posted or Accessible to Residents
Penalty
Summary
The facility failed to ensure menus met residents’ nutritional needs, were prepared in advance, were followed, and were visible and accessible to residents. During observation on 8/05/2025 at 11:15 AM, no menus were posted in the dining room, the menu was being written on the chalkboard right before lunch was served, and only one menu was found in the facility on a hall. The menu on the information board was from a previous month, did not include the current lunch items, and was in small print. The facility policy stated menus would be followed as posted, prepared at least two weeks in advance, and posted in the kitchen and resident-accessible areas at least one week in advance. Interviews showed residents did not know what meals they would receive or where to find menus. One resident stated she did not know what meal she was going to have until it was brought to her room, did not have a menu in her room, and did not know where the menu was located. She also said she would like to know if there were other options on the menu. Another resident stated she wanted to know what she was eating ahead of time because she was bed-bound and could not get out of her room to see the menu. The DM stated residents only got a menu if they asked for it, that the only posted menu was toward the front of the facility, and that the menu was written on the chalkboard in the dining room. The ADM stated residents should have access to menus, that the menu should be posted in more than one place, and that it should be big enough for residents to see.
Kitchen Food Storage and Sanitation Deficiencies
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards in the kitchen. During observation of the walk-in refrigerator, expired and improperly labeled food items were found, including tomatoes in a sealed bag dated 7-22 with no discard date, strawberries with no date that were moldy, green grapes in a cardboard box dated 7-02-2025 that were brown, sliced cheese in a Ziplock bag dated 8-01-25 with no discard date, celery in a sealed bag dated 8-02-25 with no discard date, and asparagus in a Ziplock bag dated 8-01-25 with no discard date. Observation of the kitchen also showed sanitation and storage problems with utensils and dishes. Blue coffee cups on a dishwasher rack had white debris on them, utensils in a dishwasher rack were mixed with clean and dirty utensils, and serving utensils stored in a clear container had food debris with them. These findings were observed during the kitchen review and were documented as part of the deficiency. The food processor was also observed being used without being sanitized between food items. CK A pureed green beans, rinsed the food processor in hot water, and then used it again for baked beans without sanitizing it; the same pattern was observed with bread, cabbage, ham, chicken, green beans, and potatoes. During interview, CK B stated he was supposed to clean and sanitize the food processor between food items but forgot, and said he had not had training in a while. The DA, DM, and ADM stated food items should be dated, expired items discarded, and equipment sanitized, and the facility policies reviewed stated utensils and equipment shall be cleaned and sanitized and foods shall be dated and rotated.
Incomplete Documentation During Resident Transfer
Penalty
Summary
The facility failed to ensure complete and accurate documentation in the medical record for a resident who was transferred to an acute care hospital. The resident, a male with multiple diagnoses including hypertension, peripheral vascular disease, renal insufficiency, diabetes mellitus, cerebrovascular accident, and subacute osteomyelitis, was transferred without proper documentation of nursing progress notes, assessments, or transfer documents. On the day of the transfer, there were no assessments or progress notes reflecting the resident's status, change in condition, or the emergent need for hospital transfer. Additionally, there was no physician order documented for the transfer. Interviews with facility staff revealed that the lack of documentation was due to oversight and busy schedules. The LVN responsible for the resident's care acknowledged the failure to document the necessary information, citing a busy time and the intention to complete the documentation later. The DON and ADM both expressed expectations for accurate and timely documentation, emphasizing that the lack of documentation could lead to a delay in care. The facility's policy on charting and documentation requires that all services, progress, and changes in the resident's condition be documented to facilitate communication among the interdisciplinary team.
Failure to Post Survey Results for Resident Access
Penalty
Summary
The facility failed to ensure that residents had the right to examine the results of the most recent survey conducted by federal or state surveyors, as well as any plan of correction in effect. This deficiency was identified during a full recertification survey, where it was observed that the results of Survey A, dated 04/27/23, were not posted in any public area of the facility as of 07/01/24. During confidential interviews with 11 anonymous residents, all confirmed they had never seen the results of any previous state agency inspections posted or advertised in any public area. Seven of these residents expressed a desire to view the survey results and inquired about how they could access them. An interview with the facility's administrator (ADM) revealed that he had recently started working at the facility and believed the survey results book was supposed to be posted outside his office door. However, he confirmed it was not there and acknowledged his responsibility for ensuring the survey results were available for residents, staff, and visitors. The facility's policy, dated April 2017, stated that survey reports and plans of correction should be readily accessible to residents, family members, and the public, with copies kept in a binder in the residents' day room and information about their availability posted on the resident bulletin board and at each nurses' station.
Failure to Perform Wound Treatment as Ordered
Penalty
Summary
The facility failed to provide appropriate treatment and care for a resident with a wound on her left fifth toe, as ordered by the physician. The resident, a female with a history of congestive heart failure, type two diabetes mellitus, morbid obesity, and venous insufficiency, was admitted to the facility with a blister on her left fifth toe. The care plan included applying Mupirocin ointment daily for a Staph infection, but the treatment was not performed as ordered on one occasion. On the day of the deficiency, the resident was observed with her left foot wrapped in gauze dated two days prior, indicating that the wound treatment had not been updated. The Director of Nursing (DON) confirmed that the treatment had not been completed by the Licensed Vocational Nurse (LVN) responsible, who mistakenly documented the treatment as done. The LVN admitted to being unfamiliar with the wounds in the facility after returning from a leave of absence and acknowledged the error in documentation. The failure to perform the wound treatment as ordered placed the resident at risk of worsening infection. The DON, who was new to the facility, had not yet established a monitoring system to ensure wound care was completed, and the LVN's oversight led to the deficiency. The facility did not have a specific policy relevant to the failure, as noted by the Administrator during the investigation.
Resident Elopement Due to Inadequate Supervision and Security Measures
Penalty
Summary
The facility failed to ensure a safe environment and adequate supervision for a resident, leading to an elopement incident. The resident, a male with schizophrenia, type 2 diabetes mellitus, and mild intellectual disabilities, was identified as having a moderate risk of wandering. Despite having a wander guard and interventions in place, the resident managed to leave the facility unnoticed and was later found in a nearby parking lot by an off-duty employee. The resident's care plan included the use of a wander guard and daily checks of the signaling device, which were documented as being performed. However, the front door of the facility was left unlocked until 8 PM for visiting hours, and there was no staff present at the desk after that time, which may have contributed to the resident's ability to leave the premises. The wander guard alarm was functional and loud enough to alert staff, but it did not prevent the resident from eloping. Interviews with staff revealed that they were aware of the procedures to follow in the event of a missing resident, including initiating a search and notifying relevant parties. However, the incident highlighted a lapse in supervision and security measures, as the resident was able to leave the facility without being detected. The facility's policy on wandering and elopement was in place, but the execution of these protocols was insufficient to prevent the incident.
Misappropriation of Resident's Medication
Penalty
Summary
The facility failed to protect a resident from the misappropriation of their medication, specifically 60 tablets of Ativan 0.5 mg, which were reported missing shortly after delivery. The medication was delivered by the pharmacy and signed for by an LVN, but it was not found during the subsequent shift. The facility conducted a search of the medication rooms and carts, but the medication was not located. The incident was reported to the hospice, the responsible party, the medical director, and the police. Despite these efforts, the investigation did not identify a perpetrator or recover the missing medication. The resident involved was an elderly male with Alzheimer's disease, cognitive communication deficit, and was receiving hospice care. The medication was intended for anxiety management, as per the physician's orders. The LVN who signed for the medication could not recall receiving it, and there was no narcotic sign-out sheet found with the delivery. The facility's policy required controlled substances to be counted upon delivery by both the receiving nurse and the delivery person, but this procedure was not followed. The facility replaced the missing medication, and no harm was reported to the resident as the medication was available in the emergency drug kit.
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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 Marlin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bremond Nursing And Rehabilitation Center | 16.2 mi | ★★★★★ | 3 | 0 |
| Heritage House Nursing And Rehabilitation | 16.8 mi | ★★★★★ | 4 | 0 |
| St. Anthony's Care Center | 20.3 mi | ★★★★★ | 4 | 0 |
| The Chateau Waco | 20.5 mi | ★★★★★ | 4 | 0 |
| Hewitt Nursing And Rehabilitation | 20.7 mi | ★★★★★ | 8 | 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 October 2026) and official state health department websites.