Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

GOLDEN HAVEN CARE CENTER

GLENDALE, CA · 99 certified beds · Last Life Safety survey January 16, 2026

CMS Certification Number 056317 · first certified September 1985

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

  • Ownership changed June 7, 2023 (change of ownership)from DAKOTA MEDICAL INC.
15
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within CA

15 citations — more than 30% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 6. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was January 2026. Facilities in CA are typically surveyed 12–18 months after the last one (median 14), measured over 1,766 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 15 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

8 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 15 Life Safety citations above. The Physical Environment Index

  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.

This facility15CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility15
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
82023-1242024-1232026-01
Citations at each Life Safety survey
Survey dateCitations
December 8, 20238
December 7, 20244
January 16, 20263

Most-cited tags

Most-cited tags at this facility
K-03622K-03532K-09202K-05111K-07121K-07611K-07411E-00411
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.22024-12-07
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-01-16
K-0920Ensure proper usage of power strips and extension cords.22026-01-16
K-0511Have properly installed electrical wiring and gas equipment.12023-12-08
K-0712Have simulated fire drills held at unexpected times.12024-12-07
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12026-01-16
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12023-12-08
E-0041Implement emergency and standby power systems.12023-12-08

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Miscellaneous Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Emergency Preparedness Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Miscellaneous Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies3
Emergency Preparedness Deficiencies2
Egress Deficiencies1
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 16, 2026 — 3 citations

Citations issued on January 16, 2026
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 11, 2026)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (February 11, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 11, 2026)

December 7, 2024 — 4 citations

Citations issued on December 7, 2024
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 30, 2024)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (December 30, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 30, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 30, 2024)

December 8, 2023 — 8 citations

Citations issued on December 8, 2023
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (January 5, 2024)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (January 5, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (January 5, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 5, 2024)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (January 5, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (January 5, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (January 5, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 5, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.