Golden Living Center - Fresno
2715 Fresno Street, Fresno CA 93721 · (559) 486-4433 · 87.67% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
Golden Living Center - Fresno is a very-large nursing home in Fresno, California. Sporting an overall rating of D, this is a well below average facility. In our grading scheme, this is ranked as one of the bottom five rated nursing homes in Fresno. With so many other facilities in the city, you should be able to do better. We wouldn't blame you if you're ready to stop reading and find another facility. However, if you want to learn more about this place's category grades, we will discuss inspections in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 232 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
Although we did not have many positive things to say about this nursing home's overall grade, it earned a respectable government inspection report this year. As a result, it received a decent grade in this category with a B-. We take several aspects of a facility's inspection report into consideration in determining these inspection ratings. One critical factor is deficiencies. It should be noted that the severity of these deficiencies is usually more meaningful than the quantity of deficiencies, as some are quite minor. While this nursing home had a few minor dings on its inspection report, it had no severe deficiencies. Severe deficiencies are labeled as categories G through L. This tells you the inspectors didn't deem any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. A few minor deficiencies are not the end of the world.
Long-term Care Quality
This facilities second most favorable category was long-term care. We gave it a B- in this area. This is essentially a middle of the road grade in this area. Long-term care ratings are based on the facility's volume of nursing services. This means a vast spectrum of personal care services, ranging from help with activities of daily living to routine healthcare services. Once we assessed the amount of care provided by nurses and other staff, we then analyzed the nursing home's vaccination statistics. We were optimistic to learn that this nursing home vaccinated 100 percent of its patients against pneumonia. Unfortunately, this nursing home's hospitalization rate was not quite as favorable. Here we found that this nursing home had 2.26 hospitalizations per 1,000 long-term resident days.
Nurse Quality
This nursing home actually received a decent grade in the area of nursing as well. We awarded it a grade of C for that category, which is not a bad score. When calculating a facility's nursing rating, we weigh the quantity of hours nurses commit to patients and the level of licensure of those nurses. Based on the CMS data, this nursing home offers 3.6 hours of nursing care per resident per day. Lastly, our nursing grades also factor in quality-based assessments, such as preventing major falls. This facility performed admirably in this metric. Avoiding serious falls is usually a reliable indicator that a facility has quality controls in place. Many falls can be prevented if a facility provides enough nurses aids to assist its patients.
Short-term Care Quality
The last area we assessed is short-term care, which was a weak spot for this nursing home. We awarded this nursing home a D in the area of short-term care. Our short-term care grade is generally employed to gauge a nursing home's performance with rehabilitation. In order to have highly rated rehabilitation services, nursing homes generally must feature better levels of skilled nursing. These types of services include registered nurses, physical therapists, speech therapists and other licensed professionals. With a score of this caliber in this category, we weren't stunned to find this nursing home was below average in several staffing figures we looked at. The nursing home offered far fewer physical therapist and registered nurse hours per patient than most other nursing homes. The last statistic we looked at in this area is the number of residents that were able to return home from the facility. This facility a bit in this area as well, with just 45.3 percent of its patients returning home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Golden Living Center - Fresno Quality Metrics
Minimizes Pressure Ulcers
This tells you the percent of residents that sustained a pressure ulcer. Pressure ulcers, which are also called bed sores, are routinely caused by patients staying in one position for too long. Better nursing protocols can reduce the percentage of residents in a nursing home who sustain pressure ulcers.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This is the percentage of patients that have had a fall resulting in serious injury.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percentage of residents that have had a urinary tract infection. Urinary tract infections are considered by many experts to be an indicator of the quality of nursing care at a nursing home. UTI's are often associated with a facility with lower levels of hygiene. However, this metric could be misleading for some facilities due to different reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This datapoint indicates the percent of long-term care residents taking antipsychotic medications. While antipsychotic drugs serve an important medical purpose, it is important to confirm these drugs are being used only where medically required. In some situations, excessive reliance on these medications may indicate that a nursing home is using these medications to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of residents who were given antianxiety medications. Antianxiety medications are given to patients experiencing depression and anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This indicates the percent of patients who are exhibiting depressive symptoms. Increased rates of depression could indicate a less hospitable environment.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is a measure of the percentage of long-term residents that were vaccinated against pneumonia and flu.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This tells you the percent of patients who required increased assistance with activities of daily living over time. High levels of dependence on staff for assistance with ADL's may indicate erosion of a patient's health.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percent of residents that were able to retain mobility over time. Preserving mobility is often a great sign for residents' health.
Percentage of Residents
Higher is Better
Hospitalizations
This datapoint is a measure of the number of hospitalizations per thousand days of patient care. Keeping residents out of the hospital is important to maintaining the physical health of nursing home patients.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric is a measure of the number of rehospitalizations per 1,000 days of short-term patient care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric is a measure of the number of times residents are sent to the emergency room per 1,000 days of short-term patient care. Avoiding medical emergencies is one way to measure patient well-being during rehabilitation.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This metric is a measure of the percent of short-term residents that saw functional improvements.
Percentage of Resident
Higher is Better