Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 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.
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.
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 | — | 2 | 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 | — | 5 | 1 |
| Hewitt Nursing And Rehabilitation | 20.7 mi | — | 2 | 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 August 2026) and official state health department websites.