Facility profile · CCN 146076
Goldwater Care Clinton
85 federal citations on record , and 2 federal enforcement actions totaling $54,678.
Record summary
Federal record · Q1 202685
Total citations
80
Last 3 years
6
Actual harm+
2
Federal penalties
$54,678
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
85 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 13, 2026 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Jan 13, 2026 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| Jan 13, 2026 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Jan 13, 2026 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint |
| Jan 13, 2026 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint |
| Jan 13, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jan 13, 2026 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Jan 13, 2026 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Jan 13, 2026 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jan 13, 2026 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Jan 13, 2026 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Sep 19, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Sep 19, 2025 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint |
| Sep 19, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Sep 19, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Sep 19, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Sep 19, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jun 3, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| May 5, 2025 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| May 5, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| May 5, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint |
| May 5, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint |
| May 5, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Feb 19, 2025 | F680 | Ensure the activities program is directed by a qualified professional. | C | Complaint |
| Jan 28, 2025 | F679 | Provide activities to meet all resident's needs. | E | Complaint |
| Dec 5, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Dec 5, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Dec 5, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Dec 5, 2024 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F | Standard |
| Dec 5, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Dec 5, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Dec 5, 2024 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard |
| Dec 5, 2024 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Dec 5, 2024 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard |
| Dec 5, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Dec 5, 2024 | F729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | F | Standard |
| Dec 5, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Dec 5, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Dec 5, 2024 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Dec 5, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Dec 5, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Dec 5, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Dec 5, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Dec 5, 2024 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
| Dec 5, 2024 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | F | Standard |
| Nov 18, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Nov 18, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Oct 2, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Oct 2, 2024 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Complaint |
| Oct 2, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint |
| Oct 2, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint |
| Oct 2, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Oct 2, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Oct 2, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Jun 26, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| May 15, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| May 15, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| May 15, 2024 | F603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Complaint |
| Mar 26, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Mar 26, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Mar 26, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Feb 2, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Feb 2, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Feb 2, 2024 | F659 | Provide care by qualified persons according to each resident's written plan of care. | E | Complaint |
| Jan 12, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Jan 12, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Complaint |
| Jan 12, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Jan 12, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jan 12, 2024 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard |
| Jan 12, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Jan 12, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Jan 12, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Jan 12, 2024 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard |
| Jan 12, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Jan 12, 2024 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard |
| Jan 12, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Jan 12, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Oct 27, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Oct 27, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| May 24, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Apr 19, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Dec 2, 2022 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Dec 2, 2022 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | E | Standard |
| Dec 2, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Dec 2, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $54,678 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Dec 5, 2024 | Fine | $32,744 | — |
| Apr 19, 2023 | Fine | $21,934 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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