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Facility profile · CCN 146076

Goldwater Care Clinton

85 federal citations on record , and 2 federal enforcement actions totaling $54,678.

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Record summary

Federal record · Q1 2026
85
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
SurveyF-TagViolationSeveritySource
Jan 13, 2026F880Provide and implement an infection prevention and control program.EComplaint
Jan 13, 2026F760Ensure that residents are free from significant medication errors.EComplaint
Jan 13, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Jan 13, 2026F727Have 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.FComplaint
Jan 13, 2026F697Provide safe, appropriate pain management for a resident who requires such services.GComplaint
Jan 13, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jan 13, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Jan 13, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Jan 13, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jan 13, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 13, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Sep 19, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Sep 19, 2025F727Have 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.FComplaint
Sep 19, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 19, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Sep 19, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Sep 19, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jun 3, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
May 5, 2025F760Ensure that residents are free from significant medication errors.EComplaint
May 5, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
May 5, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
May 5, 2025F558Reasonably accommodate the needs and preferences of each resident.EComplaint
May 5, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Feb 19, 2025F680Ensure the activities program is directed by a qualified professional.CComplaint
Jan 28, 2025F679Provide activities to meet all resident's needs.EComplaint
Dec 5, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Dec 5, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 5, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Dec 5, 2024F887Educate 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.FStandard
Dec 5, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Dec 5, 2024F880Provide and implement an infection prevention and control program.FStandard
Dec 5, 2024F838Conduct 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.FStandard
Dec 5, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
Dec 5, 2024F758Implement 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.DStandard
Dec 5, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Dec 5, 2024F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.FStandard
Dec 5, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 5, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Dec 5, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Dec 5, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Dec 5, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Dec 5, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Dec 5, 2024F641Ensure each resident receives an accurate assessment.DStandard
Dec 5, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Dec 5, 2024F585Honor 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.FStandard
Nov 18, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Nov 18, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Oct 2, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Oct 2, 2024F758Implement 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.DComplaint
Oct 2, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Oct 2, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
Oct 2, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Oct 2, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 2, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Jun 26, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
May 15, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 15, 2024F641Ensure each resident receives an accurate assessment.DComplaint
May 15, 2024F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).DComplaint
Mar 26, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 26, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Mar 26, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Feb 2, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Feb 2, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Feb 2, 2024F659Provide care by qualified persons according to each resident's written plan of care.EComplaint
Jan 12, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Jan 12, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EComplaint
Jan 12, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jan 12, 2024F880Provide and implement an infection prevention and control program.DStandard
Jan 12, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard
Jan 12, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Jan 12, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
Jan 12, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jan 12, 2024F727Have 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.FStandard
Jan 12, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jan 12, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
Jan 12, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jan 12, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Oct 27, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Oct 27, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
May 24, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 19, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Dec 2, 2022F880Provide and implement an infection prevention and control program.DStandard
Dec 2, 2022F693Ensure 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.EStandard
Dec 2, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 2, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $54,678 .

DateTypeFinePayment denial
Dec 5, 2024Fine$32,744
Apr 19, 2023Fine$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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