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Facility profile · CCN 145183

Goldwater Care Danville

80 federal citations on record , including 4 at the Immediate Jeopardy level, and 6 federal enforcement actions totaling $221,939.

Abuse Icon Special Focus Status 4 Immediate Jeopardy

Record summary

Federal record · Q1 2026
80
Total citations
73
Last 3 years
11
Actual harm+
6
Federal penalties
$221,939
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

80 on record
SurveyF-TagViolationSeveritySource
Nov 26, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Oct 2, 2025F880Provide and implement an infection prevention and control program.DComplaint
Oct 2, 2025F759Ensure medication error rates are not 5 percent or greater.EComplaint
Oct 2, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Oct 2, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint
Jun 25, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jun 25, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Jun 25, 2025F610Respond appropriately to all alleged violations.DComplaint
Jun 25, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Jun 25, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Jun 25, 2025F583Keep residents' personal and medical records private and confidential.DComplaint
May 28, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
May 12, 2025F760Ensure that residents are free from significant medication errors.GComplaint
May 12, 2025F693Ensure 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.DComplaint
Apr 17, 2025F880Provide and implement an infection prevention and control program.DComplaint
Apr 4, 2025F880Provide and implement an infection prevention and control program.LStandard
Apr 4, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard
Apr 4, 2025F759Ensure medication error rates are not 5 percent or greater.EStandard
Apr 4, 2025F758Implement 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
Apr 4, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 4, 2025F692Provide enough food/fluids to maintain a resident's health.GStandard
Apr 4, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Apr 4, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Apr 4, 2025F659Provide care by qualified persons according to each resident's written plan of care.FStandard
Apr 4, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 4, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 4, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Feb 20, 2025F760Ensure that residents are free from significant medication errors.GComplaint
Jan 29, 2025F880Provide and implement an infection prevention and control program.FComplaint
Jan 29, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jan 16, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Nov 27, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FComplaint
Nov 27, 2024F839Employ staff that are licensed, certified, or registered in accordance with state laws.FComplaint
Nov 27, 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.FComplaint
Nov 27, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Nov 27, 2024F695Provide safe and appropriate respiratory care for a resident when needed.LComplaint
Nov 27, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DComplaint
Jun 27, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 27, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jun 27, 2024F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DComplaint
Jun 13, 2024F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.FComplaint
Jun 13, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FComplaint
Jun 13, 2024F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.FComplaint
Jun 13, 2024F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FComplaint
Jun 13, 2024F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.FComplaint
Jun 13, 2024F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.FComplaint
Jun 13, 2024F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.FComplaint
Jun 13, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Jun 13, 2024F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.DComplaint
Jun 13, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jun 13, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Apr 23, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Feb 23, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Feb 23, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Feb 23, 2024F881Implement a program that monitors antibiotic use.DStandard
Feb 23, 2024F880Provide and implement an infection prevention and control program.FStandard
Feb 23, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard
Feb 23, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Feb 23, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
Feb 23, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.FStandard
Feb 23, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Feb 23, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Feb 23, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Feb 23, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Feb 23, 2024F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.EStandard
Feb 23, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Dec 29, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 29, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 29, 2023F641Ensure each resident receives an accurate assessment.DComplaint
Dec 29, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Aug 17, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Aug 17, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Apr 18, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 18, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Apr 18, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Apr 18, 2023F610Respond appropriately to all alleged violations.EComplaint
Apr 18, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jan 20, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jan 20, 2023F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard

Federal enforcement history

Federal regulators have imposed 6 enforcement actions against this facility, including 4 civil money penalties totaling $221,939 and 2 payment-denial actions spanning 68 days.

DateTypeFinePayment denial
Apr 4, 2025Payment DenialMay 2, 2025 · 55 days
Jan 16, 2025Fine$41,005
Jan 16, 2025Payment DenialFeb 8, 2025 · 13 days
Nov 27, 2024Fine$48,031
Jun 13, 2024Fine$120,049
Feb 23, 2024Fine$12,854
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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