Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 146020

Goldwater Care Roseville

39 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $75,481.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
39
Total citations
39
Last 3 years
4
Actual harm+
2
Federal penalties
$75,481
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care12 Care Planning6 Resident Rights4 Administration4 Medication & Pharmacy3

Most common F-tags at this facility

F7583 F6573 F9192 F6452 F6902

Citation history

39 on record
SurveyF-TagViolationSeveritySource
Sep 10, 2025F946Provide training in compliance and ethics.FComplaint
Sep 10, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FComplaint
Sep 10, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.LComplaint
Sep 10, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.FComplaint
Jun 3, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.HComplaint
Jun 3, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
Mar 7, 2025F880Provide and implement an infection prevention and control program.DStandard
Mar 7, 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
Mar 7, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard
Mar 7, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Mar 7, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Mar 7, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Feb 19, 2025F610Respond appropriately to all alleged violations.DComplaint
Feb 19, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 18, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard
Apr 18, 2024F880Provide and implement an infection prevention and control program.FStandard
Apr 18, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Apr 18, 2024F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard
Apr 18, 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
Apr 18, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Apr 18, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Apr 18, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 18, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 18, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Apr 18, 2024F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard
Apr 18, 2024F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.CStandard
Nov 15, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Jul 27, 2023F693Ensure 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
Jul 27, 2023F692Provide enough food/fluids to maintain a resident's health.GComplaint
Jul 27, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jul 27, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
May 11, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
May 11, 2023F758Implement 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
May 11, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
May 11, 2023F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
May 11, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
May 11, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
May 11, 2023F641Ensure each resident receives an accurate assessment.DStandard
May 11, 2023F558Reasonably accommodate the needs and preferences of each resident.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $75,481 .

DateTypeFinePayment denial
Jun 3, 2025Fine$11,280—
Nov 15, 2023Fine$64,201—
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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