All citations for Goldwater Care Gibson City

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Goldwater Care Gibson City

Last standard health inspection on record

March 28, 2025

Showing 1 to 24 of 24 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of September 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 27, 2024).

  2. Harm to a resident

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 2025).

  3. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 23, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 24, 2024).

  4. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 2, 2024).

  5. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of September 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 27, 2024).

  6. No harm, with potential for more than minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

  7. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

  8. No harm, with potential for more than minimal harm

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

  9. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of May 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 29, 2025).

  10. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

  11. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

  12. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 2025).

  13. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 3, 2025).

  14. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 2025).

  15. No harm, with potential for more than minimal harm

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0582, Resident Rights Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

  16. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

  17. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

  18. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

  19. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

  20. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

  21. No harm, with potential for more than minimal harm

    Provide 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

  22. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

  23. No harm, with potential for more than minimal harm

    Ensure 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

  24. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0883, Infection Control Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.