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 25 of 47 citations

  1. 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 July 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 6, 2024).

  2. 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 18, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 17, 2023).

  3. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 6, 2024).

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

    Respond appropriately to all alleged violations.

    Widespread (many residents). CMS level F.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 6, 2024).

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

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Widespread (many residents). CMS level F.

    Health citation F-0944, Administration Deficiencies. Inspection of July 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 6, 2024).

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

    Provide training in compliance and ethics.

    Widespread (many residents). CMS level F.

    Health citation F-0946, Administration Deficiencies. Inspection of July 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 6, 2024).

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Widespread (many residents). CMS level F.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of July 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 6, 2024).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

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

    Implement a program that monitors antibiotic use.

    Widespread (many residents). CMS level F.

    Health citation F-0881, Infection Control Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

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

    Report COVID19 data to residents and families.

    Widespread (many residents). CMS level F.

    Health citation F-0885, Infection Control Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

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

    Perform COVID19 testing on residents and staff.

    Widespread (many residents). CMS level F.

    Health citation F-0886, Infection Control Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

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

    Ensure staff are vaccinated for COVID-19

    Widespread (many residents). CMS level F.

    Health citation F-0888, Infection Control Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 24, 2023).

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

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 24, 2023).

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

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 24, 2023).

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

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 24, 2023).

  18. 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 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2023).

  19. 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 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2023).

  20. 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 July 9, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 13, 2024).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of July 9, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 13, 2024).

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

    Honor the resident's right to organize and participate in resident/family groups in the facility.

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

    Health citation F-0565, Resident Rights Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

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

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

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

  25. 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 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

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.