All citations for Goshen Healthcare Community

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 Goshen Healthcare Community

Last standard health inspection on record

July 24, 2025

Showing 1 to 25 of 58 citations

  1. 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 January 26, 2023. Found during a standard inspection.

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

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2025).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

  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 April 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2024).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2024).

  11. 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 January 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2023).

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

    Establish policies and procedures for volunteers.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of January 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2023).

  13. 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 January 26, 2023. Found during a standard inspection.

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

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

    Meet requirements for the installation and maintenance of electrical systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 26, 2023. Found during a standard inspection.

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

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2025).

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2025).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2025).

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

    Have restrictions on the use of flammable curtains.

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

    Fire safety citation K-0751, Miscellaneous Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of February 4, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (December 19, 2024).

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

    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

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

    Health citation F-0729, Nursing and Physician Services Deficiencies. Inspection of April 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2024).

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

    Implement 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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of April 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2024).

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

    Ensure the activities program is directed by a qualified professional.

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

    Health citation F-0680, Quality of Life and Care Deficiencies. Inspection of January 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 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.