Goldwater Care Roseville has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. Reported nursing staffing is below the federal benchmark (3.81 vs. 4.1 hours per resident per day), and the facility had $11,280 in fines in the last 24 months plus a recent federal penalty.
Last inspection: September 10, 2025Penalties, last 24 months: $11,280recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8104.
Staffing detail
Registered nurses
0.55
Licensed practical nurses
1.01
Nurse aides
2.25
Weekend nursing
3.65
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 67%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
21.2%20%Improving
Residents with a fall causing major injury
4.2%7.5%Worsening
Residents with pressure ulcers (bedsores)
10.1%7.3%Improving
Residents with a urinary tract infection
0%2.6%Worsening
Residents who lost too much weight
5%14.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
48.6%12.9%Improving
Residents whose ability to walk got worse
—48.9%—
Long-stay residents on antianxiety or sleep medication
42.5%51.4%Worsening
Short-stay residents newly given an antipsychotic
—3.6%—
Residents with a long-term catheter
0%1.9%Worsening
Residents with new or worsening incontinence
11.9%13.5%Worsening
Residents with depressive symptoms
100%100%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—90.6%—
Long-stay residents given the pneumonia vaccine
12.5%27.5%Improving
Short-stay residents given the pneumonia vaccine
—24%—
What the inspectors found
The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited September 2025 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 919 — 42 CFR §483.90 — S/S: L
The nursing home failed to protect residents from abuse and neglect by others. Cited November 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to provide enough food and fluids to keep residents healthy. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: F
The nursing home failed to make sure all staff got required training on its quality improvement program. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 944 — 42 CFR §483.95 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $11,280 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $75,481 in total fines.
Federal fine
Jun 3, 2025
$11,280
Federal fine
Nov 15, 2023
$64,201
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of GOLDWATER CARE · 11 homes · 1.5 stars avg
Occupancy
38.1 residents on an average day (38% of 99 beds)
Resident voice
Resident council
Medicare history
Certified for 24 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.