Goldwater Care Roseville
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 24 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (12 vs median 11.0)
- High staff turnover (55%)
- High RN turnover (60%)
Bottom 25% in IL · Below recommended RN staffing · Above average staffing · Worst in GOLDWATER CARE chain · $75,481 in fines
What this means for your family
While many reviewers praise the facility's clean environment and compassionate staff, the recent report of inaccurate medical charting and missed treatments is a significant red flag. Families should conduct a thorough tour and specifically ask about the facility's protocols for medication administration and how they handle patient grievances during the discharge process.
Google Reviews
Google Reviews
24 reviews on Google“Goldwater Care Roseville receives high praise for its clean environment and friendly, family-like atmosphere, particularly from those who have worked there or visited. However, a recent critical review highlights serious concerns regarding medical documentation accuracy and unprofessional discharge conduct, suggesting potential inconsistencies in patient care quality.”
Quality Themes
Tap a score for detailsStrengths
- Clean and well-maintained facility
- Friendly and compassionate staff
- Welcoming, family-like atmosphere
Concerns
- Inaccurate medical charting and failure to administer prescribed treatments
Rating Trends
Tap a year to see what changed
Distribution · 28 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the facility's focus on a family-like atmosphere, what specific activities or social programs are currently in place to help new residents feel connected and settled during their first few weeks?
- 2I noticed that medication management is a high priority for our family; could you walk me through your current process for ensuring medications are tracked accurately and administered exactly as prescribed?
- 3How does your nursing team coordinate with family members to ensure that medical charts and care plans are updated and communicated clearly whenever a change in health status occurs?
- 4With 99 residents in the facility, how do you ensure that each resident receives consistent, personalized attention throughout the day to maintain the high standard of care mentioned in your recent feedback?
- 5What protocols are in place to address potential gaps in clinical documentation, and how do you monitor staff performance to ensure all prescribed treatments are being carried out reliably?
- 6How do you handle communication with families during urgent medical situations, and what steps do you take to ensure we are kept fully informed of any changes in our loved one's health?
Personalized based on this facility's data
Key Review Excerpts
“I went for IV antibiotics which I never received. It was charted that I refused the treatment along with other things even though I never was even asked about the items.”
“He was treated with great care and kindness. He was allowed to visit with his beloved cat before his passing.”
“Exceptional care is provided at this facility!! would recommend to anyone looking for rehab services or long term care. Clean and well maintained environment with friendly/caring staff that make sure their residents are their #1 priority.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
3
measures
12
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have repeatedly filed complaints about Goldwater Care Roseville, triggering 14 deficiencies including serious concerns about resident abuse, inadequate nutrition, and malfunctioning emergency call systems. The facility shows persistent problems with safety systems, care planning, and medication management across multiple surveys. While all issues have correction dates, the recurring nature of fire safety violations and care quality problems suggests ongoing operational challenges that families should carefully investigate before placement.
Sep 10, 2025Complaint4
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Resident Rights Deficiencies
Honor 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.
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies
Provide training in compliance and ethics.
Jun 3, 2025Complaint2
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Mar 7, 2025Routine15
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Try 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.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 19, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Apr 18, 2024Routine25
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Pharmacy Service Deficiencies
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.
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Nov 15, 2023Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Federal Penalties
Fine
Jun 3, 2025
$7,332
Fine
Nov 15, 2023
$64,201
Ownership & Operations
Who Operates This Facility
Goldwater Care Roseville
for profit
Chain Affiliation
Goldwater Care
11 facilities nationwide
Chain avg rating: 1.4/5 · Rank 9 of 11 (Worst)
Ownership & Management
Owners
Berkowitz, David
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Meystel, Yosef
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Turofsky, Steven
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
24 reviews from families & visitors
Official Website
Visit goldwatercare.com
Medicare data downloads
Original nursing home datasets
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