Goldwater Care Toluca

Certification

Medicare-certified.

Ratings

Inspection history (37)

Records from May 2022 to December 2025.

• December 30, 2025

  Tag F0600

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

  Severity G: isolated, actual harm. Corrected December 31, 2025.

• December 30, 2025

  Tag F0607

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 31, 2025.

• December 30, 2025

  Tag F0803

  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected January 24, 2026.

• December 30, 2025

  Tag F0801

  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 31, 2025.

• September 26, 2025

  Tag F0605

  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 29, 2025.

• September 26, 2025

  Tag F0695

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 29, 2025.

• September 26, 2025

  Tag F0628

  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 29, 2025.

• September 26, 2025

  Tag F0657

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 29, 2025.

• September 26, 2025

  Tag F0692

  Provide enough food/fluids to maintain a resident's health.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 29, 2025.

• September 26, 2025

  Tag F0881

  Implement a program that monitors antibiotic use.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 29, 2025.

• September 26, 2025

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected September 29, 2025.

• September 26, 2025

  Tag F0868

  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected September 29, 2025.

• September 26, 2025

  Tag F0684

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 29, 2025.

• December 27, 2024

  Tag F0689

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

  Severity G: isolated, actual harm. Corrected December 30, 2024.

• December 10, 2024

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 12, 2024.

• December 10, 2024

  Tag F0882

  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 14, 2024.

• May 2, 2024

  Tag F0689

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 8, 2024.

• May 2, 2024

  Tag F0758

  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 l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 8, 2024.

• May 2, 2024

  Tag F0550

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 8, 2024.

• May 2, 2024

  Tag F0868

  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 8, 2024.

Penalties (2)

• August 18, 2026 · Fine

  CMS recorded a civil money penalty of $15,185 against this nursing home on August 18, 2026.

• December 30, 2025 · Payment Denial

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting January 22, 2026, lasting 2 days (triggered by inspection on December 30, 2025).

Staffing

3.27 nurse hours per resident per day in Q2 2026, up from 3.10 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit