Hearth Record

Goldwater Care Clinton

A nursing home in Clinton, Illinois 61727

1 Park Lane West, Clinton, Illinois 61727. (217) 935-8500.

  • A candidate for CMS’s special focus list
  • Cited for abuse (CMS flag)
CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 122 citations in 21 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (J). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy
CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

56 health citations at the latest inspection cycle

The Illinois average is 12.7.

Last standard inspection Feb 18, 2026.

Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Aug 20, 2026

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

122 citations in 21 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.

122 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 122 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 74 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Aug 20, 2026: complaint inspection2 citations

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

    Rule F0689. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Aug 21, 2026.

  • Provide safe, appropriate pain management for a resident who requires such services.

    Rule F0697. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 21, 2026.

Jul 17, 2026: complaint inspection3 citations

  • Ensure that residents are free from significant medication errors.

    Rule F0760. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jul 18, 2026.

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

    Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 18, 2026.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 18, 2026.

Jun 23, 2026: complaint inspection2 citations

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

    Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jun 26, 2026.

  • Properly hold, secure, and manage each resident’s personal money which is deposited with the nursing home.

    Rule F0568. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 24, 2026.

Jun 4, 2026: complaint inspection1 citation

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

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 26, 2026.

May 28, 2026: complaint inspection4 citations

  • Ensure that residents are free from significant medication errors.

    Rule F0760. G: actual harm. From a complaint. Correction date, as CMS recorded it: May 29, 2026.

  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 29, 2026.

  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Rule F0725. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 29, 2026.

  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Rule F0761. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 29, 2026.

Apr 29, 2026: complaint inspection3 citations

  • Keep residents’ personal and medical records private and confidential.

    Rule F0583. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 1, 2026.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 1, 2026.

  • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Rule F0727. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 1, 2026.

Apr 15, 2026: complaint inspection3 citations

  • Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Rule F0578. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 16, 2026.

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

    Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 16, 2026.

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

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 16, 2026.

Mar 21, 2026: complaint inspection3 citations

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

    Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 16, 2026.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 23, 2026.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 23, 2026.

Feb 18, 2026: standard inspection21 citations

  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Rule F0552. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

  • Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Rule F0561. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

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

    Rule F0605. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 10, 2026.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

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

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

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

    Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

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

    Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

  • Observe each nurse aide’s job performance and give regular training.

    Rule F0730. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

  • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Rule F0744. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

  • Ensure medication error rates are not 5 percent or greater.

    Rule F0759. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 10, 2026.

  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 10, 2026.

  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Rule F0805. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

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

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

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

    Rule F0868. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

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

    Rule F0882. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Rule F0883. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

  • Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member’s vaccination status.

    Rule F0887. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

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

    Rule F0944. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

  • Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Rule F0949. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

Feb 18, 2026: standard and complaint inspection3 citations

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

    Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Feb 20, 2026.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. G: actual harm. From a complaint. Correction date, as CMS recorded it: Feb 20, 2026.

  • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Rule F0727. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 1, 2026.

Jan 13, 2026: complaint inspection11 citations

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

    Rule F0684. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jan 14, 2026.

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

    Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jan 14, 2026.

  • Provide safe, appropriate pain management for a resident who requires such services.

    Rule F0697. G: actual harm. From a complaint. Correction date, as CMS recorded it: Dec 19, 2025.

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

    Rule F0550. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 14, 2026.

  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 14, 2026.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 23, 2026.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 14, 2026.

  • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Rule F0727. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 1, 2026.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 10, 2026.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 14, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 14, 2026.

Sep 19, 2025: complaint inspection6 citations

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

    Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 26, 2025.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 26, 2025.

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

    Rule F0684. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 26, 2025.

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

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 26, 2025.

  • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Rule F0727. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 22, 2025.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 10, 2025.

Jun 3, 2025: complaint inspection1 citation

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

    Rule F0684. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 13, 2025.

May 5, 2025: complaint inspection5 citations

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

    Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 9, 2025.

  • Reasonably accommodate the needs and preferences of each resident.

    Rule F0558. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 8, 2025.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 6, 2025.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 6, 2025.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 6, 2025.

Feb 19, 2025: complaint inspection1 citation

  • Ensure the activities program is directed by a qualified professional.

    Rule F0680. C: no actual harm, potential for minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 27, 2025.

Jan 28, 2025: complaint inspection1 citation

  • Provide activities to meet all resident’s needs.

    Rule F0679. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 20, 2025.

Dec 5, 2024: standard inspection17 citations

  • Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Rule F0585. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

  • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Rule F0636. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Rule F0644. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

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

    Rule F0656. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

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

    Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

  • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Rule F0676. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

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

    Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

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

    Rule F0729. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Rule F0757. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

  • 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.

    Rule F0758. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

  • Provide timely, quality laboratory services/tests to meet the needs of residents.

    Rule F0770. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

  • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Rule F0838. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Rule F0883. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

  • Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member’s vaccination status.

    Rule F0887. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

Dec 5, 2024: standard and complaint inspection3 citations

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

    Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Dec 27, 2024.

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

    Rule F0657. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 27, 2024.

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

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 27, 2024.

Nov 18, 2024: complaint inspection2 citations

  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 27, 2024.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 27, 2024.

Oct 2, 2024: complaint inspection7 citations

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

    Rule F0600. G: actual harm. From a complaint. Correction date, as CMS recorded it: Oct 22, 2024.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 22, 2024.

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

    Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 22, 2024.

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

    Rule F0657. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 22, 2024.

  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Rule F0740. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 22, 2024.

  • 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.

    Rule F0758. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 22, 2024.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 22, 2024.

Jun 26, 2024: complaint inspection1 citation

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

    Rule F0550. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 17, 2024.

May 15, 2024: complaint inspection3 citations

  • Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    Rule F0603. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 2, 2024.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 2, 2024.

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

    Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 2, 2024.

Mar 26, 2024: complaint inspection3 citations

  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 3, 2024.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 3, 2024.

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

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 3, 2024.

Feb 2, 2024: complaint inspection3 citations

  • Provide care by qualified persons according to each resident’s written plan of care.

    Rule F0659. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 16, 2024.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 16, 2024.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 16, 2024.

Jan 12, 2024: standard inspection10 citations

  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Rule F0644. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 2, 2024.

  • Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

    Rule F0655. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 26, 2024.

  • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Rule F0661. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 25, 2024.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 30, 2024.

  • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Rule F0727. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 25, 2024.

  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Rule F0756. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 1, 2024.

  • Ensure medication error rates are not 5 percent or greater.

    Rule F0759. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 30, 2024.

  • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Rule F0867. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 29, 2024.

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

    Rule F0868. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 25, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 26, 2024.

Jan 12, 2024: standard and complaint inspection3 citations

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 26, 2024.

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Rule F0690. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 26, 2024.

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

    Rule F0695. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 30, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Feb 2, 2005.
  • A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
  • CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, corporation.
  • 134 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 4 fines in the last three years, $247,594 in all.
  • 2 Medicare payment denials in the last three years.
  • 74 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
May 28, 2026Medicare payment denialNot given
May 28, 2026Fine$26,985
May 28, 2026Fine$22,895
Jan 13, 2026Medicare payment denialNot given
Jan 13, 2026Fine$164,970
Dec 5, 2024Fine$32,744

Who does the caring?

3.31 nurse hours per resident per day

The Illinois average is 3.47.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeIllinois average
Nurse hours per resident per day3.313.47
Of which registered nurses0.140.71
At weekends2.973.08
Nursing staff turnover67.5%43.7%
Registered nurse turnover100%41.5%
Administrators who left1Not given

Who owns it?

  • Yosef Meystel Delta Trust owns 23.75% directly since Mar 1, 2024; David A Berkowitz Delta Trust owns 5% directly since Mar 1, 2024; Joshua Hoffman Trust owns 5% directly since Mar 1, 2024.
  • Goldwater Care Management LLC runs it.
  • 22 owners or officers are people: Jennifer Spector (corporate officer, 100%); Aaron Tversky (owns 5% or more directly, 33.13%); Meir Katzenstein (owns 5% or more directly, 33.13%); Jennifer Spector (runs it (operational or managerial control)); Jennifer Spector (additional disclosable party (controls, leases property to, or provides services to the home)); Aaron Tversky (runs it (operational or managerial control)); Aaron Tversky (additional disclosable party (controls, leases property to, or provides services to the home)); Farrukh A Kureishy (runs it (operational or managerial control)); Farrukh A Kureishy (additional disclosable party (controls, leases property to, or provides services to the home)); Meir Katzenstein (runs it (operational or managerial control)); Meir Katzenstein (additional disclosable party (controls, leases property to, or provides services to the home)); Ryan Rissman (runs it (operational or managerial control)); Ryan Rissman (on the governing body (managing control)); Ryan Rissman (additional disclosable party (controls, leases property to, or provides services to the home)); Steven Turofsky (runs it (operational or managerial control)); Steven Turofsky (additional disclosable party (controls, leases property to, or provides services to the home)); Christine A Banks (runs it (operational or managerial control)); Christine A Banks (additional disclosable party (controls, leases property to, or provides services to the home)); Naftali Wilhelm (runs it (operational or managerial control)); Naftali Wilhelm (additional disclosable party (controls, leases property to, or provides services to the home)); Melissa Anne Stachowiak (on the governing body (managing control)); Melissa Anne Stachowiak (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Goldwater Care (11 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Yosef Meystel Delta TrustOwns 5% or more directly23.75%Mar 1, 2024
David A Berkowitz Delta TrustOwns 5% or more directly5%Mar 1, 2024
Joshua Hoffman TrustOwns 5% or more directly5%Mar 1, 2024
Yosef Meystel Delta TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 1, 2024
David A Berkowitz Delta TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 1, 2024
Goldwater Care Management LLCRuns it (operational or managerial control)Mar 1, 2024
Goldwater Care Management LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 23, 2025
Curis Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 1, 2024
1 Park Lane West, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 23, 2025
Joshua Hoffman TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 1, 2024

How do residents fare?

  • CMS rates its quality measures 2 of 5 (Illinois average 3.1).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing1 of 5
Quality measures2 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 22.3 miles, this one had the 1st most health citations at the latest inspection cycle (56; the middle value was 16).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Goldwater Care Clinton This nursing home56
Arc at Hickory Point15.424
The Haven of Farmer City18.415
The H & J Vonderlieth Lvg Ctr18.64
The Loft Rehab of Rock Springs19.016
Loft Rehab of Decatur19.023
Lincoln Village Healthcare19.612
Luther Oaks20.816
Decatur Rehab & Health Care Ct21.019
St Clara’s Rehab & Senior Care22.28
Westminster Village22.27
Fair Havens Senior Living22.336

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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