Goldwater Care Gibson City
620 East First Street, Gibson City, IL 60936Map
Medicare/Medicaid certified60 certified beds~54 residents/dayFor profit - Corporation
What the abuse icon means moreless
CMS flags a facility with its abuse icon when inspectors cited it for abuse that harmed a resident within the past year, or for abuse that could have harmed a resident in each of the last two years. CMS shows this same icon on its own Care Compare site, and caps the facility's ratings while it's flagged. The icon is removed when newer inspections come back clean. The deficiency list below will contain the underlying citations — read them.
What to do with this: read the abuse-related citations below, and ask the facility directly what happened and what changed. Verify the current status at medicare.gov/care-compare.
Last standard health inspection: March 28, 2025
Goldwater Care Gibson City is a 60-bed for-profit, corporation-owned nursing home in Gibson City, Ford County, Illinois, serving an average of 54 residents per day. As of CMS data processed June 1, 2026, its overall rating is 1 of 5 stars.
CMS star ratings
CMS scores every nursing home 1–5 stars overall, built from three sub-ratings. moreless
Medicare inspects and measures every certified nursing home, then rolls the results into a 1–5 star overall rating. It combines three parts: health inspections, staffing, and quality measures. Five stars means much better than average — it does not mean perfect. One star means much worse than average — it does not mean every shift is bad. Stars are a screening tool, not a verdict. They can lag reality by months, and they can't see things like how kind the aides are or how the building smells at 7am.
What to do with this: use stars to build a shortlist, then visit in person. Nothing on this site replaces walking the halls.
Health-inspection stars are graded on a curve within each state — never compare stars across state lines. moreless
CMS sets health-inspection star cutoffs separately for each state: roughly the top 10% of homes in a state get 5 stars, the bottom 20% get 1 star, no matter how the state compares to others. That means a 4-star home in one state and a 4-star home in another state may have very different inspection records. The stars tell you how a home compares to its neighbors, not to the whole country. That's why this site shows your state's median next to each star rating — and never a national star comparison.
What to do with this: compare stars only between homes in the same state. To compare across states, use staffing hours — those are real numbers, not curves.
Not all three sub-ratings are equally hard to game: inspections are the most objective, quality measures the least. moreless
The three sub-ratings come from different sources. Health inspections are done on-site by trained state surveyors who show up mostly unannounced — the most objective signal. Staffing comes from payroll records that facilities must submit and CMS audits — quite reliable. Quality measures are partly self-reported by the facility from its own resident assessments — useful, but the facility grades some of its own homework.
What to do with this: when sub-ratings disagree, weigh the inspection star most and the quality-measure star least.
Staffing
Reported hours per resident per day, from payroll records. Hours, unlike stars, can be compared across states.
Hours per resident per day: total staff hours worked, divided by the number of residents. moreless
If a home reports 3.5 total nursing hours per resident per day, that's all nursing staff time across 24 hours — roughly one caregiver-hour every 7 hours per resident, spread across day, evening, and night shifts. On a real floor it decides whether call lights get answered in 5 minutes or 25, whether someone has time to help with dinner, and whether night shift is one aide for a hall or two. Unlike star ratings, hours are actual numbers, so they CAN be compared across state lines.
What to do with this: compare a home's hours to the state and national medians shown, and ask the facility how the hours split across day, evening, and night shifts.
RN (registered nurse) hours
LPN (licensed practical nurse) hours
Nurse aide hours
Total nursing hours
CMS also adjusts these numbers for how sick each home’s residents are — a home with sicker residents needs more staff for the same star. This home’s case-mix-adjusted total: 2.43 (US median, adjusted: 3.78).
CMS also adjusts staffing numbers for how sick each home's residents are. moreless
A home full of short-term rehab patients needs different staffing than a home caring for people with advanced dementia or ventilators. Case-mix adjustment estimates how many hours a home's particular residents need, then scales the reported hours so homes can be compared fairly. A home with sicker residents needs more staff for the same star. This page shows reported (raw payroll) numbers and compares them only to other reported numbers — like with like.
What to do with this: if a home's reported hours look low, check whether its residents may simply need less care — and ask the facility directly.
Staff turnover
Total nursing staff turnover: 47.7% · IL median: 44.6% · RN turnover: 36.4% (IL median: 40%)
The share of nursing staff who left within the year. Lower is steadier. moreless
Total nursing staff turnover is the percentage of the home's nurses and aides who stopped working there during the year. Around half of nursing-home staff leaving annually is sadly common in this industry. High turnover means residents are cared for by people who don't know them — which matters enormously for dementia care, pain management, and noticing the small changes that catch problems early. Low turnover usually means staff are treated well enough to stay.
What to do with this: when you visit, ask aides how long they've worked there. Long-tenured aides are the best sign a building has.
Inspections & deficiencies
The last 3 inspection cycles, from CMS’s federal health-survey file. State-only citations and fire-safety surveys are not included — an empty list means nothing federal is in this file, not that nothing ever happened.
Each deficiency gets a letter A–L: how severe it was × how widespread it was. moreless
Surveyors grade every deficiency on a grid. Severity runs from 'potential for minimal harm' up to 'immediate jeopardy to resident health or safety.' Scope runs from isolated (one or a few residents) to pattern to widespread. A and B are paperwork-level; D–F caused no actual harm but had the potential; G–I caused actual harm; J, K, and L mean immediate jeopardy — the most serious finding a surveyor can make. Most citations nationally are D–E.
What to do with this: scan for G or higher. One J/K/L tells you more than ten D's.
Standard surveys are routine; complaint surveys happen because someone reported a problem. moreless
A standard survey is the routine top-to-bottom inspection every home gets on a recurring cycle. A complaint survey happens because a resident, family member, or staff member reported something to the state — surveyors come specifically to investigate it. Infection-control surveys focus on practices like hand hygiene and isolation procedures. A deficiency found during a complaint survey means someone cared enough to report it and a surveyor confirmed enough to cite it.
What to do with this: note which deficiencies came from complaints — they show you what residents and families actually experienced.
The F-number on each deficiency is CMS's code for which federal requirement was violated. moreless
Every federal nursing-home requirement has a tag number. F0686, for example, is the pressure-ulcer requirement; F0600 is freedom from abuse. The tag tells you exactly which rule was broken, and the description next to it is CMS's own plain-language summary of that rule. The same tag appearing across multiple inspections is a pattern worth noticing.
What to do with this: if the same tag repeats across surveys, ask the facility what changed since the last citation.
This data shows federal health surveys only — state-only citations and fire-safety surveys aren't included. moreless
CMS's public deficiency file contains federal health-survey citations. It does not include citations issued under state-only rules, fire-safety (Life Safety Code) surveys, or anything older than three inspection cycles. A facility with no rows here may still have state citations or fire-safety findings. 'No deficiencies in this file' never means 'no violations ever.'
What to do with this: for the full picture, check your state health department's site and medicare.gov/care-compare, which shows fire-safety results separately.
75 deficiencies across the last 3 inspection cycles, in CMS’s federal health-survey file:
- Quality of Life and Care: 26
- Freedom from Abuse, Neglect, and Exploitation: 10
- Resident Rights: 10
- Infection Control: 8
- Pharmacy Service: 7
- Resident Assessment and Care Planning: 5
- Administration: 4
- Nutrition and Dietary: 3
- Nursing and Physician Services: 1
- Environmental: 1
March 20, 2026Complaint surveyTag F0600D — no actual harm, potential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected March 21, 2026
February 19, 2026Complaint surveyTag F0689D — no actual harm, potential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected February 20, 2026
December 23, 2025Complaint surveyTag F0600E — no actual harm, potential for more than minimal harm, pattern
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected December 24, 2025
December 23, 2025Complaint surveyTag F0690D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Deficient, Provider has date of correction · corrected December 24, 2025
December 23, 2025Complaint surveyTag F0744E — no actual harm, potential for more than minimal harm, pattern
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Deficient, Provider has date of correction · corrected December 24, 2025
December 23, 2025Complaint surveyTag F0842E — no actual harm, potential for more than minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Deficient, Provider has date of correction · corrected December 24, 2025
September 14, 2025Complaint surveyTag F0842D — no actual harm, potential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Deficient, Provider has date of correction · corrected September 15, 2025
May 8, 2025Complaint surveyTag F0550E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has date of correction · corrected May 29, 2025
May 8, 2025Complaint surveyTag F0600G — actual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected July 1, 2025
May 8, 2025Complaint surveyTag F0607D — no actual harm, potential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Deficient, Provider has date of correction · corrected July 1, 2025
Show 65 more deficiencies
May 8, 2025Complaint surveyTag F0609D — no actual harm, potential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected July 3, 2025
May 8, 2025Complaint surveyTag F0610D — no actual harm, potential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Deficient, Provider has date of correction · corrected July 1, 2025
March 28, 2025Standard surveyTag F0550E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has date of correction · corrected March 31, 2025
March 28, 2025Standard surveyTag F0677E — no actual harm, potential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has date of correction · corrected March 31, 2025
October 23, 2024Complaint surveyTag F0689G — actual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected October 24, 2024
October 1, 2024Complaint surveyTag F0689G — actual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected October 2, 2024
September 26, 2024Complaint surveyTag F0760J — immediate jeopardy to resident health or safety, isolated
Ensure that residents are free from significant medication errors.
Deficient, Provider has date of correction · corrected September 27, 2024
September 26, 2024Complaint surveyTag F0867F — no actual harm, potential for more than minimal harm, widespread
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Deficient, Provider has date of correction · corrected September 27, 2024
July 9, 2024Complaint surveyTag F0550E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has date of correction · corrected July 13, 2024
July 9, 2024Complaint surveyTag F0677D — no actual harm, potential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has date of correction · corrected July 13, 2024
July 9, 2024Complaint surveyTag F0804E — no actual harm, potential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Deficient, Provider has date of correction · corrected July 13, 2024
July 3, 2024Complaint surveyTag F0600G — actual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected July 6, 2024
July 3, 2024Complaint surveyTag F0609F — no actual harm, potential for more than minimal harm, widespread
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected July 6, 2024
July 3, 2024Complaint surveyTag F0610F — no actual harm, potential for more than minimal harm, widespread
Respond appropriately to all alleged violations.
Deficient, Provider has date of correction · corrected July 6, 2024
July 3, 2024Complaint surveyTag F0944F — no actual harm, potential for more than minimal harm, widespread
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Deficient, Provider has date of correction · corrected July 6, 2024
July 3, 2024Complaint surveyTag F0946F — no actual harm, potential for more than minimal harm, widespread
Provide training in compliance and ethics.
Deficient, Provider has date of correction · corrected July 6, 2024
July 3, 2024Complaint surveyTag F0947F — no actual harm, potential for more than minimal harm, widespread
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Deficient, Provider has date of correction · corrected July 6, 2024
April 24, 2024Complaint surveyTag F0600D — no actual harm, potential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected April 26, 2024
March 19, 2024Complaint surveyTag F0552D — no actual harm, potential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Deficient, Provider has date of correction · corrected March 28, 2024
March 19, 2024Complaint surveyTag F0580D — no actual harm, potential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Deficient, Provider has date of correction · corrected March 28, 2024
March 19, 2024Complaint surveyTag F0686D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Deficient, Provider has date of correction · corrected March 28, 2024
February 6, 2024Standard surveyTag F0582D — no actual harm, potential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Deficient, Provider has date of correction · corrected February 20, 2024
February 6, 2024Standard surveyTag F0641D — no actual harm, potential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Deficient, Provider has date of correction · corrected February 20, 2024
February 6, 2024Standard surveyTag F0657D — no actual harm, potential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Deficient, Provider has date of correction · corrected February 20, 2024
February 6, 2024Standard surveyTag F0677D — no actual harm, potential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has date of correction · corrected February 20, 2024
February 6, 2024Standard surveyTag F0684D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has date of correction · corrected February 20, 2024
February 6, 2024Standard surveyTag F0686D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Deficient, Provider has date of correction · corrected February 20, 2024
February 6, 2024Standard surveyTag F0688D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Deficient, Provider has date of correction · corrected February 20, 2024
February 6, 2024Standard surveyTag F0690D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Deficient, Provider has date of correction · corrected February 20, 2024
February 6, 2024Standard surveyTag F0695E — no actual harm, potential for more than minimal harm, pattern
Provide safe and appropriate respiratory care for a resident when needed.
Deficient, Provider has date of correction · corrected February 20, 2024
February 6, 2024Standard surveyTag F0759E — no actual harm, potential for more than minimal harm, pattern
Ensure medication error rates are not 5 percent or greater.
Deficient, Provider has date of correction · corrected February 20, 2024
February 6, 2024Standard surveyTag F0761D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected February 20, 2024
February 6, 2024Standard surveyTag F0883D — no actual harm, potential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Deficient, Provider has date of correction · corrected February 20, 2024
October 18, 2023Complaint surveyTag F0580D — no actual harm, potential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Deficient, Provider has date of correction · corrected November 16, 2023
October 18, 2023Complaint surveyTag F0677D — no actual harm, potential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has date of correction · corrected November 16, 2023
October 18, 2023Complaint surveyTag F0689G — actual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected November 17, 2023
September 1, 2023Complaint surveyTag F0690D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Deficient, Provider has date of correction · corrected September 4, 2023
August 16, 2023Complaint surveyTag F0684E — no actual harm, potential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has date of correction · corrected November 16, 2023
August 16, 2023Complaint surveyTag F0689G — actual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected November 17, 2023
July 24, 2023Complaint surveyTag F0760E — no actual harm, potential for more than minimal harm, pattern
Ensure that residents are free from significant medication errors.
Deficient, Provider has date of correction · corrected August 15, 2023
June 13, 2023Complaint surveyTag F0697D — no actual harm, potential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Deficient, Provider has date of correction · corrected June 28, 2023
February 16, 2023Standard surveyTag F0565E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0578D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0582D — no actual harm, potential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0656E — no actual harm, potential for more than minimal harm, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0684D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0686D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0689E — no actual harm, potential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0692D — no actual harm, potential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0695E — no actual harm, potential for more than minimal harm, pattern
Provide safe and appropriate respiratory care for a resident when needed.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0700E — no actual harm, potential for more than minimal harm, pattern
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.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0758E — no actual harm, potential for more than minimal harm, pattern
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.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0759E — no actual harm, potential for more than minimal harm, pattern
Ensure medication error rates are not 5 percent or greater.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0761E — no actual harm, potential for more than minimal harm, pattern
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.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0803E — no actual harm, potential for more than minimal harm, pattern
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.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0812F — no actual harm, potential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0849D — no actual harm, potential for more than minimal harm, isolated
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0880F — no actual harm, potential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0881F — no actual harm, potential for more than minimal harm, widespread
Implement a program that monitors antibiotic use.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0883E — no actual harm, potential for more than minimal harm, pattern
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0885F — no actual harm, potential for more than minimal harm, widespread
Report COVID19 data to residents and families.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0886F — no actual harm, potential for more than minimal harm, widespread
Perform COVID19 testing on residents and staff.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0887E — no actual harm, potential for more than minimal harm, pattern
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.
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0888F — no actual harm, potential for more than minimal harm, widespread
Ensure staff are vaccinated for COVID-19
Deficient, Provider has date of correction · corrected March 15, 2023
February 16, 2023Standard surveyTag F0909E — no actual harm, potential for more than minimal harm, pattern
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Deficient, Provider has date of correction · corrected March 15, 2023
Fines & penalties
CMS can fine a home or stop paying for new admissions. Shown per CMS's current data window (~3 years) — not all-time. moreless
When deficiencies are serious or aren't fixed, CMS can impose a fine (a civil money penalty) or a payment denial — refusing to pay for new Medicare/Medicaid admissions until the home fixes the problem. Payment denials hit harder than most fines because they stop revenue. CMS's public dataset covers a rolling window of roughly the last three years, so the totals here are recent history, not an all-time record. Many facilities have no penalties in the window — that's common, not remarkable.
What to do with this: a recent large fine deserves a direct question on your visit — what happened, and what changed?
Fines: 5 totaling $84,595 · Payment denials: 3 — per CMS data (rolling ~3-year window).
| Date | Type | Amount / length |
|---|---|---|
| March 28, 2025 | Payment Denial | 33 days, from May 31, 2025 |
| September 26, 2024 | Fine | $59,827 |
| September 26, 2024 | Payment Denial | 2 days, from October 22, 2024 |
| August 14, 2023 | Fine | $2,447 |
| August 7, 2023 | Fine | $2,117 |
| July 24, 2023 | Fine | $15,971 |
| July 24, 2023 | Payment Denial | 66 days, from September 12, 2023 |
| July 17, 2023 | Fine | $4,233 |
Ownership & chain
Who actually owns and controls the facility — individuals, companies, and their stakes. moreless
Nursing homes are often owned through layers: an operating company, a property company, management companies, and individual investors with percentage stakes. CMS publishes who holds 5%-or-greater interests and who has operational control. Ownership matters because it sets the budget: research has linked some ownership structures, especially certain chains and investment vehicles, to lower staffing. That's a pattern across the industry, not a verdict on any one building.
What to do with this: know who owns the home before you sign anything, and ask the administrator who actually sets the staffing budget.
Part of Goldwater Care (11 facilities). Chain average overall rating: 1.6★ — this facility: 1★.
Most US nursing homes belong to a chain. The chain's average rating is context for this home's rating. moreless
A chain is a group of facilities sharing an owner or operator. Chains share budgets, policies, and management practices, so a chain's average rating tells you something about the company behind the building. A home rating well above its chain's average may have an unusually strong local team; one below it may be the chain's neglected building. Either way, the chain sets the constraints the local staff work within.
What to do with this: if the chain average is low, ask the administrator what this building does differently.
| Owner / manager | Role | Stake | Since |
|---|---|---|---|
| 620 E. 1St St., LLC (Organization) | Adp of the snf | NOT APPLICABLE | 03/19/2025 |
| Ali, Basil (Individual) | Adp of the snf | NOT APPLICABLE | 07/01/2023 |
| Aperion Care Exec Holdings LLC (Organization) | Adp of the snf | NOT APPLICABLE | 07/01/2023 |
| Bane, Linda (Individual) | Adp of the snf | NOT APPLICABLE | 07/01/2023 |
| Curis Services LLC (Organization) | Adp of the snf | NOT APPLICABLE | 07/01/2023 |
| David A Berkowitz Delta Trust (Organization) | Adp of the snf | NOT APPLICABLE | 07/01/2023 |
| David A Berkowitz Revoc Tr David Berkowitz Ttee (Organization) | Adp of the snf | NOT APPLICABLE | 07/01/2023 |
| Goldwater Care Management LLC (Organization) | Adp of the snf | NOT APPLICABLE | 03/19/2025 |
| Hearn, Mary (Individual) | Adp of the snf | NOT APPLICABLE | 07/01/2023 |
| Joshua Hoffman Trust (Organization) | Adp of the snf | NOT APPLICABLE | 07/01/2023 |
| Katzenstein, Meir (Individual) | Adp of the snf | NOT APPLICABLE | 07/01/2023 |
| Seitler, Dovid (Individual) | Adp of the snf | NOT APPLICABLE | 07/01/2023 |
| Spector, Jennifer (Individual) | Adp of the snf | NOT APPLICABLE | 07/01/2023 |
| Stachowiak, Melissa (Individual) | Adp of the snf | NOT APPLICABLE | 07/01/2023 |
| Turofsky, Steven (Individual) | Adp of the snf | NOT APPLICABLE | 07/01/2023 |
| Tversky, Aaron (Individual) | Adp of the snf | NOT APPLICABLE | 07/01/2023 |
| Wilhelm, Naftali (Individual) | Adp of the snf | NOT APPLICABLE | 07/01/2023 |
| Yosef Meystel Declaration of Tr of Yosef Meystel Ttee (Organization) | Adp of the snf | NOT APPLICABLE | 07/01/2023 |
| Yosef Meystel Delta Trust (Organization) | Adp of the snf | NOT APPLICABLE | 07/01/2023 |
| Spector, Jennifer (Individual) | Corporate officer | NOT APPLICABLE | 07/01/2023 |
| Goldfarb, Brian (Individual) | Direct ownership interest | NOT APPLICABLE | 07/01/2023 |
| Berkowitz, David (Individual) | Individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/19/2025 |
| Meystel, Yosef (Individual) | Individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 02/12/2026 |
| Bane, Linda (Individual) | Managing control - governing body | NOT APPLICABLE | 07/01/2023 |
| Hearn, Mary (Individual) | Managing control - governing body | NOT APPLICABLE | 07/01/2023 |
| Stachowiak, Melissa (Individual) | Managing control - governing body | NOT APPLICABLE | 07/01/2023 |
| Ali, Basil (Individual) | Operational/managerial control | NOT APPLICABLE | 07/01/2023 |
| Bane, Linda (Individual) | Operational/managerial control | NOT APPLICABLE | 07/01/2023 |
| Goldwater Care Management LLC (Organization) | Operational/managerial control | NOT APPLICABLE | 07/01/2023 |
| Hearn, Mary (Individual) | Operational/managerial control | NOT APPLICABLE | 07/01/2023 |
| Katzenstein, Meir (Individual) | Operational/managerial control | NOT APPLICABLE | 07/01/2023 |
| Spector, Jennifer (Individual) | Operational/managerial control | NOT APPLICABLE | 07/01/2023 |
| Turofsky, Steven (Individual) | Operational/managerial control | NOT APPLICABLE | 07/01/2023 |
| Tversky, Aaron (Individual) | Operational/managerial control | NOT APPLICABLE | 07/01/2023 |
| Wilhelm, Naftali (Individual) | Operational/managerial control | NOT APPLICABLE | 07/01/2023 |
Nearby facilities in Ford County
Most families compare 2–3 homes. Same county, sorted by overall rating:
Visiting? Go in with questions.
Built from this facility’s own CMS data — bring them on the tour.
- CMS has applied its abuse icon to this facility — ask what happened, what the corrective plan was, and how staff are trained now.
- Their reported RN hours (0.46/resident/day) are below the IL median (0.62) — ask how nights and weekends are staffed.
- Their total nursing staff turnover (47.7%) is above the IL median (44.6%) — ask how long the aides on your person's unit have worked there.
- CMS data shows 5 fines totaling $84,595 in its current data window — ask what the citations were for and what changed afterward.
- Their weekend total nurse staffing (3.32/resident/day) is lower than their overall figure (3.52) — ask who covers weekends and how shifts are filled when someone calls out.
- Their last standard health inspection was March 28, 2025 — ask what's improved since then.
- CMS records that this facility has a resident council — ask to speak with a council member before deciding.
Data: Centers for Medicare & Medicaid Services (data.cms.gov), processing date June 1, 2026. This site is not affiliated with CMS or any government agency.