nursing home in Clinton, IL
Goldwater Care Clinton
1 Park Lane West, Clinton, IL 61727 · (217) 935-8500
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★1
- Special Focus candidate
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Goldwater Care Clinton at a glance
Goldwater Care Clinton is a 134-bed for-profit nursing home in Clinton, Illinois (De Witt County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Illinois average of 2.5.
Residents receive about 3.3 hours of nursing care per day (0.2 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (February 18, 2026) found 60 health citations. The Illinois average is 12.5.
Federal regulators fined it 4 times in the past three years, totaling $247,594.
Nursing staff turnover is 69.9% per year (state average 44.5%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 134
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Goldwater Care
- Medicare-certified since
- February 2, 2005
- Resident/family council
- Resident
- County
- De Witt County
- CMS Certification Number
- 146076
Ratings
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.1 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 2.5 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.34 hrs | 3.45 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.23 hrs | 0.72 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.27 hrs | 2.09 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.00 hrs | 3.07 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 69.9% | 44.5% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 83.3% | 41.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 60 | 12 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 39 | 5 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 737.5 | 143 | 80.6 | Worse |
Penalties
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $247,594 | $111,013 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 6 | 3 | 1 | Worse |
Size
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 134 | 128 | 107 | |
| Average residents per day | 107 | 95 | 86 | |
| Occupancy | 80% | 75% | 80.9% |
Long-stay residents
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.7% | 3.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.8% | 4.8% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 34.5% | 21.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.2% | 1.5% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 0.9% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 27.3% | 13.4% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 24.7% | 14.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 8.2% | 6.3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 60.8% | 54.2% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 31.4% | 18.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 26% | 20.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 88.8% | 91.8% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 26.3% | 90.3% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.2% | 2.2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 27.9% | 63.1% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 8.7% | 69.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 122 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. 10 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 17, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected July 18, 2026 |
| July 17, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected July 18, 2026 |
| July 17, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected July 18, 2026 |
| June 23, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected June 26, 2026 |
| June 23, 2026 Complaint | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Tag F0568 | E Potential harm, pattern | Corrected June 24, 2026 |
| June 4, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 26, 2026 |
| May 28, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected May 29, 2026 |
| May 28, 2026 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | F Potential harm, widespread | Corrected May 29, 2026 |
| May 28, 2026 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | F Potential harm, widespread | Corrected May 29, 2026 |
| May 28, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | E Potential harm, pattern | Corrected May 29, 2026 |
| April 29, 2026 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected May 1, 2026 |
| April 29, 2026 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected May 1, 2026 |
| April 29, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected May 1, 2026 |
| April 15, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 16, 2026 |
| April 15, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected April 16, 2026 |
| April 15, 2026 Complaint | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 21, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected March 23, 2026 |
| March 21, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 21, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected March 23, 2026 |
| February 18, 2026 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected February 14, 2026 |
| February 18, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 13, 2026 |
| February 18, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected February 20, 2026 |
| February 18, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected February 20, 2026 |
| February 18, 2026 Standard | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Tag F0944 | F Potential harm, widespread | Corrected February 20, 2026 |
| February 18, 2026 Standard | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | F Potential harm, widespread | Corrected February 20, 2026 |
| February 18, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected February 20, 2026 |
| February 18, 2026 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | F Potential harm, widespread | Corrected February 20, 2026 |
| February 18, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected February 20, 2026 |
| February 18, 2026 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected May 1, 2026 |
| February 18, 2026 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | F Potential harm, widespread | Corrected February 20, 2026 |
| February 18, 2026 Standard | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Tag F0949 | F Potential harm, widespread | Corrected February 20, 2026 |
| February 18, 2026 Standard | 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. Infection Control Deficiencies · Tag F0887 | E Potential harm, pattern | Corrected February 20, 2026 |
| February 18, 2026 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected February 20, 2026 |
| February 18, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected April 10, 2026 |
| February 18, 2026 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | E Potential harm, pattern | Corrected February 20, 2026 |
| February 18, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected April 10, 2026 |
| February 18, 2026 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | D Potential harm, isolated | Corrected February 20, 2026 |
| February 18, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected February 20, 2026 |
| February 18, 2026 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected February 20, 2026 |
| February 18, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected February 20, 2026 |
| February 18, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected February 20, 2026 |
| February 18, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected April 10, 2026 |
| February 18, 2026 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected February 20, 2026 |
| February 18, 2026 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected February 20, 2026 |
| February 18, 2026 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected February 20, 2026 |
| January 13, 2026 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | G Actual harm, isolated | Corrected December 19, 2025 |
| January 13, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected January 14, 2026 |
| January 13, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected January 14, 2026 |
| January 13, 2026 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected May 1, 2026 |
| January 13, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected January 14, 2026 |
| January 13, 2026 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected January 14, 2026 |
| January 13, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected January 14, 2026 |
| January 13, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected January 14, 2026 |
| January 13, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected April 10, 2026 |
| January 13, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected March 23, 2026 |
| January 13, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected January 14, 2026 |
| September 19, 2025 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected September 22, 2025 |
| September 19, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected September 26, 2025 |
| September 19, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected September 26, 2025 |
| September 19, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected September 26, 2025 |
| September 19, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 26, 2025 |
| September 19, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected October 10, 2025 |
| June 3, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected June 13, 2025 |
| May 5, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | E Potential harm, pattern | Corrected May 6, 2025 |
| May 5, 2025 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | E Potential harm, pattern | Corrected May 8, 2025 |
| May 5, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected May 6, 2025 |
| May 5, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected May 6, 2025 |
| May 5, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected May 9, 2025 |
| February 19, 2025 Complaint | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Tag F0680 | C No harm, widespread | Corrected February 27, 2025 |
| January 28, 2025 Complaint | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected February 20, 2025 |
| December 5, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected December 26, 2024 |
| December 5, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected December 27, 2024 |
| December 5, 2024 Standard | 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. Infection Control Deficiencies · Tag F0887 | F Potential harm, widespread | Corrected December 27, 2024 |
| December 5, 2024 Standard | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Nursing and Physician Services Deficiencies · Tag F0729 | F Potential harm, widespread | Corrected December 27, 2024 |
| December 5, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0585 | F Potential harm, widespread | Corrected December 27, 2024 |
| December 5, 2024 Standard | 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. Administration Deficiencies · Tag F0838 | F Potential harm, widespread | Corrected December 27, 2024 |
| December 5, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected December 27, 2024 |
| December 5, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected December 27, 2024 |
| December 5, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Standard | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Tag F0770 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected December 27, 2024 |
| November 18, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected November 27, 2024 |
| November 18, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected November 27, 2024 |
| October 2, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected October 22, 2024 |
| October 2, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected October 22, 2024 |
| October 2, 2024 Complaint | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected October 22, 2024 |
| October 2, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected October 22, 2024 |
| October 2, 2024 Complaint | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | D Potential harm, isolated | Corrected October 22, 2024 |
| October 2, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected October 22, 2024 |
| October 2, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected October 22, 2024 |
| June 26, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected July 17, 2024 |
| May 15, 2024 Complaint | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603 | D Potential harm, isolated | Corrected June 2, 2024 |
| May 15, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 2, 2024 |
| May 15, 2024 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected June 2, 2024 |
| March 26, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected April 3, 2024 |
| March 26, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected April 3, 2024 |
| March 26, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 3, 2024 |
| February 2, 2024 Complaint | Provide care by qualified persons according to each resident's written plan of care. Resident Assessment and Care Planning Deficiencies · Tag F0659 | E Potential harm, pattern | Corrected February 16, 2024 |
| February 2, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected February 16, 2024 |
| February 2, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected February 16, 2024 |
| January 12, 2024 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected January 25, 2024 |
| January 12, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected March 30, 2024 |
| January 12, 2024 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected January 25, 2024 |
| January 12, 2024 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected January 29, 2024 |
| January 12, 2024 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | F Potential harm, widespread | Corrected January 25, 2024 |
| January 12, 2024 Complaint | 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 · Tag F0690 | E Potential harm, pattern | Corrected January 26, 2024 |
| January 12, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected January 30, 2024 |
| January 12, 2024 Standard | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Tag F0661 | D Potential harm, isolated | Corrected January 25, 2024 |
| January 12, 2024 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected January 26, 2024 |
| January 12, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected February 2, 2024 |
| January 12, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 26, 2024 |
| January 12, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected February 1, 2024 |
| January 12, 2024 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected January 30, 2024 |
| January 12, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected January 30, 2024 |
| January 12, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected January 26, 2024 |
| October 27, 2023 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected November 14, 2023 |
| October 27, 2023 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected November 14, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 6 federal penalties in the past three years, including $247,594 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 28, 2026 | Payment Denial | 1 days from June 25, 2026 |
| May 28, 2026 | Fine | $26,985 |
| May 28, 2026 | Fine | $22,895 |
| January 13, 2026 | Payment Denial | 79 days from February 11, 2026 |
| January 13, 2026 | Fine | $164,970 |
| December 5, 2024 | Fine | $32,744 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| 1 PARK LANE WEST, LLC Organization | adp of the snf | NOT APPLICABLE | 04/23/2025 |
| BANKS, CHRISTINE Individual | adp of the snf | NOT APPLICABLE | 03/01/2024 |
| CURIS SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2024 |
| DAVID A BERKOWITZ DELTA TRUST Organization | adp of the snf | NOT APPLICABLE | 03/01/2024 |
| GOLDWATER CARE MANAGEMENT LLC Organization | adp of the snf | NOT APPLICABLE | 04/23/2025 |
| JOSHUA HOFFMAN TRUST Organization | adp of the snf | NOT APPLICABLE | 03/01/2024 |
| KATZENSTEIN, MEIR Individual | adp of the snf | NOT APPLICABLE | 03/01/2024 |
| KUREISHY, FARRUKH Individual | adp of the snf | NOT APPLICABLE | 03/01/2024 |
| RISSMAN, RYAN Individual | adp of the snf | NOT APPLICABLE | 03/01/2024 |
| SPECTOR, JENNIFER Individual | adp of the snf | NOT APPLICABLE | 03/01/2024 |
| STACHOWIAK, MELISSA Individual | adp of the snf | NOT APPLICABLE | 03/01/2024 |
| TUROFSKY, STEVEN Individual | adp of the snf | NOT APPLICABLE | 03/01/2024 |
| TVERSKY, AARON Individual | adp of the snf | NOT APPLICABLE | 03/01/2024 |
| WILHELM, NAFTALI Individual | adp of the snf | NOT APPLICABLE | 03/01/2024 |
| YOSEF MEYSTEL DELTA TRUST Organization | adp of the snf | NOT APPLICABLE | 03/01/2024 |
| SPECTOR, JENNIFER Individual | corporate officer | NOT APPLICABLE | 03/01/2024 |
| BERKOWITZ, DAVID Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/23/2025 |
| MEYSTEL, YOSEF Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/23/2025 |
| RISSMAN, RYAN Individual | managing control - governing body | NOT APPLICABLE | 03/01/2024 |
| STACHOWIAK, MELISSA Individual | managing control - governing body | NOT APPLICABLE | 03/01/2024 |
| BANKS, CHRISTINE Individual | operational/managerial control | NOT APPLICABLE | 03/01/2024 |
| GOLDWATER CARE MANAGEMENT LLC Organization | operational/managerial control | NOT APPLICABLE | 03/01/2024 |
| KATZENSTEIN, MEIR Individual | operational/managerial control | NOT APPLICABLE | 03/01/2024 |
| KUREISHY, FARRUKH Individual | operational/managerial control | NOT APPLICABLE | 03/01/2024 |
| RISSMAN, RYAN Individual | operational/managerial control | NOT APPLICABLE | 03/01/2024 |
| SPECTOR, JENNIFER Individual | operational/managerial control | NOT APPLICABLE | 03/01/2024 |
| TUROFSKY, STEVEN Individual | operational/managerial control | NOT APPLICABLE | 03/01/2024 |
| TVERSKY, AARON Individual | operational/managerial control | NOT APPLICABLE | 03/01/2024 |
| WILHELM, NAFTALI Individual | operational/managerial control | NOT APPLICABLE | 03/01/2024 |
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Frequently asked questions
What is Goldwater Care Clinton's rating?
Goldwater Care Clinton has 1 out of 5 stars on the CMS overall star rating. The average for Illinois nursing homes is 2.5 stars.
How many inspection citations did Goldwater Care Clinton receive?
Its most recent standard health inspection found 60 citations, compared with a Illinois average of 12.5. Every citation is listed on this page with its severity.
Does Goldwater Care Clinton accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Goldwater Care Clinton?
It is for profit - corporation and part of Goldwater Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Goldwater Care Clinton and how do I contact it?
Goldwater Care Clinton is at 1 Park Lane West, Clinton, IL 61727. Phone: (217) 935-8500.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.