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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G10 | H· | I· |
| Potential harm | D54 | E23 | F19 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 22, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 25, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 10, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 9, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 11, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 17, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jul 28, 2025 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Apr 10, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 26, 2025 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Feb 26, 2025 | Health | Health Standard | 13 | Actual harm | — | Open → |
| Dec 31, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 26, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 6, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Sep 19, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 11, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 18, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jul 3, 2024 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Jun 21, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 24, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 15, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 7, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 28, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 2, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Feb 2, 2024 | Health | Health Complaint, Health Standard | 16 | Actual harm | — | Open → |
| Jan 23, 2024 | Health | Health Complaint | 11 | Immediate jeopardy | — | Open → |
| Oct 13, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 24, 2023 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Jan 24, 2023 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 26, 2025 | Denial of payment for new admissions | — | Mar 27, 2025 · 15 days | 145016|Payment Denial|2025-03-27 |
| Feb 26, 2025 | Civil money penalty (fine) | $110,450 | — | 145016|Fine|70398 |
| Jun 21, 2024 | Denial of payment for new admissions | — | Aug 1, 2024 · 5 days | 145016|Payment Denial|2024-08-01 |
| Jun 21, 2024 | Civil money penalty (fine) | $48,685 | — | 145016|Fine|69892 |
| Jan 23, 2024 | Denial of payment for new admissions | — | Feb 16, 2024 · 21 days | 145016|Payment Denial|2024-02-16 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G10 | H· | I· |
| Potential harm | D54 | E23 | F19 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 22, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 23, 2026 | Complaint |
| Jul 25, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 26, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
11 facilities in 1 states. CMS chain ID 699.
Chain average overall rating (CMS): 1.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| David a Berkowitz Delta Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2023 |
| Yosef Meystel Declaration of Tr of Yosef Meystel Ttee | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2023 |
| Yosef Meystel Delta Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2023 |
| Brian Goldfarb | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| David a Berkowitz Delta Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2023 |
| Yosef Meystel Declaration of Tr of Yosef Meystel Ttee | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2023 |
| Yosef Meystel Delta Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2023 |
| Brian Goldfarb | Individual | Direct owner | DIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Goldwater Care Danville 620 Warrington Avenue, Danville, IL 61832 CCN 145183SFF Candidate | 90 | Jul 20, 2026 | 1164 IJ8 harm | $594k | |
| Goldwater Care Peoria Heights |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Arcadia Care Bloomington 1509 North Calhoun Street, Bloomington, IL 61701 CCN 145371Abuse icon | 1.9 km | 115 | Aug 24, 2026 | 721 IJ5 harm5 open | $244k | |
| Loft Rehab & Nursing of Normal 510 Broadway, Normal, IL 61761 CCN 145031 | 2.2 km | 116 | Aug 25, 2026 | 1113 IJ11 harm1 open | $248k | |
| Westminster Village 2025 East Lincoln Street, Bloomington, IL 61701 CCN 145400Abuse icon | 3 km | 48 | May 29, 2026 | 482 harm | $12k | |
| Arc at Normal 509 North Adelaide, Normal, IL 61761 CCN 145732Abuse icon | 3.4 km | 141 | Jul 13, 2026 | 769 harm | $117k | |
| Mclean County Nursing Home 901 North Main, Normal, IL 61761 CCN 145494Abuse icon | 4.1 km | 148 | Aug 13, 2025 | 30 | — | |
| Luther Oaks 601 Lutz Road, Bloomington, IL 61704 CCN 146184 | 5.2 km | 19 | Aug 27, 2026 | 471 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 145016 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 145016 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 145016 | county_fips County assigned by locating CMS coordinates in Census county boundaries (the CMS county name did not match the Census code list). | Inferred | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Jan 23, 2024 | Civil money penalty (fine) | $75,498 | — | 145016|Fine|69326 |
| Jun 10, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 11, 2026 | Complaint |
| Apr 9, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 10, 2026 | Complaint |
| Apr 9, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 10, 2026 | Complaint |
| Sep 11, 2025 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 25, 2025 | Complaint |
| Aug 17, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 18, 2025 | Complaint |
| Jul 28, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Jul 29, 2025 | Complaint |
| Jul 28, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 29, 2025 | Complaint |
| Jul 28, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 29, 2025 | Complaint |
| Apr 10, 2025 | F-0727 | 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 · Staffing & supervision | F · Potential harm Widespread | Corrected Apr 11, 2025 | Complaint |
| Feb 26, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 1, 2025 |
| Feb 26, 2025 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 28, 2025 |
| Feb 26, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 28, 2025 |
| Feb 26, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 28, 2025 |
| Feb 26, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 28, 2025 |
| Feb 26, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 27, 2025 |
| Feb 26, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 28, 2025 |
| Feb 26, 2025 | K-0541 | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 28, 2025 |
| Feb 26, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 28, 2025 |
| Feb 26, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 28, 2025 |
| Feb 26, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 28, 2025 |
| Feb 26, 2025 | K-0930 | Ensure proper storage of liquid oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 28, 2025 |
| Feb 26, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 1, 2025 |
| Feb 26, 2025 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 27, 2025 |
| Feb 26, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 27, 2025 |
| Feb 26, 2025 | F-0659 | Provide care by qualified persons according to each resident's written plan of care. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 27, 2025 |
| Feb 26, 2025 | F-0661 | 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 · Clinical care | D · Potential harm Isolated | Corrected Feb 27, 2025 |
| Feb 26, 2025 | F-0676 | 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 · Clinical care | D · Potential harm Isolated | Corrected Feb 27, 2025 |
| Feb 26, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 27, 2025 |
| Feb 26, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 27, 2025 |
| Feb 26, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 27, 2025 |
| Feb 26, 2025 | F-0690 | 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 · Clinical care | D · Potential harm Isolated | Corrected Apr 1, 2025 |
| Feb 26, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 27, 2025 |
| Feb 26, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 1, 2025 |
| Dec 31, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 2, 2025 | Complaint |
| Dec 26, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 26, 2024 | Complaint |
| Dec 26, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Dec 26, 2024 | Complaint |
| Dec 26, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 26, 2024 | Complaint |
| Nov 6, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 7, 2024 | Complaint |
| Nov 6, 2024 | F-0690 | 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 · Clinical care | D · Potential harm Isolated | Corrected Nov 7, 2024 | Complaint |
| Nov 6, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 7, 2024 | Complaint |
| Sep 19, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 20, 2024 | Complaint |
| Sep 11, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 23, 2024 | Complaint |
| Jul 18, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 6, 2024 | Complaint |
| Jul 3, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 8, 2024 | Complaint |
| Jul 3, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 8, 2024 | Complaint |
| Jul 3, 2024 | F-0725 | 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 · Staffing & supervision | F · Potential harm Widespread | Corrected Jul 8, 2024 | Complaint |
| Jul 3, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 8, 2024 | Complaint |
| Jun 21, 2024 | F-0580 | 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 · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 22, 2024 | Complaint |
| Jun 21, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2024 | Complaint |
| Apr 24, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 25, 2024 | Complaint |
| Apr 15, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 9, 2024 | Complaint |
| Apr 15, 2024 | F-0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 9, 2024 | Complaint |
| Mar 7, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 8, 2024 | Complaint |
| Mar 7, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 8, 2024 | Complaint |
| Feb 28, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 8, 2024 | Complaint |
| Feb 2, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 29, 2024 | Complaint |
| Feb 2, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 15, 2024 |
| Feb 2, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 15, 2024 |
| Feb 2, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 15, 2024 |
| Feb 2, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 15, 2024 |
| Feb 2, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 15, 2024 |
| Feb 2, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 28, 2024 |
| Feb 2, 2024 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 28, 2024 | Complaint |
| Feb 2, 2024 | F-0580 | 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 · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 28, 2024 | Complaint |
| Feb 2, 2024 | F-0656 | 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 · Clinical care | D · Potential harm Isolated | Corrected Feb 28, 2024 |
| Feb 2, 2024 | F-0661 | 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 · Clinical care | D · Potential harm Isolated | Corrected Feb 28, 2024 |
| Feb 2, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 8, 2024 | Complaint |
| Feb 2, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 29, 2024 | Complaint |
| Feb 2, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 29, 2024 |
| Feb 2, 2024 | F-0690 | 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 · Clinical care | D · Potential harm Isolated | Corrected Feb 29, 2024 | Complaint |
| Feb 2, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 28, 2024 |
| Feb 2, 2024 | F-0761 | 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 · Medication management | E · Potential harm Pattern | Corrected Feb 28, 2024 | Complaint |
| Feb 2, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 28, 2024 |
| Feb 2, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 29, 2024 |
| Feb 2, 2024 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 28, 2024 |
| Feb 2, 2024 | F-0924 | Put firmly secured handrails on each side of hallways. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 28, 2024 |
| Jan 23, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Feb 28, 2024 | Complaint |
| Jan 23, 2024 | F-0600 | 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 · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Feb 28, 2024 | Complaint |
| Jan 23, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 29, 2024 | Complaint |
| Jan 23, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 29, 2024 | Complaint |
| Jan 23, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 28, 2024 | Complaint |
| Jan 23, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 28, 2024 | Complaint |
| Jan 23, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 8, 2024 | Complaint |
| Jan 23, 2024 | F-0690 | 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 · Clinical care | D · Potential harm Isolated | Corrected Feb 29, 2024 | Complaint |
| Jan 23, 2024 | F-0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Feb 28, 2024 | Complaint |
| Jan 23, 2024 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 29, 2024 | Complaint |
| Jan 23, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 28, 2024 | Complaint |
| Oct 13, 2023 | F-0600 | 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 · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 14, 2023 | Complaint |
| Oct 13, 2023 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 14, 2023 | Complaint |
| Jan 24, 2023 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 17, 2023 |
| Jan 24, 2023 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 16, 2023 |
| Jan 24, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 16, 2023 |
| Jan 24, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 16, 2023 |
| Jan 24, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 16, 2023 |
| Jan 24, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 16, 2023 |
| Jan 24, 2023 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 13, 2023 |
| Jan 24, 2023 | F-0656 | 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 · Clinical care | D · Potential harm Isolated | Corrected Feb 13, 2023 |
| Jan 24, 2023 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 13, 2023 |
| Jan 24, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 13, 2023 |
| Jan 24, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 13, 2023 |
| Jan 24, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 13, 2023 |
| Jan 24, 2023 | F-0761 | 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 · Medication management | D · Potential harm Isolated | Corrected Feb 13, 2023 |
| Jan 24, 2023 | F-0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Feb 13, 2023 |
| Jan 24, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 15, 2023 |
| Jan 24, 2023 | F-0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 13, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.80 (case-mix index 1.71).
| not provided |
| Jul 1, 2023 |
| David Berkowitz | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Mar 19, 2025 |
| Yosef Meystel | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Mar 19, 2025 |
| Steven Turofsky | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jun 9, 2026 |
| Jan Joaquin | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2023 |
| Meir Katzenstein | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2023 |
| Heidi Lock | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2023 |
| Melissa Stachowiak | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2023 |
| Aaron Tversky | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2023 |
| Goldwater Care Management LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2023 |
| Steven Ingalsbe | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2023 |
| Jan Joaquin | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2023 |
| Meir Katzenstein | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2023 |
| Heidi Lock | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2023 |
| Jennifer Spector | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2023 |
| Steven Turofsky | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2023 |
| Aaron Tversky | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Naftali Wilhelm | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2023 |
| Jennifer Spector | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2023 |
| 700 E. Walnut St., LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 19, 2025 |
| Aperion Care Exec Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2023 |
| Curis Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2023 |
| David a Berkowitz Delta Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2023 |
| David a Berkowitz Revoc Tr David Berkowitz Ttee | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Goldwater Care Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 19, 2025 |
| Joshua Hoffman Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2023 |
| Yosef Meystel Delta Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2023 |
| Steven Ingalsbe | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2023 |
| Jan Joaquin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2023 |
| Meir Katzenstein | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2023 |
| Heidi Lock | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2023 |
| Jennifer Spector | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2023 |
| Melissa Stachowiak | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2023 |
| Steven Turofsky | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2023 |
| Aaron Tversky | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2023 |
| Naftali Wilhelm | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2023 |
| 94 |
| Jul 13, 2026 |
1556 IJ10 harm1 open |
| $582k |
| Goldwater Care Marseilles 578 West Commercial Street, Marseilles, IL 61341 CCN 145295Abuse icon | 103 | Aug 14, 2026 | 1131 IJ10 harm | $365k |
| Goldwater Care Toluca 101 East Via Ghiglieri, Toluca, IL 61369 CCN 145413Abuse icon | 104 | Aug 18, 2026 | 393 harm | $15k |
| Goldwater Care Princeton 515 Bureau Valley Parkway, Princeton, IL 61356 CCN 145437Abuse icon | 92 | Jul 23, 2026 | 31 | — |
| Goldwater Care Spring Valley 1300 North Greenwood Street, Spring Valley, IL 61362 CCN 145486 | 98 | Jul 10, 2026 | 34 | — |
| Goldwater Care Gibson City 620 East First Street, Gibson City, IL 60936 CCN 145911Abuse icon | 60 | May 12, 2026 | 861 IJ5 harm | $60k |
| Goldwater Pontiac Nursing Home 1225 South Ewing Drive, Pontiac, IL 61764 CCN 145930Abuse icon | 90 | Aug 26, 2026 | 501 harm | — |