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GOLDWATER CARE CLINTON Inspection Report, Violations & Safety Grade (CLINTON, Illinois)

1 PARK LANE WEST, CLINTON, Illinois 61727

Phone: 2179358500

CMS Overall:1/5

Overview & Bed Count

Certified Beds
134
Avg Residents/Day
104.8
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
De Witt
Sprinkler Systems
Yes
Special Focus
SFF Candidate
Abuse Icon
Yes

CMS Star Ratings

Overall1/5
Health1/5
Staffing1/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityIllinois AvgDifference
RN Hours per Resident per Day0.140.71-0.57
Total Nurse Hours per Resident per Day3.313.47-0.16
CMS Staffing Rating1/52.2/5-
Nursing Staff Turnover67.5%43.7%-

Health Citation History

124 health citations on record

DateCategoryDescriptionSeverity
2026-08-20Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2026-08-20Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2026-07-17Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.G – Actual Harm
2026-07-17Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2026-07-17Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2026-06-23Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2026-06-23Resident Rights DeficienciesProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.E – Moderate Harm Potential
2026-06-04Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2026-05-28Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.G – Actual Harm
2026-05-28Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F – Moderate Harm Potential
2026-05-28Pharmacy Service DeficienciesEnsure 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.F – Moderate Harm Potential
2026-05-28Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E – Moderate Harm Potential
2026-04-29Nursing and Physician Services DeficienciesHave 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.F – Moderate Harm Potential
2026-04-29Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2026-04-29Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2026-04-15Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2026-04-15Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2026-04-15Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-03-21Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2026-03-21Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2026-03-21Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2026-02-18Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2026-02-18Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.G – Actual Harm
2026-02-18Nursing and Physician Services DeficienciesHave 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.F – Moderate Harm Potential
2026-02-18Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.F – Moderate Harm Potential
2026-02-18Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2026-02-18Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyF – Moderate Harm Potential
2026-02-18Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2026-02-18Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F – Moderate Harm Potential
2026-02-18Administration DeficienciesConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.F – Moderate Harm Potential
2026-02-18Administration DeficienciesProvide behavior health training consistent with the requirements and as determined by a facility assessment.F – Moderate Harm Potential
2026-02-18Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E – Moderate Harm Potential
2026-02-18Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2026-02-18Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.E – Moderate Harm Potential
2026-02-18Infection Control DeficienciesEducate 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.E – Moderate Harm Potential
2026-02-18Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.D – Moderate Harm Potential
2026-02-18Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2026-02-18Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D – Moderate Harm Potential
2026-02-18Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2026-02-18Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2026-02-18Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2026-02-18Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-02-18Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D – Moderate Harm Potential
2026-02-18Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2026-02-18Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D – Moderate Harm Potential
2026-01-13Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.G – Actual Harm
2026-01-13Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2026-01-13Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.G – Actual Harm
2026-01-13Nursing and Physician Services DeficienciesHave 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.F – Moderate Harm Potential
2026-01-13Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E – Moderate Harm Potential

Showing 50 of 124 citations.

Fire Safety Citation History

5 fire safety citations on record

DateCategoryDescriptionSeverity
2026-02-18Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.F – Moderate Harm Potential
2026-02-18Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-12-05Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2024-01-12Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.F – Moderate Harm Potential
2024-01-12Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential

Total Penalties & Fines

$247,594
Total Fine Amount (CMS)
4
Number of Fines
6
Total Penalties
DateTypeFine AmountPayment Denial
2026-05-28Fine$22,895-
2026-05-28Fine$26,985-
2026-05-28Payment Denial-1 days starting 2026-06-25
2026-01-13Fine$164,970-
2026-01-13Payment Denial-79 days starting 2026-02-11
2024-12-05Fine$32,744-

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