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

5533 NORTH GALENA ROAD, PEORIA HEIGHTS, Illinois 61614

Phone: 3096825428

CMS Overall:1/5

Overview & Bed Count

Certified Beds

Avg Residents/Day

52.7

Ownership

For profit - Limited Liability company

Provider Type

Medicare and Medicaid

County

Peoria

Sprinkler Systems

Yes

Special Focus

SFF Candidate

Abuse Icon

CMS Star Ratings

Overall1/5

Health1/5

Staffing1/5

Quality3/5

Nurse Staffing Check

Metric	This Facility	Illinois Avg	Difference
RN Hours per Resident per Day	0.37	0.71	-0.34
Total Nurse Hours per Resident per Day	4.28	3.47	+0.81
CMS Staffing Rating	1/5	2.2/5	-
Nursing Staff Turnover	76.5%	43.7%	-

Health Citation History

117 health citations on record

Date	Category	Description	Severity
2026-07-13	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	D – Moderate Harm Potential
2026-06-17	Resident Rights Deficiencies	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.	G – Actual Harm
2026-06-17	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G – Actual Harm
2026-06-17	Resident Rights Deficiencies	Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.	D – Moderate Harm Potential
2026-05-27	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G – Actual Harm
2026-04-29	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	G – Actual Harm
2026-04-29	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G – Actual Harm
2026-04-29	Nursing and Physician Services Deficiencies	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.	F – Moderate Harm Potential
2026-04-29	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2026-04-29	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F – Moderate Harm Potential
2026-04-29	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	F – Moderate Harm Potential
2026-04-29	Infection Control Deficiencies	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.	F – Moderate Harm Potential
2026-04-29	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	E – Moderate Harm Potential
2026-04-29	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E – Moderate Harm Potential
2026-04-29	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2026-04-29	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D – Moderate Harm Potential
2026-04-29	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D – Moderate Harm Potential
2026-04-29	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D – Moderate Harm Potential
2026-04-29	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D – Moderate Harm Potential
2026-04-29	Resident Assessment and Care Planning Deficiencies	Develop 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
2026-04-29	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	D – Moderate Harm Potential
2026-04-29	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D – Moderate Harm Potential
2026-04-29	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential
2026-04-29	Quality of Life and Care Deficiencies	Provide care or services that was trauma informed and/or culturally competent.	D – Moderate Harm Potential
2026-04-29	Pharmacy Service Deficiencies	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.	D – Moderate Harm Potential
2026-04-15	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D – Moderate Harm Potential
2026-02-28	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2026-02-13	Administration Deficiencies	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	L – Immediate Jeopardy
2026-02-13	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	J – Immediate Jeopardy
2026-02-13	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	J – Immediate Jeopardy
2026-02-13	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	G – Actual Harm
2026-02-13	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	G – Actual Harm
2026-02-13	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	G – Actual Harm
2026-02-13	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	F – Moderate Harm Potential
2026-02-13	Nursing and Physician Services Deficiencies	Provide 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
2026-02-13	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	F – Moderate Harm Potential
2026-02-13	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	F – Moderate Harm Potential
2026-02-13	Administration Deficiencies	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.	F – Moderate Harm Potential
2026-02-13	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E – Moderate Harm Potential
2026-02-13	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E – Moderate Harm Potential
2026-02-13	Resident Rights Deficiencies	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.	D – Moderate Harm Potential
2026-02-13	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2026-02-13	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D – Moderate Harm Potential
2026-02-13	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D – Moderate Harm Potential
2026-02-13	Administration Deficiencies	Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.	D – Moderate Harm Potential
2026-02-13	Administration Deficiencies	Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.	D – Moderate Harm Potential
2025-12-07	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D – Moderate Harm Potential
2025-12-07	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2025-08-06	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	F – Moderate Harm Potential
2025-08-06	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D – Moderate Harm Potential

Showing 50 of 117 citations.

Fire Safety Citation History

38 fire safety citations on record

Date	Category	Description	Severity
2026-04-29	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2026-04-29	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2026-04-29	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	F – Moderate Harm Potential
2026-04-29	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	F – Moderate Harm Potential
2026-04-29	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	F – Moderate Harm Potential
2026-04-29	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2026-04-29	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	E – Moderate Harm Potential
2026-04-29	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	E – Moderate Harm Potential
2026-04-29	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2026-04-29	Smoke Deficiencies	Install an approved automatic sprinkler system.	E – Moderate Harm Potential
2026-04-29	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	E – Moderate Harm Potential
2026-04-29	Miscellaneous Deficiencies	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	E – Moderate Harm Potential
2026-04-29	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure operating rooms are properly protected and written records are maintained and available for inspection.	E – Moderate Harm Potential
2026-04-29	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	E – Moderate Harm Potential
2024-10-01	Emergency Preparedness Deficiencies	Address subsistence needs for staff and patients.	F – Moderate Harm Potential
2024-10-01	Egress Deficiencies	Install emergency lighting that can last at least 1 1/2 hours.	F – Moderate Harm Potential
2024-10-01	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	F – Moderate Harm Potential
2024-10-01	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	F – Moderate Harm Potential
2024-10-01	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2024-10-01	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	E – Moderate Harm Potential
2024-10-01	Egress Deficiencies	Have exits that are accessible at all times.	E – Moderate Harm Potential
2024-10-01	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	E – Moderate Harm Potential
2024-10-01	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2024-10-01	Smoke Deficiencies	Install an approved automatic sprinkler system.	E – Moderate Harm Potential
2024-10-01	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2024-10-01	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	E – Moderate Harm Potential
2024-10-01	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure operating rooms are properly protected and written records are maintained and available for inspection.	E – Moderate Harm Potential
2024-10-01	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	E – Moderate Harm Potential
2023-07-24	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	F – Moderate Harm Potential
2023-07-24	Egress Deficiencies	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	E – Moderate Harm Potential
2023-07-24	Egress Deficiencies	Have exits that are accessible at all times.	E – Moderate Harm Potential
2023-07-24	Egress Deficiencies	Have properly located and lighted "Exit" signs.	E – Moderate Harm Potential
2023-07-24	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	E – Moderate Harm Potential
2023-07-24	Smoke Deficiencies	Install an approved automatic sprinkler system.	E – Moderate Harm Potential
2023-07-24	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2023-07-24	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	E – Moderate Harm Potential
2023-07-24	Smoke Deficiencies	Install smoke barrier doors that can resist smoke for at least 20 minutes.	E – Moderate Harm Potential
2023-07-24	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	E – Moderate Harm Potential

Total Penalties & Fines

$582,464

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2026-04-29	Fine	$175,800	-
2026-04-29	Payment Denial	-	33 days starting 2026-05-23
2026-02-13	Fine	$225,242	-
2026-02-13	Payment Denial	-	34 days starting 2026-03-13
2023-11-30	Fine	$181,422	-
2023-11-30	Payment Denial	-	111 days starting 2024-01-20

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Need Help Finding Safe Care?

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(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.