GOLDWATER CARE CLINTON
1 PARK LANE WEST, CLINTON, IL 61727 · CCN 146076
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 134
- Avg residents/day
- 105.0
- Phone
- 2179358500
Inspection history vs Illinois & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Illinois avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-12-05 | 43 | 12.2 | 9.5 | +30.8 worse |
| 2 | 2024-01-12 | 31 | 12.7 | 9.8 | +18.3 worse |
| 3 | 2022-12-02 | 11 | 13.1 | 9.3 | -2.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 14 |
| Resident assessment and care planning | 7 |
| Nursing and physician services | 3 |
| Resident rights | 5 |
| Pharmacy service | 6 |
| Administration | 2 |
| Infection control | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.55 | 77.2% |
| RN staffing (reported) | 0.30 | 76.9% |
| Total nurse staffing (adjusted) | 3.25 | — |
Fines & penalties
- Total fines
- $54,678
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- GOLDWATER CARE
- Facilities in chain
- 11
- Chain avg overall
- 1.50 / 5
Inspection citations (85)6 actual harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2026-01-13 · Health · corrected 2026-01-14
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2026-01-13 · Health · corrected 2026-01-14
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2026-01-13 · Health · corrected 2026-01-14
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2026-01-13 · Health · corrected 2026-01-14
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2026-01-13 · Health · corrected 2026-01-14
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-13 · Health · corrected 2026-01-14
Actual harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2026-01-13 · Health · corrected 2025-12-19
Actual harm
- FF0727Have 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.2026-01-13 · Health · corrected 2026-01-14
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2026-01-13 · Health · corrected 2026-01-14
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2026-01-13 · Health · corrected 2026-01-14
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2026-01-13 · Health · corrected 2026-01-14
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-19 · Health · corrected 2025-09-26
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-09-19 · Health · corrected 2025-09-26
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-19 · Health · corrected 2025-09-26
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-19 · Health · corrected 2025-08-26
Potential for more than minimal harm
- FF0727Have 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.2025-09-19 · Health · corrected 2025-09-22
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-09-19 · Health · corrected 2025-10-10
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-03 · Health · corrected 2025-06-13
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-05 · Health · corrected 2025-05-09
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2025-05-05 · Health · corrected 2025-05-08
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-05 · Health · corrected 2025-05-06
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-05 · Health · corrected 2025-05-06
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2025-05-05 · Health · corrected 2025-05-06
Potential for more than minimal harm
- CF0680Ensure the activities program is directed by a qualified professional.2025-02-19 · Health · corrected 2025-02-27
Potential for minimal harm
- EF0679Provide activities to meet all resident's needs.2025-01-28 · Health · corrected 2025-02-20
Potential for more than minimal harm
- FF0585Honor 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.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-05 · Health · corrected 2024-12-27
Actual harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- FF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0758Implement 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.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- FF0838Conduct 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.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- FF0887Educate 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.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-11-18 · Health · corrected 2024-11-27
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-11-18 · Health · corrected 2024-11-27
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-10-02 · Health · corrected 2024-10-22
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-02 · Health · corrected 2024-10-22
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-02 · Health · corrected 2024-10-22
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-02 · Health · corrected 2024-10-22
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-10-02 · Health · corrected 2024-10-22
Potential for more than minimal harm
- DF0758Implement 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.2024-10-02 · Health · corrected 2024-10-22
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-10-02 · Health · corrected 2024-10-22
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-06-26 · Health · corrected 2024-07-17
Potential for more than minimal harm
- DF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2024-05-15 · Health · corrected 2024-06-02
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-05-15 · Health · corrected 2024-06-02
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-15 · Health · corrected 2024-06-02
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-26 · Health · corrected 2024-04-03
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-26 · Health · corrected 2024-04-03
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-26 · Health · corrected 2024-04-03
Potential for more than minimal harm
- EF0659Provide care by qualified persons according to each resident's written plan of care.2024-02-02 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-02-02 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-02 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-01-12 · Health · corrected 2024-02-02
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-01-12 · Health · corrected 2024-01-26
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-01-12 · Health · corrected 2024-01-25
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-12 · Health · corrected 2024-01-26
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-12 · Health · corrected 2024-01-30
Potential for more than minimal harm
- EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-01-12 · Health · corrected 2024-01-26
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-12 · Health · corrected 2024-01-30
Potential for more than minimal harm
- FF0727Have 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.2024-01-12 · Health · corrected 2024-01-25
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-01-12 · Health · corrected 2024-02-01
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-01-12 · Health · corrected 2024-01-30
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-01-12 · Health · corrected 2024-01-29
Potential for more than minimal harm
- FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-01-12 · Health · corrected 2024-01-25
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-01-12 · Health · corrected 2024-01-26
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-27 · Health · corrected 2023-11-14
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-10-27 · Health · corrected 2023-11-14
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-05-24 · Health · corrected 2023-06-01
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-19 · Health · corrected 2023-05-05
Actual harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-12-02 · Health · corrected 2023-02-08
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-12-02 · Health · corrected 2023-02-08
Potential for more than minimal harm
- EF0693Ensure 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.2022-12-02 · Health · corrected 2023-02-08
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-12-02 · Health · corrected 2023-02-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| DAVID A BERKOWITZ DELTA TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2024-03-01 |
| JH FAMILY TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2024-03-01 |
| YOSEF MEYSTEL DELTA TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2024-03-01 |
| KATZENSTEIN, MEIR | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2024-03-01 |
| TVERSKY, AARON | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2024-03-01 |
| GOLDWATER CARE MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 |
| BANKS, CHRISTINE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 |
| KATZENSTEIN, MEIR | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 |
| KUREISHY, FARRUKH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 |
| RISSMAN, RYAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 |
| SPECTOR, JENNIFER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 |
| TUROFSKY, STEVEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 |
| TVERSKY, AARON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 |
| WILHELM, NAFTALI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 |
| SPECTOR, JENNIFER | Individual | CORPORATE OFFICER | — | 2024-03-01 |
Other facilities in CLINTON
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.