Starfile / Illinois

GOLDWATER CARE GIBSON CITY

620 EAST FIRST STREET, GIBSON CITY, IL 60936 · CCN 145911

Abuse icon

Inspection history vs Illinois & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$84,595

Number of fines

5

Number of penalties

8

Payment denials

3

Chain

Chain

GOLDWATER CARE

Facilities in chain

11

Chain avg overall

1.50 / 5

Inspection citations (73)1 immediate jeopardy6 actual harm

1. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-12-23 · Health · corrected 2025-12-24

   Potential for more than minimal harm

2. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-12-23 · Health · corrected 2025-12-24

   Potential for more than minimal harm

3. EF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-12-23 · Health · corrected 2025-12-24

   Potential for more than minimal harm

4. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-23 · Health · corrected 2025-12-24

   Potential for more than minimal harm

5. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-09-14 · Health · corrected 2025-09-15

   Potential for more than minimal harm

6. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-08 · Health · corrected 2025-05-29

   Potential for more than minimal harm

7. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-05-08 · Health · corrected 2025-07-01

   Actual harm

8. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-05-08 · Health · corrected 2025-07-01

   Potential for more than minimal harm

9. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-08 · Health · corrected 2025-07-03

   Potential for more than minimal harm

10. DF0610Respond appropriately to all alleged violations.2025-05-08 · Health · corrected 2025-07-01

    Potential for more than minimal harm

11. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-03-28 · Health · corrected 2025-03-31

    Potential for more than minimal harm

12. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-28 · Health · corrected 2025-03-31

    Potential for more than minimal harm

13. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-23 · Health · corrected 2024-10-24

    Actual harm

14. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-01 · Health · corrected 2024-10-02

    Actual harm

15. JF0760Ensure that residents are free from significant medication errors.2024-09-26 · Health · corrected 2024-09-27

    Immediate jeopardy

16. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-09-26 · Health · corrected 2024-09-27

    Potential for more than minimal harm

17. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-07-09 · Health · corrected 2024-07-13

    Potential for more than minimal harm

18. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-09 · Health · corrected 2024-07-13

    Potential for more than minimal harm

19. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-07-09 · Health · corrected 2024-07-13

    Potential for more than minimal harm

20. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-03 · Health · corrected 2024-07-06

    Actual harm

21. FF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-03 · Health · corrected 2024-07-06

    Potential for more than minimal harm

22. FF0610Respond appropriately to all alleged violations.2024-07-03 · Health · corrected 2024-07-06

    Potential for more than minimal harm

23. FF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-07-03 · Health · corrected 2024-07-06

    Potential for more than minimal harm

24. FF0946Provide training in compliance and ethics.2024-07-03 · Health · corrected 2024-07-06

    Potential for more than minimal harm

25. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-07-03 · Health · corrected 2024-07-06

    Potential for more than minimal harm

26. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-24 · Health · corrected 2024-04-26

    Potential for more than minimal harm

27. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-03-19 · Health · corrected 2024-03-28

    Potential for more than minimal harm

28. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-19 · Health · corrected 2024-03-28

    Potential for more than minimal harm

29. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-19 · Health · corrected 2024-03-28

    Potential for more than minimal harm

30. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-02-06 · Health · corrected 2024-02-20

    Potential for more than minimal harm

31. DF0641Ensure each resident receives an accurate assessment.2024-02-06 · Health · corrected 2024-02-20

    Potential for more than minimal harm

32. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-06 · Health · corrected 2024-02-20

    Potential for more than minimal harm

33. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-06 · Health · corrected 2024-02-20

    Potential for more than minimal harm

34. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-06 · Health · corrected 2024-02-20

    Potential for more than minimal harm

35. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-06 · Health · corrected 2024-02-20

    Potential for more than minimal harm

36. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-02-06 · Health · corrected 2024-02-20

    Potential for more than minimal harm

37. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-02-06 · Health · corrected 2024-02-20

    Potential for more than minimal harm

38. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-06 · Health · corrected 2024-02-20

    Potential for more than minimal harm

39. EF0759Ensure medication error rates are not 5 percent or greater.2024-02-06 · Health · corrected 2024-02-20

    Potential for more than minimal harm

40. DF0761Ensure 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.2024-02-06 · Health · corrected 2024-02-20

    Potential for more than minimal harm

41. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-02-06 · Health · corrected 2024-02-20

    Potential for more than minimal harm

42. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-10-18 · Health · corrected 2023-11-16

    Potential for more than minimal harm

43. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-18 · Health · corrected 2023-11-16

    Potential for more than minimal harm

44. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-18 · Health · corrected 2023-11-17

    Actual harm

45. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-09-01 · Health · corrected 2023-09-04

    Potential for more than minimal harm

46. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-16 · Health · corrected 2023-11-16

    Potential for more than minimal harm

47. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-16 · Health · corrected 2023-11-17

    Actual harm

48. EF0760Ensure that residents are free from significant medication errors.2023-07-24 · Health · corrected 2023-08-15

    Potential for more than minimal harm

49. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-06-13 · Health · corrected 2023-06-28

    Potential for more than minimal harm

50. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

51. DF0578Honor 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.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

52. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

53. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

54. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

55. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

56. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

57. DF0692Provide enough food/fluids to maintain a resident's health.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

58. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

59. EF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

60. EF0758Implement 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.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

61. EF0759Ensure medication error rates are not 5 percent or greater.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

62. EF0761Ensure 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.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

63. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

64. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

65. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

66. FF0880Provide and implement an infection prevention and control program.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

67. FF0881Implement a program that monitors antibiotic use.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

68. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

69. FF0885Report COVID19 data to residents and families.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

70. FF0886Perform COVID19 testing on residents and staff.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

71. EF0887Educate 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.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

72. FF0888Ensure staff are vaccinated for COVID-192023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

73. EF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2023-02-16 · Health · corrected 2023-03-15

    Potential for more than minimal harm

Ownership

Other facilities in GIBSON CITY

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.