Goldwater Care Marseilles
578 WEST COMMERCIAL STREET, MARSEILLES, IL 61341 · CCN 145295
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 103
- Avg residents/day
- 61.3
- Phone
- 8157955121
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 | 2024-06-14 | 10 | 12.2 | 9.5 | -2.2 better |
| 2 | 2023-06-23 | 25 | 12.7 | 9.8 | +12.3 worse |
| 3 | 2022-04-29 | 21 | 13.1 | 9.3 | +7.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 1 |
| Resident rights | 2 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.51 | 55.1% |
| RN staffing (reported) | 0.84 | 58.8% |
| Total nurse staffing (adjusted) | 2.49 | — |
Fines & penalties
- Total fines
- $271,252
- Number of fines
- 4
- Number of penalties
- 5
- Payment denials
- 1
Chain
- Chain
- GOLDWATER CARE
- Facilities in chain
- 11
- Chain avg overall
- 1.50 / 5
Inspection citations (56)2 immediate jeopardy6 actual harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-07-09 · Health · corrected 2025-07-10
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-20 · Health · corrected 2025-06-23
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-10 · Health · corrected 2025-04-11
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-05 · Health · corrected 2025-03-06
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-27 · Health · corrected 2025-03-12
Actual harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-14 · Health · corrected 2025-02-17
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-09 · Health · corrected 2025-01-10
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2024-09-13 · Health · corrected 2024-09-16
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.2024-08-05 · Health · corrected 2024-08-06
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.2024-06-14 · Health · corrected 2024-06-19
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.2024-06-14 · Health · corrected 2024-06-19
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.2024-06-14 · Health · corrected 2024-06-19
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-14 · Health · corrected 2024-06-19
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-14 · Health · corrected 2024-06-19
Potential for more than minimal harm
- 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.2024-06-14 · Health · corrected 2024-06-19
Potential for more than minimal harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-02 · Health · corrected 2024-05-03
Immediate jeopardy
- EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-05-02 · Health · corrected 2024-05-03
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-19 · Health · corrected 2024-03-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-29 · Health · corrected 2024-03-14
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-06 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-11-14 · Health · corrected 2023-11-16
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-11-14 · Health · corrected 2023-11-15
Potential for more than minimal harm
- FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-11-14 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-10-11 · Health · corrected 2023-10-15
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.2023-07-24 · Health · corrected 2023-07-25
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.2023-07-24 · Health · corrected 2023-07-25
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.2023-06-23 · Health · corrected 2023-07-25
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-06-23 · Health · corrected 2023-07-21
Potential for more than minimal harm
- FF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-06-23 · Health · corrected 2023-07-21
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-06-23 · Health · corrected 2023-07-21
Potential for more than minimal harm
- BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-06-23 · Health · corrected 2023-07-21
Potential for minimal harm
- BF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-06-23 · Health · corrected 2023-07-21
Potential for minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-23 · Health · corrected 2023-07-21
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.2023-06-23 · Health · corrected 2023-07-25
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-23 · Health · corrected 2023-07-21
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-23 · Health · corrected 2023-07-21
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-23 · Health · corrected 2023-07-21
Actual harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-06-23 · Health · corrected 2023-07-25
Potential for more than minimal harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-06-23 · Health · corrected 2023-07-21
Actual harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-23 · Health · corrected 2023-07-21
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.2023-06-23 · Health · corrected 2023-07-21
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.2023-06-23 · Health · corrected 2023-07-21
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-06-23 · Health · corrected 2023-07-21
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-05-09 · Health · corrected 2023-05-15
Potential for more than minimal harm
- 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.2023-05-09 · Health · corrected 2023-05-15
Potential for more than minimal harm
- GF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-03-02 · Health · corrected 2023-03-15
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-02 · Health · corrected 2023-03-15
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2023-03-02 · Health · corrected 2023-03-15
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2022-04-29 · Health · corrected 2022-05-20
Potential for more than minimal harm
- DF0584Honor 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.2022-04-29 · Health · corrected 2022-05-20
Potential for more than minimal harm
- BF0641Ensure each resident receives an accurate assessment.2022-04-29 · Health · corrected 2022-05-20
Potential for minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-04-29 · Health · corrected 2022-05-20
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-04-29 · Health · corrected 2022-05-20
Potential for more than minimal harm
- KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-04-29 · Health · corrected 2022-05-20
Immediate jeopardy
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-04-29 · Health · corrected 2022-05-20
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.2022-04-29 · Health · corrected 2022-05-20
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| KATZENSTEIN, MEIR | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 35% | 2024-08-01 |
| TVERSKY, AARON | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 35% | 2024-08-01 |
| YOSEF MEYSTEL DELTA TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2024-08-01 |
| MEYSTEL, YOSEF | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2024-08-01 |
| HTI INVESTOR GROUP, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2024-08-01 |
| DAVID A BERKOWITZ DELTA TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2024-08-01 |
| BERKOWITZ, DAVID | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2024-08-01 |
| GOLDWATER CARE MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 |
| SPECTOR, JENNIFER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 |
| STACHOWIAK, MELISSA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 |
| TUROFSKY, STEVEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 |
Other facilities in MARSEILLES
| 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.