GOLDWATER CARE CLINTON

Special Focus Facility candidate · CMS abuse icon · De Witt · IL · For profit - Corporation · GOLDWATER CARE chain · 134 certified beds · CCN 146076 · GOLDWATER CARE CLINTON LLC


GOLDWATER CARE CLINTON operates 134 certified beds in CLINTON, Illinois. Its Medicare and Medicaid certification dates to 2005-02-02. It averages 107.2 residents a day.

What harm was found in the violations cited at GOLDWATER CARE CLINTON?

CMS lists 119 health-inspection deficiencies for GOLDWATER CARE CLINTON, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-23.

Survey dateTagDeficiencySeverity
2026-06-23F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2026-06-23F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.E
2026-06-04F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-05-28F0760Ensure that residents are free from significant medication errors.G
2026-05-28F0725, F0761Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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.F
2026-05-28F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E
2026-04-29F0727Have 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
2026-04-29F0583, F0677Keep residents' personal and medical records private and confidential. / Provide care and assistance to perform activities of daily living for any resident who is unable.D
2026-04-15F0578, F0600, F0684Honor 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2026-03-21F0600, F0609, F0610Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.D
2026-02-18F0689, F0760Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that residents are free from significant medication errors.G
2026-02-18F0727, F0730, F0812, F0868, F0880, F0882, F0944, F0949Have 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. / Observe each nurse aide's job performance and give regular training. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide behavior health training consistent with the requirements and as determined by a facility assessment.F
2026-02-18F0561, F0761, F0883, F0887Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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.E
2026-02-18F0552, F0580, F0605, F0641, F0656, F0657, F0684, F0744, F0759, F0805Ensure that residents are fully informed and understand their health status, care and treatments. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Ensure medication error rates are not 5 percent or greater. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D
2026-01-13F0684, F0689, F0697Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services.G
2026-01-13F0727Have 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
2026-01-13F0550, F0677, F0755, F0760, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. / Provide and implement an infection prevention and control program.E
2026-01-13F0580, F0609Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-09-19F0727Have 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
2025-09-19F0677, F0684Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2025-09-19F0600, F0689, F0842Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-06-03F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2025-05-05F0558, F0686, F0760Reasonably accommodate the needs and preferences of each resident. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that residents are free from significant medication errors.E
2025-05-05F0550, F0755Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-02-19F0680Ensure the activities program is directed by a qualified professional.C
2025-01-28F0679Provide activities to meet all resident's needs.E
2024-12-05F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-12-05F0585, F0729, F0838, F0880, F0887Honor 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. / Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. / Conduct 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. / Provide and implement an infection prevention and control program. / 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
2024-12-05F0656, F0883Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop and implement policies and procedures for flu and pneumonia vaccinations.E
2024-12-05F0636, F0641, F0644, F0657, F0658, F0676, F0684, F0686, F0695, F0757, F0758, F0770Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Implement 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. / Provide timely, quality laboratory services/tests to meet the needs of residents.D
2024-11-18F0580, F0842Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-10-02F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-10-02F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E
2024-10-02F0609, F0656, F0740, F0758, F0760Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Implement 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. / Ensure that residents are free from significant medication errors.D
2024-06-26F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E
2024-05-15F0603, F0641, F0656Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-03-26F0580, F0677, F0684Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-02-02F0659Provide care by qualified persons according to each resident's written plan of care.E
2024-02-02F0760, F0842Ensure that residents are free from significant medication errors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-01-12F0727, F0867, F0868Have 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF
2024-01-12F0690, F0759Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure medication error rates are not 5 percent or greater.E
2024-01-12F0644, F0655, F0661, F0677, F0686, F0695, F0756, F0880Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Provide and implement an infection prevention and control program.D
2023-10-27F0600, F0686Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.D

Why was GOLDWATER CARE CLINTON fined 4 times?

DateTypeAmount
2026-05-28Fine$26,985
2026-05-28Fine$22,895
2026-01-13Fine$253,800
2024-12-05Fine$32,744

Has GOLDWATER CARE CLINTON had payment denied by Medicare more than once?

Payment denial startLength in days
2026-06-251
2026-02-1179

How is GOLDWATER CARE CLINTON staffed relative to the IL average?

MeasureThis facilityIL average
Total nurse staffing hours per resident per day3.336313.44603
Total nursing staff turnover (%)69.944.5
Average number of residents per day107.295.4

Who owns GOLDWATER CARE CLINTON, and what chain is it in?

GOLDWATER CARE CLINTON is registered with CMS as For profit - Corporation, operates under the legal business name GOLDWATER CARE CLINTON LLC and belongs to the GOLDWATER CARE chain.

RoleOwnerAssociation date
MANAGING CONTROL - GOVERNING BODYRISSMAN, RYAN, STACHOWIAK, MELISSAsince 03/01/2024
CORPORATE OFFICERSPECTOR, JENNIFERsince 03/01/2024
OPERATIONAL/MANAGERIAL CONTROLGOLDWATER CARE MANAGEMENT LLC, BANKS, CHRISTINE, KATZENSTEIN, MEIR, KUREISHY, FARRUKH, RISSMAN, RYAN, SPECTOR, JENNIFER, TUROFSKY, STEVEN, TVERSKY, AARON, WILHELM, NAFTALIsince 03/01/2024
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFBERKOWITZ, DAVID, MEYSTEL, YOSEFsince 04/23/2025
ADP OF THE SNF1 PARK LANE WEST, LLC, CURIS SERVICES LLC, DAVID A BERKOWITZ DELTA TRUST, GOLDWATER CARE MANAGEMENT LLC, JOSHUA HOFFMAN TRUST, YOSEF MEYSTEL DELTA TRUST, BANKS, CHRISTINE, KATZENSTEIN, MEIR, KUREISHY, FARRUKH, RISSMAN, RYAN, SPECTOR, JENNIFER, STACHOWIAK, MELISSA, TUROFSKY, STEVEN, TVERSKY, AARON, WILHELM, NAFTALIsince 03/01/2024

Were you or a family member harmed at GOLDWATER CARE CLINTON?