GOLDWATER CARE GIBSON CITY

CMS abuse icon · Ford · IL · For profit - Corporation · GOLDWATER CARE chain · 60 certified beds · CCN 145911 · GOLDWATER CARE GIBSON CITY LLC


GOLDWATER CARE GIBSON CITY operates 60 certified beds in GIBSON CITY, Illinois. Its Medicare and Medicaid certification dates to 1996-12-01. It averages 51.6 residents a day.

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

CMS lists 78 health-inspection deficiencies for GOLDWATER CARE GIBSON CITY since 2023-02-16, 54 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-05-12.

Survey dateTagDeficiencySeverity
2026-05-12F0607, F0609Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E
2026-05-12F0600, F0602, F0610Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Protect each resident from the wrongful use of the resident's belongings or money. / Respond appropriately to all alleged violations.D
2026-03-20F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2026-02-19F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-12-23F0600, F0744, F0842Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2025-12-23F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2025-09-14F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-05-08F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2025-05-08F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E
2025-05-08F0607, F0609, F0610Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.D
2025-03-28F0550, F0677Honor 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.E
2024-10-23F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-10-01F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-09-26F0760Ensure that residents are free from significant medication errors.J
2024-09-26F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2024-07-09F0550, F0804Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2024-07-09F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-07-03F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-07-03F0609, F0610, F0944, F0946, F0947Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide training in compliance and ethics. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F
2024-04-24F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-03-19F0552, F0580, F0686Ensure 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. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2024-02-06F0695, F0759Provide safe and appropriate respiratory care for a resident when needed. / Ensure medication error rates are not 5 percent or greater.E
2024-02-06F0582, F0641, F0657, F0677, F0684, F0686, F0688, F0690, F0761, F0883Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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.D
2023-10-18F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-10-18F0580, F0677Immediately 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.D
2023-09-01F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2023-08-16F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-08-16F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2023-02-16F0812, F0880, F0881, F0885, F0886, F0888Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / Report COVID19 data to residents and families. / Perform COVID19 testing on residents and staff. / Ensure staff are vaccinated for COVID-19F
2023-02-16F0565, F0656, F0689, F0695, F0700, F0758, F0759, F0761, F0803, F0883, F0887, F0909Honor the resident's right to organize and participate in resident/family groups in the facility. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Try 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. / 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 medication error rates are not 5 percent or greater. / 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. / Ensure 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. / 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. / Regularly 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.E
2023-02-16F0578, F0582, F0684, F0686, F0692, F0849Honor 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. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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 enough food/fluids to maintain a resident's health. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D

Why was GOLDWATER CARE GIBSON CITY fined?

DateTypeAmount
2024-09-26Fine$59,827

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

Payment denial startLength in days
2025-05-3133
2024-10-222

How is GOLDWATER CARE GIBSON CITY staffed relative to the IL average?

MeasureThis facilityIL average
Total nurse staffing hours per resident per day3.365773.44603
Total nursing staff turnover (%)51.744.5
Average number of residents per day51.695.4

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

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

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTGOLDFARB, BRIANsince 07/01/2023
MANAGING CONTROL - GOVERNING BODYBANE, LINDA, HEARN, MARY, STACHOWIAK, MELISSAsince 07/01/2023
CORPORATE OFFICERSPECTOR, JENNIFERsince 07/01/2023
OPERATIONAL/MANAGERIAL CONTROLGOLDWATER CARE MANAGEMENT LLC, ALI, BASIL, BANE, LINDA, HEARN, MARY, KATZENSTEIN, MEIR, SPECTOR, JENNIFER, TUROFSKY, STEVEN, TVERSKY, AARON, WILHELM, NAFTALIsince 07/01/2023
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFBERKOWITZ, DAVID, MEYSTEL, YOSEFsince 02/12/2026
ADP OF THE SNF620 E. 1ST ST., LLC, APERION CARE EXEC HOLDINGS LLC, CURIS SERVICES LLC, DAVID A BERKOWITZ DELTA TRUST, DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE, GOLDWATER CARE MANAGEMENT LLC, JOSHUA HOFFMAN TRUST, YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE, YOSEF MEYSTEL DELTA TRUST, ALI, BASIL, BANE, LINDA, HEARN, MARY, KATZENSTEIN, MEIR, SEITLER, DOVID, SPECTOR, JENNIFER, STACHOWIAK, MELISSA, TUROFSKY, STEVEN, TVERSKY, AARON, WILHELM, NAFTALIsince 03/19/2025

Were you or a family member harmed at GOLDWATER CARE GIBSON CITY?