GOLDWATER CARE PEORIA HEIGHTS

Special Focus Facility candidate · Peoria · IL · For profit - Corporation · GOLDWATER CARE chain · 94 certified beds · CCN 145239 · GOLDWATER CARE PEORIA HEIGHTS LLC


GOLDWATER CARE PEORIA HEIGHTS operates 94 certified beds in PEORIA HEIGHTS, Illinois. Its Medicare and Medicaid certification dates to 1972-02-02. It averages 56.5 residents a day.

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

CMS lists 107 health-inspection deficiencies for GOLDWATER CARE PEORIA HEIGHTS since 2022-08-12, 69 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is L; the most recent health inspection was 2026-06-17.

Survey dateTagDeficiencySeverity
2026-06-17F0578, F0689Honor 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2026-06-17F0620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.D
2026-05-27F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2026-04-29F0584Honor 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.E
2026-04-15F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2026-02-28F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-02-13F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.L
2026-02-13F0686, F0693Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure 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.J
2026-02-13F0550, F0684, F0697Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate pain management for a resident who requires such services.G
2026-02-13F0679, F0725, F0730, F0868, F0944Provide activities to meet all resident's needs. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Observe each nurse aide's job performance and give regular training. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.F
2026-02-13F0677, F0755Provide 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.E
2026-02-13F0569, F0689, F0692, F0760, F0773, F0777Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Ensure that residents are free from significant medication errors. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.D
2025-12-07F0607, 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.D
2025-08-06F0565Honor the resident's right to organize and participate in resident/family groups in the facility.F
2025-08-06F0610Respond appropriately to all alleged violations.D
2024-12-07F0584Honor 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.E
2024-10-01F0868, F0880, F0881Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use.F
2024-10-01F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E
2024-10-01F0645PASARR screening for Mental disorders or Intellectual DisabilitiesD
2024-07-11F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-05-18F0692Provide enough food/fluids to maintain a resident's health.E
2024-05-18F0550, F0684, F0755, F0825Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide or get specialized rehabilitative services as required for a resident.D
2024-04-24F0759Ensure medication error rates are not 5 percent or greater.E
2024-03-21F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2024-03-21F0725, F0838Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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.F
2024-03-21F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E
2024-02-27F0760Ensure that residents are free from significant medication errors.J
2024-02-27F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.G
2024-02-27F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.F
2024-02-27F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2024-02-27F0759Ensure medication error rates are not 5 percent or greater.D
2024-01-06F0600, F0690Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2023-12-21F0686, F0689Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2023-12-21F0725, F0835Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Administer the facility in a manner that enables it to use its resources effectively and efficiently.F
2023-12-21F0558, F0657, F0677Reasonably accommodate the needs and preferences of each resident. / 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.D
2023-11-30F0727, F0880Have 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. / Provide and implement an infection prevention and control program.F
2023-11-30F0761Ensure 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.E
2023-11-30F0759Ensure medication error rates are not 5 percent or greater.D
2023-10-31F0725, F0880Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide and implement an infection prevention and control program.F
2023-10-31F0657, F0689Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-07-24F0679, F0680, F0727, F0806, F0812, F0835, F0837, F0867, F0868, F0880Provide activities to meet all resident's needs. / Ensure the activities program is directed by a qualified professional. / Have 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. / 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 quarterly / Provide and implement an infection prevention and control program.F
2023-07-24F0584, F0656, F0761Honor 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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.E
2023-07-24F0558, F0636, F0637, F0638, F0655, F0657, F0686, F0689, F0690, F0692, F0695, F0758, F0760, F0847Reasonably accommodate the needs and preferences of each resident. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assess the resident when there is a significant change in condition / Assure that each resident’s assessment is updated at least once every 3 months. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / 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 pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.D
2023-07-24F0732Post nurse staffing information every day.C
2022-08-12F0553, F0688Allow resident to participate in the development and implementation of his or her person-centered plan of care. / 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.E
2022-08-12F0557, F0656, F0677, F0684, F0689, F0698, F0791, F0921Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide or obtain dental services for each resident. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D

Why was GOLDWATER CARE PEORIA HEIGHTS fined 2 times?

DateTypeAmount
2026-02-13Fine$346,525
2023-11-30Fine$181,422

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

Payment denial startLength in days
2026-03-1334
2024-01-20111

How is GOLDWATER CARE PEORIA HEIGHTS staffed?

MeasureThis facilityIL average
Total nurse staffing hours per resident per day3.762473.44603
Total nursing staff turnover (%)54.244.5
Average number of residents per day56.595.4

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

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

RoleOwnerAssociation date
MANAGING CONTROL - GOVERNING BODYSTACHOWIAK, MELISSA, STEWART, JASON, TVERSKY, AARONsince 12/01/2024
CORPORATE DIRECTORSPECTOR, JENNIFERsince 12/01/2024
OPERATIONAL/MANAGERIAL CONTROLGOLDWATER CARE MANAGEMENT LLC, AHEARN, MICHAEL, SPECTOR, JENNIFER, STEWART, JASON, TUROFSKY, STEVEN, TVERSKY, AARON, WILHELM, NAFTALIsince 12/01/2024
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFBERKOWITZ, DAVID, MEYSTEL, YOSEFsince 03/19/2025
TRUSTEE OF THE SNFBERKOWITZ, DAVIDsince 12/01/2024
ADP OF THE SNFCURIS SERVICES LLC, GOLDWATER CARE MANAGEMENT LLC, PETERSEN SNF HOLDINGS LLC, AHEARN, MICHAEL, SPECTOR, JENNIFER, STACHOWIAK, MELISSA, STEWART, JASON, TUROFSKY, STEVEN, TVERSKY, AARON, WILHELM, NAFTALIsince 03/19/2025

Were you or a family member harmed at GOLDWATER CARE PEORIA HEIGHTS?