19 health deficiencies
Top issue: Quality of Life and Care (11 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Bloomington, IL
1-star overall rating with 1-star inspections with Special Focus status with $237,807 in total fines with 19 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
700 East Walnut, Bloomington, IL
(309) 827-8004
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
88
Certified beds
Average residents
78
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Goldwater Care
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.58
Registered nurse staffing
LPN hours / resident day
0.54
Licensed practical nurse staffing
Aide hours / resident day
1.90
Nurse aide staffing
Weekend hours
2.72
Weekend nurse staffing
RN turnover
29%
Annual RN turnover
Total nurse turnover
62%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.0
0.1 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
2.3
0.1 pts better
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
89.6%
9.2 pts better
|
93.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% |
91.6%
7 pts better
|
95.5%
3.1 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% |
3.3%
0.5 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 89.6% |
50.3%
39.3 pts worse
|
11.4%
78.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 15.3% |
6.5%
8.8 pts worse
|
5.4%
9.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.4% |
18.5%
8.9 pts worse
|
19.6%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 14.9% |
22.8%
7.9 pts better
|
16.7%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 33.9% |
17.2%
16.7 pts worse
|
16.3%
17.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.5% |
15.0%
2.5 pts worse
|
14.9%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.4% |
1.1%
1.3 pts worse
|
1.0%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
1.7%
0.9 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.2% |
21.3%
1.9 pts worse
|
19.8%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 2.8% |
5.2%
2.4 pts better
|
5.1%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.2% |
68.8%
22.4 pts better
|
81.7%
9.5 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.6% |
14.0%
2.6 pts worse
|
12.0%
4.6 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.3%
2.3 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.2% |
63.0%
23.2 pts better
|
79.7%
6.5 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.8% |
26.2%
0.4 pts better
|
23.9%
1.9 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (11 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (19 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (14 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-02-28
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-02-28
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-02-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-27
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-02-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-28
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-02-28
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-02-28
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2025-02-28
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-02-28
Fire Safety
Ensure proper storage of liquid oxygen.
Corrected 2025-02-28
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-02-15
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-02-15
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-02-15
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-02-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-02-15
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-02-17
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-02-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-02-16
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-02-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-02-16
Inspection history
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-09-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-29
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-07-29
Health
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.
Corrected 2025-04-11
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-01
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-01
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2025-02-27
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-01
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-02-27
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-02-27
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2025-02-27
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-02-27
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-02-27
Health
Provide activities to meet all resident's needs.
Corrected 2025-02-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-27
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-04-01
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-02-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-02
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-26
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-12-26
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-26
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-11-07
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-11-07
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-07
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-09-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-06
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-07-08
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-07-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-08
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-07-08
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-06-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-25
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-05-09
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2024-05-09
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-08
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-02-29
Health
Put firmly secured handrails on each side of hallways.
Corrected 2024-02-28
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-28
Health
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.
Corrected 2024-02-28
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-02-29
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-02-28
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-02-28
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-28
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-02-28
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-08
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-29
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-02-29
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-02-28
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-28
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-02-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-28
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-02-28
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-29
Health
Respond appropriately to all alleged violations.
Corrected 2024-02-28
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-02-29
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-02-28
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-08
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-02-29
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2024-02-28
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-28
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-10-14
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-10-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-24
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-15
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-08-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-08-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-06-28
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-03-23
Health
Perform COVID19 testing on residents and staff.
Corrected 2023-03-23
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2023-02-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-02-13
Health
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.
Corrected 2023-02-13
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-02-13
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-02-13
Health
Provide activities to meet all resident's needs.
Corrected 2023-02-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-02-13
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-02-13
Health
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.
Corrected 2023-02-13
Health
Provide and implement an infection prevention and control program.
Corrected 2023-02-15
Health
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected 2023-02-13
Penalties and ownership
Fine · fine $110,450
Fine
Payment Denial · denial start 2025-03-27 · 15 days
15 day denial
Fine · fine $48,685
Fine
Payment Denial · denial start 2024-08-01 · 5 days
5 day denial
Fine · fine $75,498
Fine
Payment Denial · denial start 2024-02-16 · 21 days
21 day denial
Fine · fine $3,174
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
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1-star overall rating with 1-star inspections with $203,405 in total fines with 21 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Bloomington, IL
4-star overall rating with 3-star inspections with $12,149 in total fines with 13 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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