Federal inspection record · CMS data as of October 1, 2026
Goldwater Care Marseilles
578 West Commercial Street, Marseilles, IL · (815) 795-5121
- Cited for abuse (CMS abuse icon)
- Certified beds
- 103
- Residents per day
- 55
- Ownership
- For-Profit
- Chain
- Goldwater Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1976
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Illinois.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Illinois homes
Goldwater Care Marseilles carries 284.75 inspection points. That is fewer than 11% of Illinois's 659 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Illinois: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–73 pts
- 3★ 73–120.25 pts
- 2★ 120.25–219 pts
- 1★ over 219 pts
Bars show every rated home in Illinois by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
77 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (11)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Quality of Life and Care18E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service12E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
- D
Ensure that residents are free from significant medication errors.
Resident Rights11F
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Reasonably accommodate the needs and preferences of each resident.
- F
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- B
Notify 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.
Freedom from Abuse, Neglect, and Exploitation8E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control5F
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
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.
Nursing and Physician Services3F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
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.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nutrition and Dietary3F
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- F
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.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Resident Assessment and Care Planning3D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Environmental2F
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Administration1F
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspection history
2026-07-15
36 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (13 deficiencies)
2024-06-14
13 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2023-06-23
28 health deficiencies · 22 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 30 min of nursing staff time a day, 42 min of it from a registered nurse.
This home
3 h 30 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 63% of nursing staff and 71% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$365,425 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-06-16 | Fine | $138,060 |
| 2026-06-16 | Payment Denial · 33 day denial | $0 |
| 2026-05-08 | Payment Denial · 4 day denial | $0 |
| 2025-04-10 | Fine | $14,505 |
| 2025-02-14 | Fine | $15,132 |
| 2024-05-02 | Fine | $197,728 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.2 pts better | 0.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.7 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.5 pts better | 95.0% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine34.3 pts worse | 57.4% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 1.4% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms34.8 pts worse | 90.7% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts better | 5.0% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.6 pts worse | 23.0% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.2 pts better | 14.5% | 21.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3 pts better | 9.8% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.9 pts better | 11.1% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts worse | 1.8% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts worse | 2.3% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.5 pts better | 12.3% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts better | 3.8% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.2 pts worse | 56.8% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.4 pts worse | 13.9% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication3.8 pts worse | 6.0% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.2 pts worse | 56.0% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission13.2 pts better | 12.4% | 25.6% | 23.4% |
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Who owns and runs it
44 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Hti Investor Group, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 10% | 3 facilities |
| 578 W Commercial St LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Aci Equities, LLC | Adp Of The SNF · Organization | 0% | 5 facilities |
| Curis Services LLC | Adp Of The SNF · Organization | 0% | 98 facilities |
| David A Berkowitz Delta Trust | Adp Of The SNF · Organization | 0% | 46 facilities |
| Frankel, Frederick | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 20 facilities |
| Friedman, Rifka | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 2 facilities |
| Goldenberg, Harold | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 4 facilities |
| Goldfarb, Brian | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 39 facilities |
| Goldwater Care Management LLC | Operational/Managerial Control · Organization | 0% | 11 facilities |
| Goldwater Care Management LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Hti Investor Group, LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Jack Yolinsky Revocable Trust Agreement Dated 2/18/11 | Adp Of The SNF · Organization | 0% | 6 facilities |
| Kahan, Jerome | Adp Of The SNF · Individual | 0% | 9 facilities |
| Katzenstein, Meir | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Katzenstein, Meir | Adp Of The SNF · Individual | 0% | 10 facilities |
| Leiner, Joshua | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Leiner, Yisroel | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 6 facilities |
| Rapoport, Yitzchok | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 6 facilities |
| Rios, Lorena | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Rios, Lorena | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rios, Lorena | Adp Of The SNF · Individual | 0% | 1 facilities |
| Robin Miller Revocable Trust | Adp Of The SNF · Organization | 0% | 7 facilities |
| Sahra And Dov Segal | Adp Of The SNF · Organization | 0% | 4 facilities |
| Salamon, Israel | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 7 facilities |
| Salamon, Mark | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 8 facilities |
| Salamon, Nathaniel | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 7 facilities |
| Siddiqui, Mohammed | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Siddiqui, Mohammed | Adp Of The SNF · Individual | 0% | 2 facilities |
| Simon, David | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 2 facilities |
| Spector, Jennifer | Operational/Managerial Control · Individual | 0% | 105 facilities |
| Spector, Jennifer | Adp Of The SNF · Individual | 0% | 105 facilities |
| Stachowiak, Melissa | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| Stachowiak, Melissa | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Stachowiak, Melissa | Adp Of The SNF · Individual | 0% | 11 facilities |
| Taz Equities | Adp Of The SNF · Organization | 0% | 2 facilities |
| Turofsky, Steven | Operational/Managerial Control · Individual | 0% | 102 facilities |
| Turofsky, Steven | Adp Of The SNF · Individual | 0% | 102 facilities |
| Tversky, Aaron | Corporate Officer · Individual | 0% | 11 facilities |
| Tversky, Aaron | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Tversky, Aaron | Adp Of The SNF · Individual | 0% | 11 facilities |
| Wilhelm, Naftali | Operational/Managerial Control · Individual | 0% | 97 facilities |
| Wilhelm, Naftali | Adp Of The SNF · Individual | 0% | 97 facilities |
| Yosef Meystel Delta Trust | Adp Of The SNF · Organization | 0% | 47 facilities |
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Fire safety
36 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke12F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Provide properly protected cooking facilities.
- E
Install a fire alarm system that can be heard throughout the facility.
Emergency Preparedness8F
- F
Establish staff and initial training requirements.
- F
Implement emergency and standby power systems.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures for volunteers.
- F
List the names and contact information of those in the facility.
- F
Provide emergency officials' contact information.
- F
Establish staff and initial training requirements.
- F
Implement emergency and standby power systems.
Gas, Vacuum, and Electrical Systems8F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Meet requirements for the installation and maintenance of electrical systems.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress3F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
- E
Have exits that are accessible at all times.
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Other homes nearby
-
Pavilion Of Ottawa
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 39 min
- Fines
- $0
-
Pleasant View Luther Home
Ottawa, IL
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 11 min
- Fines
- $88,868
-
La Salle County Nursing Home
Ottawa, IL
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 31 min
- Fines
- $146,063