Nursing home report card · Peoria Heights, IL
Goldwater Care Peoria Heights
5533 North Galena Road, Peoria Heights, IL 61614
Call this home: (309) 682-5428
View this home on Medicare.gov ↗
Quick summary
This home is listed for extra oversight
Status: SFF Candidate. Special Focus Facility homes have a history of serious quality problems and get extra oversight.
Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.
How recent is this information?
- Medicare file prepared
- Aug 1, 2026
- Our record last updated
- Oct 15, 2026
- Last routine health inspection
- Oct 1, 2024
These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.
Medicare ratings
One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.
Combines inspection, staffing, and care measures.
Among the lowest Medicare ratings
Based on problems found during health inspections.
Among the lowest Medicare ratings
Based on staffing levels and related measures.
Among the lowest Medicare ratings
Based on reported health and care results.
About average for U.S. nursing homes
What do the ratings and warnings mean?
- Medicare ratings
- One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
- Inspection problems
- Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
- Abuse warning
- Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
- Nursing staff time
- Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.
At a glance
These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.
Care, safety, and resident-rights issues on recent inspections
Building, alarms, exits, and related safety citations
Total fine amounts in the imported penalty records
Medicare home ID: 145239
Inspection findings to read first
Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.
Immediate danger to residents · isolated case
Feb 13, 2026 · Inspection rule 0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Immediate danger to residents · widespread case
Feb 13, 2026 · Inspection rule 0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Immediate danger to residents · isolated case
Feb 13, 2026 · Inspection rule 0693
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.
Nursing staff time
These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.
about 12 minutes per resident per day
about 3 hr 46 min per resident per day
about 14 minutes per resident per day
Latest inspection summary
A summary of the most recent routine inspections. You can open the dated findings below.
We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.
How this home compares
Compared with state and national averages. The numbers may cover different periods.
- Overall CMS rating: 1 stars
- Health inspection rating: 1 stars
- Staffing rating: 1 stars
- Registered nurse time per resident: 0.21 hours/day
- Total nurse time per resident: 3.76 hours/day
See the dates used for these averages
Medicare file dates: this home Aug 1, 2026; Illinois averages Unavailable; U.S. averages Oct 1, 2026.
Other concerns in the records
These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.
- Overall star rating is 2 or lower
- Health inspection rating is 2 stars or lower
- Recent citations include infection-control problems
- Inspectors have listed an unusually high number of problems
- CMS has fined this home in the recent reporting period
How serious were the problems?
Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.
- Immediate danger to residents6 citations
- Caused actual harm8 citations
- Could have caused harm92 citations
- Low risk of harm1 citation
Why inspectors showed up
Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.
- Complaints
- 0
- Routine
- 107
- Fire safety
- 0
- Other
- 0
Who owns it
Names CMS lists as owners or managers · reported as For profit - Corporation.
- We do not have individual owner names for this home.
Other homes in this group: All Goldwater Care nursing homes
Inspection history
Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.
June 17, 20263 findings
- Resident Rights problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0620 · code D
Not 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.
- Resident Rights problemsCaused actual harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0578 · code G
Honor 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.
- Quality of Life and Care problemsCaused actual harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0689 · code G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 27, 20261 finding
- Quality of Life and Care problemsCaused actual harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0686 · code G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
April 29, 20261 finding
- Resident Rights problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0584 · code E
Honor 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.
April 15, 20261 finding
- Freedom from Abuse, Neglect, and Exploitation problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0600 · code D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
February 28, 20261 finding
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0689 · code D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
February 13, 202619 findings
- Quality of Life and Care problemsImmediate danger to residents · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0686 · code J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Quality of Life and Care problemsImmediate danger to residents · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0693 · code J
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.
- Resident Rights problemsCaused actual harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0550 · code G
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Quality of Life and Care problemsCaused actual harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0684 · code G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Quality of Life and Care problemsCaused actual harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0697 · code G
Provide safe, appropriate pain management for a resident who requires such services.
- Quality of Life and Care problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag 0679 · code F
Provide activities to meet all resident's needs.
- Nursing and Physician Services problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag 0725 · code F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- Nursing and Physician Services problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag 0730 · code F
Observe each nurse aide's job performance and give regular training.
- Administration problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag 0868 · code F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- Administration problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag 0944 · code F
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- Administration problemsImmediate danger to residents · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag 0835 · code L
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0689 · code D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0692 · code D
Provide enough food/fluids to maintain a resident's health.
- Pharmacy Service problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0760 · code D
Ensure that residents are free from significant medication errors.
- Administration problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0773 · code D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
- Administration problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0777 · code D
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
- Quality of Life and Care problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0677 · code E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- Pharmacy Service problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0755 · code E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Resident Rights problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0569 · code D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
December 7, 20252 findings
- Freedom from Abuse, Neglect, and Exploitation problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0607 · code D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Freedom from Abuse, Neglect, and Exploitation problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0609 · code D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
August 6, 20252 findings
- Resident Rights problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag 0565 · code F
Honor the resident's right to organize and participate in resident/family groups in the facility.
- Freedom from Abuse, Neglect, and Exploitation problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0610 · code D
Respond appropriately to all alleged violations.
December 7, 20241 finding
- Resident Rights problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0584 · code E
Honor 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.
October 1, 20245 findings
- Infection Control problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag 0881 · code F
Implement a program that monitors antibiotic use.
- Administration problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag 0868 · code F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- Infection Control problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag 0880 · code F
Provide and implement an infection prevention and control program.
- Resident Rights problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0623 · code E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0645 · code D
PASARR screening for Mental disorders or Intellectual Disabilities
July 11, 20241 finding
- Pharmacy Service problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0755 · code D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
May 18, 20245 findings
- Resident Rights problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0550 · code D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0825 · code D
Provide or get specialized rehabilitative services as required for a resident.
- Pharmacy Service problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0755 · code D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0684 · code D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Quality of Life and Care problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0692 · code E
Provide enough food/fluids to maintain a resident's health.
Fines & penalties
These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.
- Fine · Feb 13, 2026$346,525
- Payment Denial · Feb 13, 2026Unavailable
- Fine · Nov 30, 2023$181,422
- Payment Denial · Nov 30, 2023Unavailable
Other homes in this chain
Goldwater Care · other locations in Illinois
- Goldwater Care Roseville · Roseville1 of 5 · 35 problems
- Goldwater Care Bloomington · Bloomington1 of 5 · 89 problems
- Goldwater Care Danville · Danville1 of 5 · 78 problems
- Goldwater Care Toluca · Toluca1 of 5 · 28 problems
- Goldwater Care Clinton · Clinton1 of 5 · 119 problems
- Goldwater Care Marseilles · Marseilles1 of 5 · 60 problems
- Goldwater Care Gibson City · Gibson City1 of 5 · 78 problems
- Goldwater Pontiac Nursing Home · Pontiac2 of 5 · 33 problems
Related topics
Questions about Goldwater Care Peoria Heights
What is Goldwater Care Peoria Heights's Medicare star rating?
Has Goldwater Care Peoria Heights been fined?
Does Goldwater Care Peoria Heights have a Medicare abuse warning?
How does Goldwater Care Peoria Heights compare with other nursing homes in Illinois?
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