Goldwater Care Gibson CityCMS ratings, inspections and fines
- Address
- 620 East First Street, Gibson City, IL 60936
- CCN
- 145911
- Ownership type
- For-profit, corporation
- Certified beds
- 60
- Chain
- Goldwater Care
- Residents per day
- 52
- CMS flags
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Goldwater Care Gibson City an overall rating of 1 of 5 stars. The last standard survey was on 28 Mar 2025. The latest survey cycle has 14 health citations. The median for nursing homes in Illinois is 11. CMS lists 1 fine of $59,827 for this home in its penalties file. CMS also lists 2 payment denials.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Ford County median | Illinois median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 4.0 | 2.0 | 3.0 |
| Health inspection rating | 2 | 5.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 4 homes in the county, 666 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Illinois median |
|---|---|---|---|
| Cycle 1 (latest) | 28 Mar 2025 | 14 | 11 |
| Cycle 2 | 6 Feb 2024 | 21 | 11 |
| Cycle 3 | No date | 43 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 14 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 13 May 2026 |
| 12 May 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 13 May 2026 |
| 12 May 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 13 May 2026 |
| 12 May 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 13 May 2026 |
| 12 May 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 13 May 2026 |
| 20 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 21 Mar 2026 |
| 19 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 20 Feb 2026 |
| 23 Dec 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 24 Dec 2025 |
| 23 Dec 2025 | F0690 | 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 | Complaint investigation | 24 Dec 2025 |
| 23 Dec 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Complaint investigation | 24 Dec 2025 |
| 23 Dec 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 24 Dec 2025 |
| 14 Sep 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 15 Sep 2025 |
| 28 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 31 Mar 2025 |
| 28 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 31 Mar 2025 |
Survey cycle 2: 21 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 May 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 29 May 2025 |
| 8 May 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 1 Jul 2025 |
| 8 May 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 1 Jul 2025 |
| 8 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 3 Jul 2025 |
| 8 May 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 1 Jul 2025 |
| 23 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 24 Oct 2024 |
| 1 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 2 Oct 2024 |
| 26 Sep 2024 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 27 Sep 2024 |
| 26 Sep 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint investigation | 27 Sep 2024 |
| 6 Feb 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 20 Feb 2024 |
| 6 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 20 Feb 2024 |
| 6 Feb 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 20 Feb 2024 |
| 6 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 20 Feb 2024 |
| 6 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 20 Feb 2024 |
| 6 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 20 Feb 2024 |
| 6 Feb 2024 | F0688 | 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 | Standard survey | 20 Feb 2024 |
| 6 Feb 2024 | F0690 | 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 | Standard survey | 20 Feb 2024 |
| 6 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 20 Feb 2024 |
| 6 Feb 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 20 Feb 2024 |
| 6 Feb 2024 | F0761 | 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 | Standard survey | 20 Feb 2024 |
| 6 Feb 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 20 Feb 2024 |
Survey cycle 3: 43 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 9 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 13 Jul 2024 |
| 9 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 13 Jul 2024 |
| 9 Jul 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 13 Jul 2024 |
| 3 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 6 Jul 2024 |
| 3 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | F | Complaint investigation | 6 Jul 2024 |
| 3 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | F | Complaint investigation | 6 Jul 2024 |
| 3 Jul 2024 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Complaint investigation | 6 Jul 2024 |
| 3 Jul 2024 | F0946 | Provide training in compliance and ethics. | F | Complaint investigation | 6 Jul 2024 |
| 3 Jul 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Complaint investigation | 6 Jul 2024 |
| 24 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 26 Apr 2024 |
| 19 Mar 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 28 Mar 2024 |
| 19 Mar 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 28 Mar 2024 |
| 19 Mar 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 28 Mar 2024 |
| 18 Oct 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 16 Nov 2023 |
| 18 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 16 Nov 2023 |
| 18 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 17 Nov 2023 |
| 1 Sep 2023 | F0690 | 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 | Complaint investigation | 4 Sep 2023 |
| 16 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 16 Nov 2023 |
| 16 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 17 Nov 2023 |
| 16 Feb 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0578 | 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. | D | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0700 | 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. | E | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0758 | 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. | E | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0761 | 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 | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0803 | 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. | E | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0849 | 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 | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0885 | Report COVID19 data to residents and families. | F | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0886 | Perform COVID19 testing on residents and staff. | F | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0887 | 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. | E | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0888 | Ensure staff are vaccinated for COVID-19 | F | Standard survey | 15 Mar 2023 |
| 16 Feb 2023 | F0909 | 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 | Standard survey | 15 Mar 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 28 Mar 2025 | Payment denial | 33 | |
| 26 Sep 2024 | Fine | $59,827 | |
| 26 Sep 2024 | Payment denial | 2 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Illinois median | Illinois average (CMS) |
|---|---|---|---|
| All nurse staff | 3.37 | 3.30 | 3.45 |
| Registered nurses (RN) | 0.38 | 0.60 | 0.72 |
| Licensed practical nurses (LPN) | 0.72 | 0.64 | |
| Nurse aides | 2.26 | 2.09 | |
| All nurse staff, weekends | 3.22 | 2.90 | 3.08 |
- Nurse staff turnover in a year
- 51.7%
- Nurse staff turnover, Illinois median
- 43.4%
- RN turnover in a year
- 36.4%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Illinois median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.3% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 25.0% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.6% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.5% | 17.8% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Goldwater Care Gibson City LLC
- Chain
- Goldwater Care (11 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Goldwater Care Management LLC | Operational/managerial control | 1 Jul 2023 | |
| 620 E. 1st St., LLC | Adp of the snf | 19 Mar 2025 | |
| Aperion Care Exec Holdings LLC | Adp of the snf | 1 Jul 2023 | |
| Curis Services LLC | Adp of the snf | 1 Jul 2023 | |
| Goldwater Care Management LLC | Adp of the snf | 19 Mar 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Ford County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Gibson Community Hsp Annex | Gibson City | 5 of 5 | 0 | $20,046 | 10 Dec 2025 | |
| Accolade Paxton Senior Living | Paxton | 4 of 5 | 6 | $0 | 8 Apr 2026 | |
| Accolade HC of Paxton on Pells | Paxton | 3 of 5 | 8 | $138,864 | 15 Apr 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Illinois Department of Public Health: file a health care complaintThe complaint page of the State Survey Agency for Illinois, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Goldwater Care Gibson City (CCN 145911). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/goldwater-care-gibson-city-gibson-city-il-145911/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Goldwater Care Gibson City last inspected?
- The latest inspection with a citation in the CMS record was on 12 May 2026. It was a complaint investigation. It gave 5 citations. The standard survey before the last one was on 6 Feb 2024.
- Who operates Goldwater Care Gibson City?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Goldwater Care. The CMS ownership file names Goldwater Care Management LLC for operational or managerial control. This site does not show the names of persons.
- Is Goldwater Care Gibson City a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 4 homes in Illinois as Special Focus Facilities and 20 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.