Elder Care Record

Illinois › Peoria County › Peoria Heights

Goldwater Care Peoria Heights

5533 North Galena Road, Peoria Heights, IL 61614

CCN 145239 · For-profit, corporation · 94 certified beds · chain Goldwater Care

Special Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 94 beds, Goldwater Care Peoria Heights serves Peoria Heights in Peoria County, Illinois and has taken Medicare and Medicaid residents since 1972.

CMS gives it 1 of 5 stars overall, below the Illinois median of 2; the health inspection rating is 1, staffing 1 and quality measures 3.

Inspectors recorded 107 health deficiencies across the three most recent survey cycles (35, 29, 43 by cycle, most recent first), 14 of them at the actual-harm or immediate-jeopardy level. That is 113.8 per 100 beds, more than the state median of 28.4.

CMS lists 4 penalties in the period covered: fines totalling $528K and 2 payment denials.

Reported nurse staffing is 3.8 hours per resident per day (0.2 RN), close to the Illinois median of 3.3; nursing staff turnover is 54.2%.

CMS flags that the facility is a Special Focus Facility candidate.

107health deficiencies, 3 survey cycles14 at actual harm or worse
$528Kfines listed by CMS4 penalties in period
3.8nurse hours per resident per daystate median 3.3
60%occupancy (residents ÷ beds)57 residents a day

Compared with county, state and nation

MeasureThis facilityPeoria Co. medianIllinois medianUS average
Overall star rating1223.0
Health citations, 3 cycles107433428.7
Citations per 100 beds113.837.128.426.8
Total nurse hours per resident day3.83.53.33.9
RN hours per resident day0.20.50.60.7
Nursing staff turnover54.2%46.2%43.4%45.8%
Fines listed$527,947$140,847$45,123—

County and state figures are medians across facilities (11 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)35
Cycle 229
Cycle 343

Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 1 Oct 2024, 24 Jul 2023.

Severity mix: J ×5 L ×1 G ×8 D ×49 E ×15 F ×28 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
17 Jun 2026F0578Honor 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.GComplaint investigation12 May 2026
17 Jun 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation19 Jun 2026
17 Jun 2026F0620Not 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.DComplaint investigation19 Jun 2026
27 May 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation10 Jun 2026
29 Apr 2026F0584Honor 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.EComplaint investigation30 Apr 2026
15 Apr 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation16 Apr 2026
28 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation2 Mar 2026
13 Feb 2026F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.LComplaint investigation16 Feb 2026
13 Feb 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint investigation16 Feb 2026
13 Feb 2026F0693Ensure 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.JComplaint investigation16 Feb 2026
13 Feb 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.GComplaint investigation10 Apr 2026
13 Feb 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation16 Feb 2026
13 Feb 2026F0697Provide safe, appropriate pain management for a resident who requires such services.GComplaint investigation16 Feb 2026
13 Feb 2026F0679Provide activities to meet all resident's needs.FComplaint investigation16 Feb 2026
13 Feb 2026F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation16 Feb 2026
13 Feb 2026F0730Observe each nurse aide's job performance and give regular training.FComplaint investigation16 Feb 2026
13 Feb 2026F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFComplaint investigation16 Feb 2026
13 Feb 2026F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FComplaint investigation16 Feb 2026
13 Feb 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation16 Feb 2026
13 Feb 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation10 Apr 2026
13 Feb 2026F0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DComplaint investigation16 Feb 2026
13 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation2 Mar 2026
13 Feb 2026F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation16 Feb 2026
13 Feb 2026F0760Ensure that residents are free from significant medication errors.DComplaint investigation16 Feb 2026
13 Feb 2026F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint investigation16 Feb 2026
13 Feb 2026F0777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.DComplaint investigation16 Feb 2026
7 Dec 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation8 Dec 2025
7 Dec 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation8 Dec 2025
6 Aug 2025F0565Honor the resident's right to organize and participate in resident/family groups in the facility.FComplaint investigation7 Aug 2025
6 Aug 2025F0610Respond appropriately to all alleged violations.DComplaint investigation7 Aug 2025
7 Dec 2024F0584Honor 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.EComplaint investigation13 Dec 2024
1 Oct 2024F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey25 Oct 2024
1 Oct 2024F0880Provide and implement an infection prevention and control program.FStandard survey25 Oct 2024
1 Oct 2024F0881Implement a program that monitors antibiotic use.FStandard survey25 Oct 2024
1 Oct 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey25 Oct 2024
1 Oct 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey25 Oct 2024
11 Jul 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation27 Jul 2024
18 May 2024F0692Provide enough food/fluids to maintain a resident's health.EComplaint investigation8 Jun 2024
18 May 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation8 Jun 2024
18 May 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation8 Jun 2024
18 May 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation8 Jun 2024
18 May 2024F0825Provide or get specialized rehabilitative services as required for a resident.DComplaint investigation8 Jun 2024
24 Apr 2024F0759Ensure medication error rates are not 5 percent or greater.EComplaint investigation10 May 2024
21 Mar 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation10 Apr 2024
21 Mar 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation11 Apr 2024
21 Mar 2024F0838Conduct 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.FComplaint investigation10 Apr 2024
21 Mar 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EComplaint investigation10 Apr 2024
27 Feb 2024F0760Ensure that residents are free from significant medication errors.JComplaint investigation3 May 2024
27 Feb 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint investigation12 Apr 2024
27 Feb 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.FComplaint investigation12 Apr 2024
27 Feb 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation12 Apr 2024
27 Feb 2024F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation12 Apr 2024
6 Jan 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation19 Jan 2024
6 Jan 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation19 Jan 2024
21 Dec 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint investigation13 Feb 2024
21 Dec 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation22 Feb 2024
21 Dec 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation13 Feb 2024
21 Dec 2023F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint investigation13 Feb 2024
21 Dec 2023F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation13 Feb 2024
21 Dec 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation13 Feb 2024
21 Dec 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation13 Feb 2024
30 Nov 2023F0727Have 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.FComplaint investigation17 Dec 2023
30 Nov 2023F0880Provide and implement an infection prevention and control program.FComplaint investigation17 Dec 2023
30 Nov 2023F0761Ensure 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.EComplaint investigation17 Dec 2023
30 Nov 2023F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation17 Dec 2023
31 Oct 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation22 Nov 2023
31 Oct 2023F0880Provide and implement an infection prevention and control program.FComplaint investigation22 Nov 2023
31 Oct 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation22 Nov 2023
31 Oct 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation22 Nov 2023
24 Jul 2023F0679Provide activities to meet all resident's needs.FStandard survey30 Aug 2023
24 Jul 2023F0680Ensure the activities program is directed by a qualified professional.FStandard survey30 Aug 2023
24 Jul 2023F0727Have 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.FStandard survey30 Aug 2023
24 Jul 2023F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.FStandard survey30 Aug 2023
24 Jul 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey30 Aug 2023
24 Jul 2023F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard survey30 Aug 2023
24 Jul 2023F0837Establish 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.FStandard survey30 Aug 2023
24 Jul 2023F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard survey30 Aug 2023
24 Jul 2023F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey30 Aug 2023
24 Jul 2023F0880Provide and implement an infection prevention and control program.FStandard survey30 Aug 2023
24 Jul 2023F0584Honor 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.EStandard survey14 Sep 2023
24 Jul 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey14 Sep 2023
24 Jul 2023F0761Ensure 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.EStandard survey14 Sep 2023
24 Jul 2023F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey14 Sep 2023
24 Jul 2023F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey14 Sep 2023
24 Jul 2023F0637Assess the resident when there is a significant change in conditionDStandard survey30 Aug 2023
24 Jul 2023F0638Assure that each resident’s assessment is updated at least once every 3 months.DStandard survey30 Aug 2023
24 Jul 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey14 Sep 2023
24 Jul 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey30 Aug 2023
24 Jul 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey30 Aug 2023
24 Jul 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey14 Sep 2023
24 Jul 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey30 Aug 2023
24 Jul 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey30 Aug 2023
24 Jul 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey30 Aug 2023
24 Jul 2023F0758Implement 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.DStandard survey30 Aug 2023
24 Jul 2023F0760Ensure that residents are free from significant medication errors.DStandard survey30 Aug 2023
24 Jul 2023F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DStandard survey14 Sep 2023
24 Jul 2023F0732Post nurse staffing information every day.CStandard survey30 Aug 2023
12 Aug 2022F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.EStandard survey26 Aug 2022
12 Aug 2022F0688Provide 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.EStandard survey26 Aug 2022
12 Aug 2022F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard survey26 Aug 2022
12 Aug 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey26 Aug 2022
12 Aug 2022F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey26 Aug 2022
12 Aug 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey26 Aug 2022
12 Aug 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey26 Aug 2022
12 Aug 2022F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey26 Aug 2022
12 Aug 2022F0791Provide or obtain dental services for each resident.DStandard survey26 Aug 2022
12 Aug 2022F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey26 Aug 2022

Penalties

DateTypeAmountDetail
13 Feb 2026Payment denial—34 days
13 Feb 2026Fine$346,525
30 Nov 2023Payment denial—111 days
30 Nov 2023Fine$181,422

Staffing

Total nursing3.76 h
Nurse aides2.45 h
LPN1.11 h
RN0.21 h
Weekend total3.48 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 54.2%, RNs —; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityIllinois medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay12.2%11.5%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.3%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.2%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.7%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.0%1.5%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay24.6%12.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.1%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay28.6%17.8%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Goldwater Care Peoria Heights Llc. Chain: Goldwater Care (11 facilities).

OrganisationRole in the CMS recordInterestSince
Goldwater Care Management LLCOperational/managerial controlNOT APPLICABLE12/01/2024
Curis Services LLCAdp of the snfNOT APPLICABLE12/01/2024
Goldwater Care Management LLCAdp of the snfNOT APPLICABLE03/19/2025
Petersen SNF Holdings LLCAdp of the snfNOT APPLICABLE03/19/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Peoria County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Apostolic Christian SkylinesPeoria62555914.5—12 Apr 2025
Lutheran Hillside VillagePeoria1075451413.1—17 Jun 2026
Accolade Healthcare of PeoriaPeoria1383323424.6—6 May 2026
Manor Court of PeoriaPeoria503344386.0$141K29 Oct 2025
Arc At ChillicotheChillicothe1062313028.3—22 Apr 2026
Loft Rehab of Peoria, Theabuse iconPeoria1201117058.3$253K18 Jun 2026
Sharon Health Care ElmsPeoria961214243.8$186K26 Feb 2026
Sharon Health Care Pinesabuse iconPeoria1161114337.1$235K25 Jun 2026

All 11 facilities in Peoria County

Questions and answers

How many deficiencies has Goldwater Care Peoria Heights been cited for?

107 health deficiencies across the three most recent survey cycles, 14 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.

Has Goldwater Care Peoria Heights been fined?

Yes. CMS lists fines totalling $528K in the period covered, plus 2 payment denials.

How does staffing at Goldwater Care Peoria Heights compare?

Reported total nurse staffing is 3.8 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.

Who operates Goldwater Care Peoria Heights?

It is part of the Goldwater Care chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Goldwater Care Management LLC. Individual owners and managers are not listed on this site.

When was Goldwater Care Peoria Heights last inspected?

The most recent survey or investigation in the CMS record is dated 17 Jun 2026; the most recent standard health survey was 1 Oct 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.