Elder Care Record

Illinois › Marshall County › Toluca

Goldwater Care Toluca

101 East Via Ghiglieri, Toluca, IL 61369

CCN 145413 · For-profit, limited liability company · 104 certified beds · chain Goldwater Care

CMS abuse icon
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.

Goldwater Care Toluca, in Toluca, Illinois, is certified for 104 beds under for-profit, limited liability company ownership and belongs to the Goldwater Care chain.

CMS gives it 1 of 5 stars overall, below the Illinois median of 2; the health inspection rating is 2, staffing 1 and quality measures 4.

Inspectors recorded 28 health deficiencies across the three most recent survey cycles (13, 9, 6 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 26.9 per 100 beds, about the same as the state median of 28.4.

CMS lists 1 penalty in the period covered: no fines and 1 payment denial.

Reported nurse staffing is 3.2 hours per resident per day (0.7 RN), close to the Illinois median of 3.3; nursing staff turnover is 43.4%.

CMS flags that the facility carries the CMS abuse icon.

28health deficiencies, 3 survey cycles2 at actual harm or worse
$0fines listed by CMS1 penalty in period
3.2nurse hours per resident per daystate median 3.3
58%occupancy (residents ÷ beds)60 residents a day

Compared with county, state and nation

MeasureThis facilityMarshall Co. medianIllinois medianUS average
Overall star rating1223.0
Health citations, 3 cycles28283428.7
Citations per 100 beds26.926.928.426.8
Total nurse hours per resident day3.23.63.33.9
RN hours per resident day0.70.60.60.7
Nursing staff turnover43.4%43.4%43.4%45.8%
Fines listed$0$0$45,123—

County and state figures are medians across facilities (3 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)13
Cycle 29
Cycle 36

Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Sep 2025, 2 May 2024.

Severity mix: G ×2 D ×15 E ×3 F ×7 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
30 Dec 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation31 Dec 2025
30 Dec 2025F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint investigation31 Dec 2025
30 Dec 2025F0803Ensure 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.FComplaint investigation24 Jan 2026
30 Dec 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation31 Dec 2025
26 Sep 2025F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey29 Sep 2025
26 Sep 2025F0880Provide and implement an infection prevention and control program.FStandard survey29 Sep 2025
26 Sep 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey29 Sep 2025
26 Sep 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey29 Sep 2025
26 Sep 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey29 Sep 2025
26 Sep 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey29 Sep 2025
26 Sep 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey29 Sep 2025
26 Sep 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey29 Sep 2025
26 Sep 2025F0881Implement a program that monitors antibiotic use.DStandard survey29 Sep 2025
27 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation30 Dec 2024
10 Dec 2024F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FComplaint investigation14 Dec 2024
10 Dec 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation12 Dec 2024
2 May 2024F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey8 May 2024
2 May 2024F0880Provide and implement an infection prevention and control program.FStandard survey8 May 2024
2 May 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey8 May 2024
2 May 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey8 May 2024
2 May 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey8 May 2024
2 May 2024F0758Implement 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 survey8 May 2024
12 May 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey26 May 2023
12 May 2023F0625Notify 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.EStandard survey26 May 2023
12 May 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey26 May 2023
12 May 2023F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey26 May 2023
12 May 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 survey26 May 2023
12 May 2023F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard survey26 May 2023

Penalties

DateTypeAmountDetail
30 Dec 2025Payment denial—2 days

Staffing

Total nursing3.16 h
Nurse aides1.92 h
LPN0.53 h
RN0.71 h
Weekend total2.9 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 43.4%, RNs 53.8%; 0 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 Stay3.2%11.5%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.7%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.8%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.5%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay7.0%12.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay7.6%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay34.7%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, limited liability company. Legal business name: Goldwater Care Toluca Llc. Chain: Goldwater Care (11 facilities).

OrganisationRole in the CMS recordInterestSince
Goldwater Care Management LLCOperational/managerial controlNOT APPLICABLE05/01/2024
101 E. Via Ghiglieri, LLCAdp of the snfNOT APPLICABLE04/03/2025
Curis Services LLCAdp of the snfNOT APPLICABLE05/01/2024
Goldwater Care Management LLCAdp of the snfNOT APPLICABLE04/03/2025

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 Marshall County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Henry Rehab and NursingHenry815521113.6—14 May 2026
Lacon Rehab and NursingLacon932123840.9$41K20 Feb 2026

All 3 facilities in Marshall County

Questions and answers

How many deficiencies has Goldwater Care Toluca been cited for?

28 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.

Has Goldwater Care Toluca been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Goldwater Care Toluca compare?

Reported total nurse staffing is 3.2 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.

Who operates Goldwater Care Toluca?

It is part of the Goldwater Care chain. Ownership type is for-profit, limited liability company. 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 Toluca last inspected?

The most recent survey or investigation in the CMS record is dated 30 Dec 2025; the most recent standard health survey was 26 Sep 2025.

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.