Goldwater Care Toluca

Nursing Home · Toluca, IL

CMS overall rating 1/5 Abuse citation For profit - Limited Liability company

CMS certification number145413
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

101 East Via Ghiglieri
Toluca, IL 61369
Marshall County
Phone
(815) 452-2367
ZIP code
61369 – all care providers

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Facility details

Certified beds
104
Residents per day
60.1 (58% occupied)
Ownership
For profit - Limited Liability company
Legal name
Goldwater Care Toluca LLC
Chain
Goldwater Care (11 facilities, avg 1.5★)
Medicare certified since
November 1, 1980
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.5
Health inspections★★★★★ 2/5
State avg 2.7
Staffing★★★★★ 1/5
State avg 2.1
Quality measures★★★★★ 4/5
State avg 3.0
Long-stay quality★★★★★ 4/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.16 (state 3.45 · U.S. 3.86)
Registered nurses (RN)
0.71 (state 0.72 · U.S. 0.69)
Licensed practical nurses
0.53 (state 0.64 · U.S. 0.86)
Nurse aides
1.92 (state 2.09 · U.S. 2.32)
Weekend total
2.90 (state 3.08 · U.S. 3.42)
Nursing staff turnover
43.4 (state 44.5 · U.S. 45.8)%
RN turnover
53.8 (state 41.8 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
September 26, 2025
Health deficiencies (last cycle)
13.0 (state 12.5 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
28 health · 10 fire safety · includes actual harm
DateCitationSeverityStatus
2025-12-30 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-12-31
2025-12-30 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F0801 · Nutrition and Dietary Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-12-31
2025-12-30 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.
F0803 · Nutrition and Dietary Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2026-01-24
2025-12-30 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-31
2025-09-26 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-09-29
2025-09-26 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-09-29
2025-09-26 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-29
2025-09-26 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-29
2025-09-26 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-29
2025-09-26 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-29
2025-09-26 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-29
2025-09-26 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-29
2025-09-26 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-29
2024-12-27 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-12-30
2024-12-10 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-12-14
2024-12-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-12
2024-05-02 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-05-08
2024-05-02 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-05-08
2024-05-02 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-08
2024-05-02 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-08
2024-05-02 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-08
2024-05-02 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-08
2023-05-12 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-05-26
2023-05-12 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.
F0625 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-05-26
2023-05-12 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-05-26
2023-05-12 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-05-26
2023-05-12 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-05-26
2023-05-12 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F0577 · Resident Rights Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2023-05-26

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years.

DateTypeAmount
2025-12-30Payment Denial2 days payment denial

Ownership & management

NameRoleSince
101 E. Via Ghiglieri, LLC (organization)Administrator · NOT APPLICABLE
Ahearn, Michael (individual)Administrator · NOT APPLICABLE
Curis Services LLC (organization)Administrator · NOT APPLICABLE
David a Berkowitz Delta Trust (organization)Administrator · NOT APPLICABLE
Glynn, Elizabeth (individual)Administrator · NOT APPLICABLE
Goldwater Care Management LLC (organization)Administrator · NOT APPLICABLE
Jay, John (individual)Administrator · NOT APPLICABLE
Katzenstein, Meir (individual)Administrator · NOT APPLICABLE
Spector, Jennifer (individual)Administrator · NOT APPLICABLE
Stachowiak, Melissa (individual)Administrator · NOT APPLICABLE
Tversky, Aaron (individual)Administrator · NOT APPLICABLE
Wilhelm, Naftali (individual)Administrator · NOT APPLICABLE
Yosef Meystel Delta Trust (organization)Administrator · NOT APPLICABLE
Katzenstein, Meir (individual)Corporate Officer · NOT APPLICABLE
Spector, Jennifer (individual)Corporate Officer · NOT APPLICABLE
Tversky, Aaron (individual)Corporate Officer · NOT APPLICABLE
Berkowitz, David (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Meystel, Yosef (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Glynn, Elizabeth (individual)Managing Control - Governing Body · NOT APPLICABLE
Stachowiak, Melissa (individual)Managing Control - Governing Body · NOT APPLICABLE
Ahearn, Michael (individual)Operational/managerial Control · NOT APPLICABLE
Glynn, Elizabeth (individual)Operational/managerial Control · NOT APPLICABLE
Goldwater Care Management LLC (organization)Operational/managerial Control · NOT APPLICABLE
Jay, John (individual)Operational/managerial Control · NOT APPLICABLE
Katzenstein, Meir (individual)Operational/managerial Control · NOT APPLICABLE
Spector, Jennifer (individual)Operational/managerial Control · NOT APPLICABLE
Tversky, Aaron (individual)Operational/managerial Control · NOT APPLICABLE
Wilhelm, Naftali (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Goldwater Care Toluca?

Goldwater Care Toluca has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Illinois.

How many beds does Goldwater Care Toluca have?

It has 104 certified beds and cares for about 60 residents per day.

Has Goldwater Care Toluca been fined?

Yes. CMS lists 1 penalty in the last three years.

Who owns Goldwater Care Toluca?

It is part of Goldwater Care and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Goldwater Care Toluca?

(815) 452-2367. The facility is located at 101 East Via Ghiglieri, Toluca, IL 61369.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.