Goldwater Care Gibson City
Nursing Home · Gibson City, IL
CMS certification number145911
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
620 East First StreetGibson City, IL 60936
Ford County
- Phone
- (217) 784-4257
- ZIP code
- 60936 – all care providers
Facility details
- Certified beds
- 60
- Residents per day
- 51.6 (86% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Goldwater Care Gibson City LLC
- Chain
- Goldwater Care (11 facilities, avg 1.5★)
- Medicare certified since
- December 1, 1996
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.37 (state 3.45 · U.S. 3.86)
- Registered nurses (RN)
- 0.38 (state 0.72 · U.S. 0.69)
- Licensed practical nurses
- 0.72 (state 0.64 · U.S. 0.86)
- Nurse aides
- 2.26 (state 2.09 · U.S. 2.32)
- Weekend total
- 3.22 (state 3.08 · U.S. 3.42)
- Nursing staff turnover
- 51.7 (state 44.5 · U.S. 45.8)%
- RN turnover
- 36.4 (state 41.8 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- March 28, 2025
- Health deficiencies (last cycle)
- 14.0 (state 12.5 · U.S. 9.3)
- From complaints
- 12
- Citations on record (3 years)
- 75 health · 5 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-12 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-13 |
| 2026-05-12 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-13 |
| 2026-05-12 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-13 |
| 2026-05-12 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-13 |
| 2026-05-12 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-13 |
| 2026-03-20 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-21 |
| 2026-02-19 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-20 |
| 2025-12-23 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-24 |
| 2025-12-23 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-24 |
| 2025-12-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-24 |
| 2025-12-23 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-24 |
| 2025-09-14 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-15 |
| 2025-05-08 | 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 2025-07-01 |
| 2025-05-08 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-29 |
| 2025-05-08 | 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 2025-07-01 |
| 2025-05-08 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-03 |
| 2025-05-08 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-01 |
| 2025-03-28 | 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 2025-03-31 |
| 2025-03-28 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-31 |
| 2024-10-23 | 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 2024-10-24 |
| 2024-10-01 | 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 2024-10-02 |
| 2024-09-26 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-09-27 |
| 2024-09-26 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-09-27 |
| 2024-07-09 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-13 |
| 2024-07-09 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-13 |
| 2024-07-09 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-13 |
| 2024-07-03 | 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 2024-07-06 |
| 2024-07-03 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-07-06 |
| 2024-07-03 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-07-06 |
| 2024-07-03 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-07-06 |
| 2024-07-03 | Provide training in compliance and ethics. F0946 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-07-06 |
| 2024-07-03 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-07-06 |
| 2024-04-24 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-03-19 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-03-19 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-03-19 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-02-06 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-02-06 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-02-06 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-02-06 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-02-06 | 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 2024-02-20 |
| 2024-02-06 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-02-06 | 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 2024-02-20 |
| 2024-02-06 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-02-06 | 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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-02-06 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-02-06 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-02-06 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2023-10-18 | 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 2023-11-17 |
| 2023-10-18 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-16 |
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
3 penalties in the last three years, including $59,827 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-03-28 | Payment Denial | 33 days payment denial |
| 2024-09-26 | Payment Denial | 2 days payment denial |
| 2024-09-26 | Fine | $59,827 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| 620 E. 1ST ST., LLC (organization) | Administrator · NOT APPLICABLE | |
| Ali, Basil (individual) | Administrator · NOT APPLICABLE | |
| Aperion Care Exec Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Bane, Linda (individual) | Administrator · NOT APPLICABLE | |
| Curis Services LLC (organization) | Administrator · NOT APPLICABLE | |
| David a Berkowitz Delta Trust (organization) | Administrator · NOT APPLICABLE | |
| David a Berkowitz Revoc TR David Berkowitz Ttee (organization) | Administrator · NOT APPLICABLE | |
| Goldwater Care Management LLC (organization) | Administrator · NOT APPLICABLE | |
| Hearn, Mary (individual) | Administrator · NOT APPLICABLE | |
| Joshua Hoffman Trust (organization) | Administrator · NOT APPLICABLE | |
| Katzenstein, Meir (individual) | Administrator · NOT APPLICABLE | |
| Seitler, Dovid (individual) | Administrator · NOT APPLICABLE | |
| Spector, Jennifer (individual) | Administrator · NOT APPLICABLE | |
| Stachowiak, Melissa (individual) | Administrator · NOT APPLICABLE | |
| Turofsky, Steven (individual) | Administrator · NOT APPLICABLE | |
| Tversky, Aaron (individual) | Administrator · NOT APPLICABLE | |
| Wilhelm, Naftali (individual) | Administrator · NOT APPLICABLE | |
| Yosef Meystel Declaration of TR of Yosef Meystel Ttee (organization) | Administrator · NOT APPLICABLE | |
| Yosef Meystel Delta Trust (organization) | Administrator · NOT APPLICABLE | |
| Spector, Jennifer (individual) | Corporate Officer · NOT APPLICABLE | |
| Goldfarb, Brian (individual) | Direct Ownership Interest · 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 | |
| Bane, Linda (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Hearn, Mary (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Stachowiak, Melissa (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Ali, Basil (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Bane, Linda (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Goldwater Care Management LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Hearn, Mary (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Katzenstein, Meir (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Spector, Jennifer (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Turofsky, Steven (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 Gibson City?
Goldwater Care Gibson City 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 Gibson City have?
It has 60 certified beds and cares for about 52 residents per day.
Has Goldwater Care Gibson City been fined?
Yes. CMS lists 3 penalties totaling $59,827 in the last three years.
Who owns Goldwater Care Gibson City?
It is part of Goldwater Care and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Goldwater Care Gibson City?
(217) 784-4257. The facility is located at 620 East First Street, Gibson City, IL 60936.
Other nursing homes in Gibson City
-
Gibson Community HSP Annex
Nursing Home · Gibson City, IL · 16 beds
★★★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.