The home failed to run its operations effectively and efficiently using its available resources. Cited February 2026 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 835 — 42 CFR §483.70 — S/S: L
Nursing home report
GOLDWATER CARE PEORIA HEIGHTS
PEORIA HEIGHTS, IL · Medicare-certified · 94 beds
Needs attention
Special Focus candidateFor-profitChain member
1 of 5 overall
Goldwater Care Peoria Heights has an overall 1-star rating, with 1-star health inspection and staffing ratings, though quality measures are 4 stars. It is a special focus candidate/facility, has no fines in the last 24 months, and reported nurse staffing is 3.08 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.0793 hrs/resident/day
Quality measures
Last inspection: February 28, 2026Penalties, last 24 months: $0special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0793.
Staffing detail
- Registered nurses
- 0.25
- Licensed practical nurses
- 0.95
- Nurse aides
- 1.88
- Weekend nursing
- 2.77
Hours per resident per day.
Total staff turnover: 49%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
27.3%34.8%Worsening
Residents with a fall causing major injury
0%2.4%Worsening
Residents with pressure ulcers (bedsores)
4.5%2%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
19.4%2.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
28.6%14.7%Improving
Residents whose ability to walk got worse
—26.9%—
Long-stay residents on antianxiety or sleep medication
12.9%22.2%Worsening
Short-stay residents newly given an antipsychotic
5%0%Improving
Residents with a long-term catheter
0%2.2%Worsening
Residents with new or worsening incontinence
28.1%33.5%Worsening
Residents with depressive symptoms
82.4%94.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.5%—
Long-stay residents given the pneumonia vaccine
97.2%87.8%Worsening
Short-stay residents given the seasonal flu vaccine
—40.5%—
Short-stay residents given the pneumonia vaccine
94.4%46%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited February 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 693 — 42 CFR §483.25 — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited February 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 19 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $181,422 in total fines · 1 payment denial.
- 111 days
Medicare/Medicaid payment denial
Nov 30, 2023
- $181,422
Federal fine
Nov 30, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of GOLDWATER CARE · 11 homes · 1.5 stars avg
- Occupancy
- 52.3 residents on an average day (56% of 94 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 54 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.