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
Data as of July 1, 2026
1 of 5 overall
Goldwater Care Peoria Heights has a 1-star overall rating, with 1-star health inspection and staffing ratings, and is a Special Focus Facility candidate. Reported nurse staffing is below the federal benchmark (3.76 vs. 4.1 hours per resident per day), and it has had $346,525 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.7625 hrs/resident/day
Quality measures
Last inspection: May 27, 2026Penalties, last 24 months: $346,525special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7625.
Staffing detail
- Registered nurses
- 0.21
- Licensed practical nurses
- 1.11
- Nurse aides
- 2.45
- Weekend nursing
- 3.48
Hours per resident per day.
Total staff turnover: 54%
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
30.4%21.9%Improving
Residents with a fall causing major injury
2.5%0%Improving
Residents with pressure ulcers (bedsores)
3.8%7.6%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
8.8%2.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.3%12.2%Improving
Residents whose ability to walk got worse
—24.6%—
Long-stay residents on antianxiety or sleep medication
14.3%11.4%Improving
Short-stay residents newly given an antipsychotic
5%0%Improving
Residents with a long-term catheter
0%2.7%Worsening
Residents with new or worsening incontinence
43.9%36.9%Improving
Residents with depressive symptoms
91.2%85.7%Improving
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
97.5%83.7%Worsening
Short-stay residents given the seasonal flu vaccine
—40.5%—
Short-stay residents given the pneumonia vaccine
86.5%48.9%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
- 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 1 health deficiency.
See what inspectors found
- 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
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $346,525 was recorded.
- INSPECTION
Health inspection found 19 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
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Penalties & enforcement
On record with Medicare: 2 fines · $527,947 in total fines · 2 payment denials.
- 34 days
Medicare/Medicaid payment denial
Feb 13, 2026
- $346,525
Federal fine
Feb 13, 2026
- 111 days
Medicare/Medicaid payment denial
Nov 30, 2023
- $181,422
Federal fine
Nov 30, 2023
Operator & ownership
Recent ownership change · Dec 1, 2024
Now operated by Goldwater Care Peoria Heights, previously Cornerstone Rehabilitation & Health Care Center.
- Ownership
- For profit - Corporation
- Chain
- Part of GOLDWATER CARE · 11 homes · 1.5 stars avg
- Occupancy
- 56.5 residents on an average day (60% 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.