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 September 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 a 3-star quality rating. It is a special focus candidate/facility, has had $522,325 in fines over the last 24 months, and its reported nurse staffing is below the federal benchmark (3.76 vs 4.1 hours per resident per day).
Facility ratings
Health inspections
Staffing
3.7625 hrs/resident/day
Quality measures
Last inspection: July 13, 2026Penalties, last 24 months: $522,325special 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 3 health deficiencies.
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- 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 $175,800 was recorded.
- 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.
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- INSPECTION
Health inspection found 2 health deficiencies.
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Penalties & enforcement
On record with Medicare: 3 fines · $703,747 in total fines · 3 payment denials.
- 33 days
Medicare/Medicaid payment denial
Apr 29, 2026
- $175,800
Federal fine
Apr 29, 2026
- 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 - Limited Liability company
- Chain
- Part of GOLDWATER CARE · 11 homes · 1.4 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.