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Nursing home report

Goldwater Care Roseville

ROSEVILLE, IL · Medicare-certified · 99 beds

Needs attention
For-profitChain member
1 of 5 overall

Goldwater Care Roseville has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. Reported nursing staffing is below the federal benchmark (3.81 vs. 4.1 hours per resident per day), and the facility had $11,280 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.8104 hrs/resident/day

Quality measures

Last inspection: September 10, 2025Penalties, last 24 months: $11,280recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8104.

Staffing detail

Registered nurses
0.55
Licensed practical nurses
1.01
Nurse aides
2.25
Weekend nursing
3.65

Hours per resident per day.

Total staff turnover: 49%
Registered nurse turnover: 67%

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

21.2%20%Improving

Residents with a fall causing major injury

4.2%7.5%Worsening

Residents with pressure ulcers (bedsores)

10.1%7.3%Improving

Residents with a urinary tract infection

0%2.6%Worsening

Residents who lost too much weight

5%14.7%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

48.6%12.9%Improving

Residents whose ability to walk got worse

48.9%

Long-stay residents on antianxiety or sleep medication

42.5%51.4%Worsening

Short-stay residents newly given an antipsychotic

3.6%

Residents with a long-term catheter

0%1.9%Worsening

Residents with new or worsening incontinence

11.9%13.5%Worsening

Residents with depressive symptoms

100%100%No change

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

90.6%

Long-stay residents given the pneumonia vaccine

12.5%27.5%Improving

Short-stay residents given the pneumonia vaccine

24%

What the inspectors found

The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited September 2025 — widespread issue, immediate jeopardy to residents.

View the original federal record

F-Tag 919 — 42 CFR §483.90 — S/S: L

The nursing home failed to protect residents from abuse and neglect by others. Cited November 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: J

The home failed to provide enough food and fluids to keep residents healthy. Cited July 2023 — isolated incident, actual harm.

View the original federal record

F-Tag 692 — 42 CFR §483.25(g) — S/S: G

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited September 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: F

The nursing home failed to make sure all staff got required training on its quality improvement program. Cited September 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 944 — 42 CFR §483.95 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $11,280 was recorded.

  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $75,481 in total fines.

  • Federal fine

    Jun 3, 2025

    $11,280
  • Federal fine

    Nov 15, 2023

    $64,201

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of GOLDWATER CARE · 11 homes · 1.5 stars avg
Occupancy
38.1 residents on an average day (38% of 99 beds)
Resident voice
Resident council
Medicare history
Certified for 24 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.