The nursing home failed to protect residents from abuse and neglect by others. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
GOLDWATER CARE TOLUCA
TOLUCA, IL · Medicare-certified · 104 beds
Needs attention
Abuse citationFor-profitChain member
1 of 5 overall
GOLDWATER CARE TOLUCA has a 1-star overall rating, with 1-star staffing and 2-star health inspection results; reported nurse staffing is 3.10 hours per resident per day, below the 4.1-hour federal benchmark, and there were no fines in the last 24 months. It has a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.1047 hrs/resident/day
Quality measures
Last inspection: December 30, 2025Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1047.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 0.53
- Nurse aides
- 1.93
- Weekend nursing
- 2.85
Hours per resident per day.
Total staff turnover: 52%
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
51.2%31.8%Improving
Residents with a fall causing major injury
4.9%3.6%Improving
Residents with pressure ulcers (bedsores)
5.4%9.6%Worsening
Residents with a urinary tract infection
3.3%0%Improving
Residents who lost too much weight
1.6%5.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.7%1.9%Improving
Residents whose ability to walk got worse
8.1%7.9%No change
Long-stay residents on antianxiety or sleep medication
34.4%41.8%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%2.1%Worsening
Residents with new or worsening incontinence
35.4%21.7%Improving
Residents with depressive symptoms
75.4%75%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
—97%—
Long-stay residents given the pneumonia vaccine
100%92.9%Worsening
Short-stay residents given the pneumonia vaccine
80%62.1%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of GOLDWATER CARE · 11 homes · 1.5 stars avg
- Occupancy
- 61 residents on an average day (59% of 104 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 45 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.