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
Data as of July 1, 2026
1 of 5 overall
Goldwater Care Toluca has an overall 1 out of 5 stars, with especially weak staffing (1 out of 5 stars) and reported nurse staffing below the federal benchmark (3.16 vs. 4.1 hours per resident per day). It has no fines in the last 24 months, but it does have a recent abuse citation and recent inspection findings related to accident hazards, supervision, and food-service staffing.
Facility ratings
Health inspections
Staffing
3.1618 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 3.1618.
Staffing detail
- Registered nurses
- 0.71
- Licensed practical nurses
- 0.53
- Nurse aides
- 1.92
- Weekend nursing
- 2.90
Hours per resident per day.
Total staff turnover: 43%
Registered nurse 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
39.5%34.8%Improving
Residents with a fall causing major injury
8.5%1.8%Improving
Residents with pressure ulcers (bedsores)
5.7%3.8%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.8%5.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.4%0%Improving
Residents whose ability to walk got worse
4%4%No change
Long-stay residents on antianxiety or sleep medication
32.2%44.6%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%3.4%Worsening
Residents with new or worsening incontinence
28.7%20.4%Improving
Residents with depressive symptoms
71.7%75.9%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%—
Long-stay residents given the pneumonia vaccine
100%87.7%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 make sure its quality review group had the required members and met at least every three months. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 868 — 42 CFR §483.75 — S/S: F
Recent history
- PENALTY
A federal payment denial was recorded.
- 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 9 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
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 2 days
Medicare/Medicaid payment denial
Dec 30, 2025
Operator & ownership
Recent ownership change · May 1, 2024
Now operated by Goldwater Care Toluca, previously Aperion Care Toluca.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of GOLDWATER CARE · 11 homes · 1.5 stars avg
- Occupancy
- 60.1 residents on an average day (58% 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.