The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 740 — 42 CFR §483.40 — S/S: G
Nursing home report
GOLDWATER PONTIAC NURSING HOME
PONTIAC, IL · Medicare-certified · 90 beds
In good standing
For-profitChain member
2 of 5 overall
Goldwater Pontiac Nursing Home in Pontiac, IL has an overall rating of 2 out of 5 stars. It has a 1-star staffing rating with 3.29 nurse hours per resident day, below the 4.1 federal benchmark, while its health inspection rating is 3 stars, quality measures rating is 4 stars, and it had $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2934 hrs/resident/day
Quality measures
Last inspection: August 20, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2934.
Staffing detail
- Registered nurses
- 0.43
- Licensed practical nurses
- 0.64
- Nurse aides
- 2.22
- Weekend nursing
- 2.97
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 17%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
13.2%Worsening
Residents with a fall causing major injury
6.4%Improving
Residents with pressure ulcers (bedsores)
3.7%Steady
Residents with a urinary tract infection
0.9%Steady
Residents who lost too much weight
4.9%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.3%Steady
Residents whose ability to walk got worse
14%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
25.8%Worsening
Short-stay residents newly given an antipsychotic
0.9%Worsening
Residents with a long-term catheter
0.3%Improving
Residents with new or worsening incontinence
30.3%Improving
Residents with depressive symptoms
99.7%Worsening
Long-stay residents given the seasonal flu vaccine
88.2%Steady
Long-stay residents given the pneumonia vaccine
95.5%Steady
Short-stay residents given the seasonal flu vaccine
87.3%Steady
Short-stay residents given the pneumonia vaccine
66.5%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited July 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — S/S: F
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $13,635 in total fines.
- $13,635
Federal fine
Jun 12, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of GOLDWATER CARE · 11 homes · 1.5 stars avg
- Occupancy
- 85.8 residents on an average day (95% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 28 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.