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
Data as of July 1, 2026
2 of 5 overall
Goldwater Pontiac Nursing Home in Pontiac, IL has a 2-star overall rating, with weak staffing at 1 star and nurse staffing below the federal benchmark (3.24 vs 4.1 hours per resident per day). It has no fines in the last 24 months; health inspections are 3 stars and quality measures are 4 stars, with recent citations for behavioral health care, infection control, and food handling.
Facility ratings
Health inspections
Staffing
3.2436 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 3.2436.
Staffing detail
- Registered nurses
- 0.27
- Licensed practical nurses
- 0.78
- Nurse aides
- 2.19
- Weekend nursing
- 2.91
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 50%
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
12.3%14%Worsening
Residents with a fall causing major injury
7.1%6.6%Improving
Residents with pressure ulcers (bedsores)
4.3%5.8%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.2%6.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.7%5.1%Improving
Residents whose ability to walk got worse
23.6%7%Improving
Long-stay residents on antianxiety or sleep medication
23%27.7%Worsening
Short-stay residents newly given an antipsychotic
0%7.7%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24.8%28.1%Worsening
Residents with depressive symptoms
100%87.3%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
—88.2%—
Long-stay residents given the pneumonia vaccine
98.8%97.4%Worsening
Short-stay residents given the seasonal flu vaccine
—87.3%—
Short-stay residents given the pneumonia vaccine
62.5%74.1%Improving
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
Operator & ownership
Recent ownership change · Oct 1, 2022
Now operated by Goldwater Pontiac Nursing Home LLC, previously Good Samaritan Pontiac.
- Ownership
- For profit - Corporation
- Chain
- Part of GOLDWATER CARE · 11 homes · 1.5 stars avg
- Occupancy
- 84.5 residents on an average day (94% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 years
The most recent standard health inspection was more than two years ago.
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.