Goldwater Care Bloomington
700 East Walnut · Bloomington, IL · 61701 · 3098278004
88 certified beds For profit - Limited Liability company Chain: Goldwater Care
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $110,450 in fines in the last 24 months.
- 11 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$110,450 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.17 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.64 | 0.55–0.75 |
| Weekend hours / resident-day | 2.86 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 3 · $234,633 |
Inspection citations (89 in the current record)
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Potential for harm · E April 9, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 10, 2026 · Resident Rights
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Potential for harm · D April 9, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 10, 2026 · Quality of Life and Care
-
Potential for harm · F September 11, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 25, 2025 · Environmental
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Actual harm · G August 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 18, 2025 · Quality of Life and Care
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Immediate jeopardy · J July 28, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 29, 2025 · Quality of Life and Care
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Actual harm · G July 28, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 29, 2025 · Quality of Life and Care
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Actual harm · G July 28, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected July 29, 2025 · Quality of Life and Care
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Potential for harm · F April 10, 2025 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected April 11, 2025 · Nursing and Physician Services
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Actual harm · G February 26, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 1, 2025 · Quality of Life and Care
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Potential for harm · E February 26, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 1, 2025 · Resident Rights
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Potential for harm · D February 26, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected February 27, 2025 · Resident Rights
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Potential for harm · D February 26, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected February 27, 2025 · Resident Rights
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Potential for harm · E February 26, 2025
Provide care by qualified persons according to each resident's written plan of care.
Corrected February 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2025
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected February 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected February 27, 2025 · Quality of Life and Care
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Potential for harm · D February 26, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 27, 2025 · Quality of Life and Care
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Potential for harm · D February 26, 2025
Provide activities to meet all resident's needs.
Corrected February 27, 2025 · Quality of Life and Care
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Potential for harm · D February 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 27, 2025 · Quality of Life and Care
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Potential for harm · D February 26, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 1, 2025 · Quality of Life and Care
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Potential for harm · D February 26, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected February 27, 2025 · Quality of Life and Care
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Potential for harm · E February 26, 2025
Provide and implement an infection prevention and control program.
Corrected April 1, 2025 · Infection Control
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Potential for harm · D December 31, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 2, 2025 · Quality of Life and Care
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Potential for harm · D December 26, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 26, 2024 · Quality of Life and Care
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Potential for harm · F December 26, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 26, 2024 · Infection Control
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Potential for harm · F December 26, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 26, 2024 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 26, 2025 | Fine | $110,450 |
| February 26, 2025 | Payment Denial | 15 days |
| June 21, 2024 | Fine | $48,685 |
| June 21, 2024 | Payment Denial | 5 days |
| January 23, 2024 | Fine | $75,498 |
| January 23, 2024 | Payment Denial | 21 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145016 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.