Goldwater Care Marseilles
578 West Commercial Street · Marseilles, IL · 61341 · 8157955121
103 certified beds Government - Hospital district Chain: Goldwater Care
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $29,637 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.42 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.82 | 0.55–0.75 |
| Weekend hours / resident-day | 2.87 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 4 · $271,252 |
Inspection citations (52 in the current record)
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Potential for harm · D February 8, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 9, 2026 · Quality of Life and Care
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Potential for harm · D July 9, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected July 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 20, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 23, 2025 · Quality of Life and Care
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Actual harm · G April 10, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 11, 2025 · Quality of Life and Care
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Actual harm · G March 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 6, 2025 · Quality of Life and Care
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Actual harm · G February 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 12, 2025 · Quality of Life and Care
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Potential for harm · D February 14, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 9, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 13, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected September 16, 2024 · Pharmacy Service
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Potential for harm · D August 5, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 6, 2024 · Pharmacy Service
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Potential for harm · D June 14, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 19, 2024 · Resident Rights
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Potential for harm · D June 14, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 19, 2024 · Resident Rights
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Potential for harm · D June 14, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 14, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 19, 2024 · Quality of Life and Care
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Potential for harm · D June 14, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 19, 2024 · Quality of Life and Care
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Potential for harm · D June 14, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected June 19, 2024 · Pharmacy Service
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Immediate jeopardy · J May 2, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 3, 2024 · Quality of Life and Care
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Potential for harm · E May 2, 2024 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 3, 2024 · Quality of Life and Care
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Potential for harm · D March 19, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 29, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 14, 2024 · Quality of Life and Care
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Potential for harm · D February 6, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 23, 2024 · Quality of Life and Care
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Potential for harm · D November 14, 2023 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 16, 2023 · Quality of Life and Care
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Potential for harm · D November 14, 2023 · 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 November 15, 2023 · Environmental
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Potential for harm · F November 14, 2023 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected November 20, 2023 · Environmental
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Potential for harm · D October 11, 2023 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected October 15, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 10, 2025 | Fine | $14,505 |
| February 14, 2025 | Fine | $15,132 |
| May 2, 2024 | Fine | $197,728 |
| June 23, 2023 | Fine | $43,887 |
| June 23, 2023 | Payment Denial | 3 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 145295 · certified since July 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.