Golden Good Shepherd Home
101 Prairie Mills Road · Golden, IL · 62339 · 2176964421
46 certified beds Non profit - Other
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
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
Cited under the freedom-from-abuse rule
Cited 1 time 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.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.52 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.64 | 0.55–0.75 |
| Weekend hours / resident-day | 3.15 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (17 in the current record)
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Actual harm · G November 26, 2024
Ensure that residents are free from significant medication errors.
Corrected December 21, 2024 · Pharmacy Service
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Potential for harm · D November 26, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 20, 2024 · Resident Rights
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Potential for harm · D November 26, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected December 21, 2024 · Resident Rights
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Potential for harm · D November 26, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected December 21, 2024 · Resident Rights
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Potential for harm · D November 26, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected February 24, 2025 · Quality of Life and Care
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Potential for harm · D November 26, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected February 24, 2025 · Quality of Life and Care
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Potential for harm · D November 26, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected February 24, 2025 · Pharmacy Service
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Potential for harm · F November 26, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 21, 2024 · Nutrition and Dietary
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Potential for harm · D November 26, 2024
Provide and implement an infection prevention and control program.
Corrected February 24, 2025 · Infection Control
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Potential for harm · D September 7, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 11, 2023 · Quality of Life and Care
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Potential for harm · D September 7, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 15, 2023 · Quality of Life and Care
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Potential for harm · D September 7, 2023
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected September 10, 2023 · Pharmacy Service
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Potential for harm · F September 7, 2023
Implement a program that monitors antibiotic use.
Corrected September 15, 2023 · Infection Control
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Potential for harm · D August 18, 2022
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 7, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 18, 2022
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 7, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 18, 2022
Respond appropriately to all alleged violations.
Corrected September 7, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 18, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 7, 2022 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 26, 2024 | Payment Denial | 60 days |
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 146111 · certified since July 1, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.