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.
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
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
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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.