Goldwater Care Clinton
1 Park Lane West · Clinton, IL · 61727 · 2179358500
134 certified beds For profit - Corporation 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: $286,544 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
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Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
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.
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.
5 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$286,544 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.19 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
73% 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: 2 of 5
| Total nurse hours / resident-day | 3.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.19 | 0.55–0.75 |
| Weekend hours / resident-day | 3.00 | ≈ weekday level |
| Nursing turnover / year | 73% | median 45% |
| Fines (3-yr window) | 2 · $286,544 |
Inspection citations (112 in the current record)
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Potential for harm · D April 29, 2026 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected May 1, 2026 · Resident Rights
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Potential for harm · D April 29, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · F April 29, 2026 · 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 May 1, 2026 · Nursing and Physician Services
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Potential for harm · D April 15, 2026 · found via complaint
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 April 16, 2026 · Resident Rights
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Potential for harm · D April 15, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 15, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 16, 2026 · Quality of Life and Care
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Potential for harm · D March 21, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 21, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 21, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G February 18, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 20, 2026 · Quality of Life and Care
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Actual harm · G February 18, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 20, 2026 · Pharmacy Service
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Potential for harm · D February 18, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 20, 2026 · Resident Rights
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Potential for harm · E February 18, 2026
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected February 20, 2026 · Resident Rights
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Potential for harm · D February 18, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 20, 2026 · Resident Rights
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Potential for harm · D February 18, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected April 10, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 18, 2026
Ensure each resident receives an accurate assessment.
Corrected February 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 18, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 18, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 18, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · F February 18, 2026
Observe each nurse aide's job performance and give regular training.
Corrected February 20, 2026 · Nursing and Physician Services
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Potential for harm · D February 18, 2026
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · D February 18, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected April 10, 2026 · Pharmacy Service
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Potential for harm · E February 18, 2026
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 April 10, 2026 · Pharmacy Service
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Potential for harm · D February 18, 2026
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected February 20, 2026 · Nutrition and Dietary
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Potential for harm · F February 18, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 20, 2026 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 13, 2026 | Fine | $253,800 |
| January 13, 2026 | Payment Denial | 79 days |
| December 5, 2024 | Fine | $32,744 |
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 146076 · certified since February 2, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.