Goldwater Pontiac Nursing Home
1225 South Ewing Drive · Pontiac, IL · 61764 · 8158445121
90 certified beds For profit - Corporation Chain: Goldwater Care
- No federal fines or payment denials in CMS’s 3-year window.
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
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
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: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.29 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.43 | 0.55–0.75 |
| Weekend hours / resident-day | 2.97 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (30 in the current record)
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Potential for harm · D August 20, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected August 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 20, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 20, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 21, 2025 · Quality of Life and Care
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Potential for harm · D November 25, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 2, 2024 · Resident Rights
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Potential for harm · D November 25, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 25, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G May 16, 2024
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected May 21, 2024 · Quality of Life and Care
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Potential for harm · D May 16, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 21, 2024 · Resident Rights
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Potential for harm · D May 16, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 21, 2024 · Resident Rights
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Potential for harm · D May 16, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 16, 2024
Ensure each resident receives an accurate assessment.
Corrected May 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 16, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 21, 2024 · Quality of Life and Care
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Potential for harm · D May 16, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 21, 2024 · Quality of Life and Care
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Potential for harm · D May 16, 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 May 21, 2024 · Pharmacy Service
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Potential for harm · D May 16, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected May 17, 2024 · Pharmacy Service
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Potential for harm · D May 16, 2024
Ensure that residents are free from significant medication errors.
Corrected May 21, 2024 · Pharmacy Service
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Potential for harm · F May 16, 2024
Provide and implement an infection prevention and control program.
Corrected May 21, 2024 · Infection Control
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Potential for harm · E September 27, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 29, 2023 · Infection Control
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Potential for harm · D July 28, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 7, 2023 · Quality of Life and Care
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Potential for harm · D July 28, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 7, 2023 · Quality of Life and Care
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Potential for harm · D July 28, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected August 7, 2023 · Quality of Life and Care
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Potential for harm · D July 28, 2023
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected August 7, 2023 · Quality of Life and Care
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Potential for harm · D July 28, 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 August 7, 2023 · Pharmacy Service
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Potential for harm · F July 28, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 7, 2023 · Nutrition and Dietary
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Potential for harm · F July 28, 2023
Provide and implement an infection prevention and control program.
Corrected August 7, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145930 · certified since August 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.