Goldwater Care Peoria Heights
5533 North Galena Road, Peoria Heights, IL 61614 · (309) 682-5428
For profit - Limited Liability company · 94 certified beds
Special Focus Facility candidate Medicare's data lists this home as a candidate for its Special Focus Facility program, which is for homes with a persistent record of serious problems.
Goldwater Care Peoria Heights has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2026, found 20 citations, 2 for actual harm or immediate jeopardy (the Illinois average is 12.6). It was fined 3 times in the last three years, $703,747 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on April 29, 2026 found 20 citations. What an inspection citation means
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.April 29, 2026 · F0550 · Level of harm: Actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.April 29, 2026 · F0686 · Level of harm: Actual harm · Residents affected: Few
- 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.April 29, 2026 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 29, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.April 29, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Implement a program that monitors antibiotic use.April 29, 2026 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.April 29, 2026 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.April 29, 2026 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.April 29, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.April 29, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.April 29, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.April 29, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.April 29, 2026 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- PASARR screening for Mental disorders or Intellectual DisabilitiesApril 29, 2026 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.April 29, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide activities to meet all resident's needs.April 29, 2026 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.April 29, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.April 29, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care or services that was trauma informed and/or culturally competent.April 29, 2026 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.April 29, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 65 citations.
- Protect each resident from the wrongful use of the resident's belongings or money.July 13, 2026 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 17, 2026 · F0578 · Level of harm: Actual harm · Residents affected: Few
- Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.June 17, 2026 · F0620 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 17, 2026 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.May 27, 2026 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.April 29, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 15, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 28, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.February 13, 2026 · F0550 · Level of harm: Actual harm · Residents affected: Few
- Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.February 13, 2026 · F0569 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.February 13, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide activities to meet all resident's needs.February 13, 2026 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 13, 2026 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 13, 2026 · F0686 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 13, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.February 13, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.February 13, 2026 · F0693 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.February 13, 2026 · F0697 · Level of harm: Actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.February 13, 2026 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Observe each nurse aide's job performance and give regular training.February 13, 2026 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.February 13, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are free from significant medication errors.February 13, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.February 13, 2026 · F0773 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.February 13, 2026 · F0777 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Administer the facility in a manner that enables it to use its resources effectively and efficiently.February 13, 2026 · F0835 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Many
- Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFebruary 13, 2026 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.February 13, 2026 · F0944 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.December 7, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.December 7, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to organize and participate in resident/family groups in the facility.August 6, 2025 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Respond appropriately to all alleged violations.August 6, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.December 7, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 11, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 18, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 18, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.May 18, 2024 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.May 18, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide or get specialized rehabilitative services as required for a resident.May 18, 2024 · F0825 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.April 24, 2024 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.March 21, 2024 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.March 21, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.March 21, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.March 21, 2024 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.February 27, 2024 · F0580 · Level of harm: Actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.February 27, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.February 27, 2024 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure medication error rates are not 5 percent or greater.February 27, 2024 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.February 27, 2024 · F0760 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.January 6, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.January 6, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Reasonably accommodate the needs and preferences of each resident.December 21, 2023 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.December 21, 2023 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.December 21, 2023 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.December 21, 2023 · F0686 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 21, 2023 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.December 21, 2023 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Administer the facility in a manner that enables it to use its resources effectively and efficiently.December 21, 2023 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.November 30, 2023 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure medication error rates are not 5 percent or greater.November 30, 2023 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.November 30, 2023 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.November 30, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.October 31, 2023 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 31, 2023 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.October 31, 2023 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.October 31, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Fines and payment denials
- Fine of $175,800April 29, 2026
- Fine of $346,525February 13, 2026
- Fine of $181,422November 30, 2023
- Medicare payment denial for 33 daysStarting May 23, 2026
- Medicare payment denial for 34 daysStarting March 13, 2026
- Medicare payment denial for 111 daysStarting January 20, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Illinois average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.76 | 3.45 | 3.86 |
| Registered nurses (RN) | 0.21 | 0.72 | 0.69 |
| Licensed practical nurses (LPN) | 1.11 | 0.64 | 0.86 |
| Nurse aides | 2.45 | 2.09 | 2.32 |
| Total nursing staff turnover | 54.2% | 44.5% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 94 |
| Average residents per day | 56.5 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Arcadia Care Peoria Heights Peoria Heights · Not available
- Arc at Chillicothe Chillicothe · ★★★★★ 2 out of 5 stars
- Apostolic Christian Skylines Peoria · ★★★★★ 5 out of 5 stars
- Lutheran Hillside Village Peoria · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Goldwater Care Peoria Heights on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.