Nursing homes › Illinois › Goldwater Care Gibson City
620 East First Street, Gibson City, IL 60936 · 2177844257 · 60 certified beds
Per CMS filings, this facility is affiliated with Goldwater Care, a group operating 11 facilities in 1 states. Group record: average rating 1.5/5, 4 abuse citation icons, 4 facilities on the Special Focus list, $1,927,066 in federal fines. This facility rates below its group average (1.5/5).
Total nurse staffing: 3.37 (Illinois median: 3.29). RN hours: 0.38. Weekend total: 3.22. Nursing staff turnover: 52%.
All-time on record: 79 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-12 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | complaint | corrected 2026-05-13 |
| 2026-05-12 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2026-05-13 |
| 2026-05-12 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-05-13 |
| 2026-05-12 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2026-05-13 |
| 2026-05-12 | Respond appropriately to all alleged violations. | D | complaint | corrected 2026-05-13 |
| 2026-03-20 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-03-21 |
| 2026-02-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-02-20 |
| 2025-12-23 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | complaint | corrected 2025-12-24 |
| 2025-12-23 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | complaint | corrected 2025-12-24 |
| 2025-12-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2025-12-24 |
| 2025-12-23 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2025-12-24 |
| 2025-09-14 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-09-15 |
| 2025-05-08 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-07-01 |
| 2025-05-08 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2025-05-29 |
| 2025-05-08 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2025-07-01 |
| 2025-05-08 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-07-03 |
| 2025-05-08 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-07-01 |
| 2025-03-28 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2025-03-31 |
| 2025-03-28 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2025-03-31 |
| 2024-10-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-10-24 |
| 2024-10-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-10-02 |
| 2024-09-26 | Ensure that residents are free from significant medication errors. | J | complaint | corrected 2024-09-27 |
| 2024-09-26 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | complaint | corrected 2024-09-27 |
| 2024-07-09 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2024-07-13 |
| 2024-07-09 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2024-07-13 |
| 2024-07-09 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-07-13 |
| 2024-07-03 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2024-07-06 |
| 2024-07-03 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | F | complaint | corrected 2024-07-06 |
| 2024-07-03 | Respond appropriately to all alleged violations. | F | complaint | corrected 2024-07-06 |
| 2024-07-03 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | complaint | corrected 2024-07-06 |
| 2024-07-03 | Provide training in compliance and ethics. | F | complaint | corrected 2024-07-06 |
| 2024-07-03 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | complaint | corrected 2024-07-06 |
| 2024-04-24 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-04-26 |
| 2024-03-19 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | complaint | corrected 2024-03-28 |
| 2024-03-19 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-03-28 |
| 2024-03-19 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2024-03-28 |
| 2024-02-06 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2024-02-20 |
| 2024-02-06 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2024-02-20 |
| 2024-02-06 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2024-02-20 |
| 2024-02-06 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-02-20 |
| Date | Type | Amount |
|---|---|---|
| 2025-03-28 | Payment Denial | 33 days payment denial |
| 2024-09-26 | Fine | $59,827 |
| 2024-09-26 | Payment Denial | 2 days payment denial |
| 2023-08-14 | Fine | $2,447 |
| 2023-08-07 | Fine | $2,117 |
| 2023-07-24 | Fine | $15,971 |
| 2023-07-24 | Payment Denial | 66 days payment denial |
| 2023-07-17 | Fine | $4,233 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| GOLDFARB, BRIAN | Direct Ownership Interest | Individual | NOT APPLICABLE | since 07/01/2023 |
| BANE, LINDA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/01/2023 |
| HEARN, MARY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/01/2023 |
| STACHOWIAK, MELISSA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/01/2023 |
| SPECTOR, JENNIFER | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2023 |
| GOLDWATER CARE MANAGEMENT LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/01/2023 |
| ALI, BASIL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2023 |
| BANE, LINDA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2023 |
| HEARN, MARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2023 |
| KATZENSTEIN, MEIR | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2023 |
| SPECTOR, JENNIFER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2023 |
| TUROFSKY, STEVEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2023 |
| TVERSKY, AARON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2023 |
| WILHELM, NAFTALI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 145911. Corrections: data@carerecords.org.