Nursing homes › Illinois › Goldwater Care Peoria Heights
5533 North Galena Road, Peoria Heights, IL 61614 · 3096825428 · 94 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: 3.76 (Illinois median: 3.29). RN hours: 0.21. Weekend total: 3.48. Nursing staff turnover: 54%.
All-time on record: 104 deficiency citations, including 6 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-27 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2026-05-29 |
| 2026-04-29 | 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. | E | complaint | corrected 2026-04-30 |
| 2026-04-15 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-04-16 |
| 2026-02-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-03-02 |
| 2026-02-13 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L | complaint | corrected 2026-02-16 |
| 2026-02-13 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | complaint | corrected 2026-02-16 |
| 2026-02-13 | 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. | J | complaint | corrected 2026-02-16 |
| 2026-02-13 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | complaint | corrected 2026-04-10 |
| 2026-02-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2026-02-16 |
| 2026-02-13 | Provide safe, appropriate pain management for a resident who requires such services. | G | complaint | corrected 2026-02-16 |
| 2026-02-13 | Provide activities to meet all resident's needs. | F | complaint | corrected 2026-02-16 |
| 2026-02-13 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | complaint | corrected 2026-02-16 |
| 2026-02-13 | Observe each nurse aide's job performance and give regular training. | F | complaint | corrected 2026-02-16 |
| 2026-02-13 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | complaint | corrected 2026-02-16 |
| 2026-02-13 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | complaint | corrected 2026-02-16 |
| 2026-02-13 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2026-02-16 |
| 2026-02-13 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2026-04-10 |
| 2026-02-13 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | complaint | corrected 2026-02-16 |
| 2026-02-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-03-02 |
| 2026-02-13 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2026-02-16 |
| 2026-02-13 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2026-02-16 |
| 2026-02-13 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | complaint | corrected 2026-02-16 |
| 2026-02-13 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | D | complaint | corrected 2026-02-16 |
| 2025-12-07 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2025-12-08 |
| 2025-12-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-12-08 |
| 2025-08-06 | Honor the resident's right to organize and participate in resident/family groups in the facility. | F | complaint | corrected 2025-08-07 |
| 2025-08-06 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-08-07 |
| 2024-12-07 | 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. | E | complaint | corrected 2024-12-13 |
| 2024-10-01 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Health | corrected 2024-10-25 |
| 2024-10-01 | Provide and implement an infection prevention and control program. | F | Health | corrected 2024-10-25 |
| 2024-10-01 | Implement a program that monitors antibiotic use. | F | Health | corrected 2024-10-25 |
| 2024-10-01 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Health | corrected 2024-10-25 |
| 2024-10-01 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2024-10-25 |
| 2024-07-11 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-07-27 |
| 2024-05-18 | Provide enough food/fluids to maintain a resident's health. | E | complaint | corrected 2024-06-08 |
| 2024-05-18 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-06-08 |
| 2024-05-18 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-06-08 |
| 2024-05-18 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-06-08 |
| 2024-05-18 | Provide or get specialized rehabilitative services as required for a resident. | D | complaint | corrected 2024-06-08 |
| 2024-04-24 | Ensure medication error rates are not 5 percent or greater. | E | complaint | corrected 2024-05-10 |
| Date | Type | Amount |
|---|---|---|
| 2026-02-13 | Fine | $346,525 |
| 2026-02-13 | Payment Denial | 34 days payment denial |
| 2023-11-30 | Fine | $181,422 |
| 2023-11-30 | Payment Denial | 111 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| STACHOWIAK, MELISSA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/01/2024 |
| STEWART, JASON | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/01/2024 |
| TVERSKY, AARON | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/01/2024 |
| SPECTOR, JENNIFER | Corporate Director | Individual | NOT APPLICABLE | since 12/01/2024 |
| GOLDWATER CARE MANAGEMENT LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2024 |
| AHEARN, MICHAEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2024 |
| SPECTOR, JENNIFER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2024 |
| STEWART, JASON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2024 |
| TUROFSKY, STEVEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2024 |
| TVERSKY, AARON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2024 |
| WILHELM, NAFTALI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 145239. Corrections: data@carerecords.org.