Deficiency timeline

GOLDWATER CARE BLOOMINGTON

Dated inspection findings, penalties, and correction notes for this nursing home in Bloomington, IL. Newest events first.

94 eventsTimeline fines $234,633Class insights →
  1. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Apr 10, 2026

  2. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Apr 10, 2026

  3. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0921: Environmental

    Environment

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected Sep 25, 2025

  4. Class IIActual harm (G)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Aug 18, 2025

  5. Class IImmediate jeopardy (J)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Jul 29, 2025

  6. Class IIActual harm (G)Complaint-relatedcms

    F0697: Quality of Life and Care

    Quality of life & care

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected Jul 29, 2025

  7. Class IIActual harm (G)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Jul 29, 2025

  8. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0727: Nursing and Physician Services

    Nursing & physician services

    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 Apr 11, 2025

  9. Class IIIPotential for more than minimal harm (E)cms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Apr 1, 2025

  10. Class IIActual harm (G)cms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Apr 1, 2025

  11. Class IIIPotential for more than minimal harm (D)cms

    F0661: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected Feb 27, 2025

  12. Class IIIPotential for more than minimal harm (D)cms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Feb 27, 2025

  13. Class IIIPotential for more than minimal harm (D)cms

    F0676: Quality of Life and Care

    Quality of life & care

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected Feb 27, 2025

  14. cms

    Payment denial

    Medicare/Medicaid payment denial issued following a survey deficiency.

  15. Fine $110,450cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  16. Class IIIPotential for more than minimal harm (D)cms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Feb 27, 2025

  17. Class IIIPotential for more than minimal harm (D)cms

    F0679: Quality of Life and Care

    Quality of life & care

    Provide activities to meet all resident's needs.

    Corrected Feb 27, 2025

  18. Class IIIPotential for more than minimal harm (D)cms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Feb 27, 2025

  19. Class IIIPotential for more than minimal harm (D)cms

    F0690: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected Apr 1, 2025

  20. Class IIIPotential for more than minimal harm (D)cms

    F0697: Quality of Life and Care

    Quality of life & care

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected Feb 27, 2025

  21. Class IIIPotential for more than minimal harm (E)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Apr 1, 2025

  22. Class IIIPotential for more than minimal harm (E)cms

    F0659: Resident Assessment and Care Planning

    Assessment & care planning

    Provide care by qualified persons according to each resident's written plan of care.

    Corrected Feb 27, 2025

  23. Class IIIPotential for more than minimal harm (D)cms

    F0554: Resident Rights

    Resident rights

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected Feb 27, 2025

  24. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Jan 2, 2025

  25. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0921: Environmental

    Environment

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected Dec 26, 2024

  26. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Dec 26, 2024

  27. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Dec 26, 2024

  28. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0690: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected Nov 7, 2024

  29. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Nov 7, 2024

  30. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected Nov 7, 2024

  31. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Sep 20, 2024

  32. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Sep 23, 2024

  33. Class IIActual harm (G)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Aug 6, 2024

  34. Class IIActual harm (G)Complaint-relatedcms

    F0697: Quality of Life and Care

    Quality of life & care

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected Jul 8, 2024

  35. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0725: Nursing and Physician Services

    Nursing & physician services

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected Jul 8, 2024

  36. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Jul 8, 2024

  37. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0760: Pharmacy Service

    Pharmacy services

    Ensure that residents are free from significant medication errors.

    Corrected Jul 8, 2024

  38. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected Jun 22, 2024

  39. Fine $48,685cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  40. cms

    Payment denial

    Medicare/Medicaid payment denial issued following a survey deficiency.

  41. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Jun 22, 2024

  42. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Apr 25, 2024

  43. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0626: Resident Rights

    Resident rights

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Corrected May 9, 2024

  44. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0623: Resident Rights

    Resident rights

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected May 9, 2024

  45. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Mar 8, 2024

  46. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Mar 8, 2024

  47. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Mar 8, 2024

  48. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0690: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected Feb 29, 2024

  49. Class IIActual harm (G)Complaint-relatedcms

    F0692: Quality of Life and Care

    Quality of life & care

    Provide enough food/fluids to maintain a resident's health.

    Corrected Feb 29, 2024

  50. Class IIIPotential for more than minimal harm (F)cms

    F0924: Environmental

    Environment

    Put firmly secured handrails on each side of hallways.

    Corrected Feb 28, 2024

  51. Class IIIPotential for more than minimal harm (E)cms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Feb 28, 2024

  52. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0761: Pharmacy Service

    Pharmacy services

    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 Feb 28, 2024

  53. Class IIIPotential for more than minimal harm (E)cms

    F0883: Infection Control

    Infection control

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected Feb 29, 2024

  54. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0553: Resident Rights

    Resident rights

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected Feb 28, 2024

  55. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected Feb 28, 2024

  56. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Feb 28, 2024

  57. Class IIIPotential for more than minimal harm (D)cms

    F0661: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected Feb 28, 2024

  58. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Mar 8, 2024

  59. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Feb 29, 2024

  60. Class IIIPotential for more than minimal harm (D)cms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Feb 29, 2024

  61. Class IIIPotential for more than minimal harm (D)cms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected Feb 28, 2024

  62. Class IIIPotential for more than minimal harm (D)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Feb 28, 2024

  63. Class IIIPotential for more than minimal harm (D)cms

    F0919: Environmental

    Environment

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected Feb 28, 2024

  64. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Feb 28, 2024

  65. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0740: Quality of Life and Care

    Quality of life & care

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected Feb 29, 2024

  66. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Feb 28, 2024

  67. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Mar 8, 2024

  68. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0690: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected Feb 29, 2024

  69. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0712: Nursing and Physician Services

    Nursing & physician services

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Corrected Feb 28, 2024

  70. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Feb 28, 2024

  71. Class IIActual harm (G)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Feb 29, 2024

  72. Fine $75,498cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  73. Class IIActual harm (G)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Feb 29, 2024

  74. Class IIActual harm (G)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected Feb 28, 2024

  75. Class IImmediate jeopardy (J)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Feb 28, 2024

  76. cms

    Payment denial

    Medicare/Medicaid payment denial issued following a survey deficiency.

  77. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected Oct 14, 2023

  78. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0607: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected Oct 14, 2023

  79. Class IIActual harm (G)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Sep 24, 2023

  80. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0690: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected Aug 15, 2023

  81. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Aug 15, 2023

  82. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Aug 15, 2023

  83. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Aug 15, 2023

  84. Class IIIPotential for more than minimal harm (D)cms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Feb 13, 2023

  85. Class IIIPotential for more than minimal harm (D)cms

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected Feb 13, 2023

  86. Class IIIPotential for more than minimal harm (D)cms

    F0761: Pharmacy Service

    Pharmacy services

    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 Feb 13, 2023

  87. Class IIIPotential for more than minimal harm (D)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Feb 15, 2023

  88. Class IIIPotential for more than minimal harm (D)cms

    F0914: Environmental

    Environment

    Provide bedrooms that don't allow residents to see each other when privacy is needed.

    Corrected Feb 13, 2023

  89. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Feb 13, 2023

  90. Class IIIPotential for more than minimal harm (D)cms

    F0552: Resident Rights

    Resident rights

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected Feb 13, 2023

  91. Class IIIPotential for more than minimal harm (E)cms

    F0758: Pharmacy Service

    Pharmacy services

    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 Feb 13, 2023

  92. Class IIIPotential for more than minimal harm (E)cms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected Feb 13, 2023

  93. Class IIIPotential for more than minimal harm (F)cms

    F0802: Nutrition and Dietary

    Nutrition & dietary

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Corrected Feb 13, 2023

  94. Class IIIPotential for more than minimal harm (D)cms

    F0679: Quality of Life and Care

    Quality of life & care

    Provide activities to meet all resident's needs.

    Corrected Feb 13, 2023

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile