Goldwater Care Gibson City

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 13, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 13, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 13, 2026

• Protect each resident from the wrongful use of the resident's belongings or money.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 13, 2026

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 13, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 21, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 20, 2026

• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 24, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 24, 2025

• Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 24, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 24, 2025

• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 15, 2025

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

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Jul 1, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 29, 2025

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 1, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 1, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 3, 2025

• Conduct testing and exercise requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 15, 2025

• Establish staff and initial training requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 15, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

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

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Oct 24, 2024

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

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Oct 2, 2024

• Ensure that residents are free from significant medication errors.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Sep 27, 2024

• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Sep 27, 2024

• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jul 13, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jul 13, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 13, 2024

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

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Jul 6, 2024

• Provide training in compliance and ethics.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Jul 6, 2024

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Jul 6, 2024

• Respond appropriately to all alleged violations.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Jul 6, 2024

• Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Jul 6, 2024

• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Jul 6, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 26, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 28, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 28, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 28, 2024

• Establish staff and initial training requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 1, 2024

• Implement emergency and standby power systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 1, 2024

• Conduct testing and exercise requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 1, 2024

• Ensure medication error rates are not 5 percent or greater.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 20, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 20, 2024

• Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 20, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 20, 2024

• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 20, 2024

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 20, 2024

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 20, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 20, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 20, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 20, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 20, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 20, 2024

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

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Nov 17, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 16, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 16, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 4, 2023

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

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Nov 17, 2023

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 16, 2023

• Ensure that residents are free from significant medication errors.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 15, 2023

• Conduct testing and exercise requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 28, 2023

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 15, 2023

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 15, 2023

• Implement a program that monitors antibiotic use.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 15, 2023

• Report COVID19 data to residents and families.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 15, 2023

• Perform COVID19 testing on residents and staff.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 15, 2023

• Ensure staff are vaccinated for COVID-19

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 15, 2023

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 24, 2023

• Develop Emergency Preparedness policies and procedures.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 24, 2023

• Develop a communication plan.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 24, 2023

• Establish emergency prep training and testing.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 24, 2023

• Establish staff and initial training requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 28, 2023

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 15, 2023

• Honor the resident's right to organize and participate in resident/family groups in the facility.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 15, 2023

• Ensure medication error rates are not 5 percent or greater.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 15, 2023

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 15, 2023

• Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 15, 2023

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 15, 2023

• Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 15, 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 15, 2023

• Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 15, 2023

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 15, 2023

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 15, 2023

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 15, 2023

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 15, 2023

• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 15, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 15, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 15, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 15, 2023

• Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 15, 2023

Goldwater Care Gibson City offers Skilled Nursing / Long Term Care.

Goldwater Care Gibson City is located at 620 East First Street in Gibson City, Illinois.

Reviews of Goldwater Care Gibson City are mixed, with some families praising long-term trust in the staff and a home-like feel, while others report understaffing, administrative gaps, and lapses in basic care during rehab stays.

Goldwater Care Gibson City had 20 government inspection visits in the last three years, with 90 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Goldwater Care Gibson City and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.