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Nursing HomeMedicaid Investigative

Goldwater Care Danville

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

620 Warrington Avenue, Danville, IL 6183290 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 15 Google reviews

5
4
3
2
1
Goldwater Care Danville Nursing Home in Danville, IL — Street View
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9/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (27 vs median 11.0)

Bottom 25% in IL · Meets national RN staffing standard · Worst in GOLDWATER CARE chain · $221,939 in fines · Special Focus Facility (CMS) · Abuse citation

Source: Medicare data

What this means for your family

While the facility has a strong reputation for rehabilitation and cleanliness, recent feedback indicates a significant decline in staff professionalism and communication. When touring, we strongly recommend asking for a specific plan on how the facility ensures consistent, respectful care and how they handle family inquiries when staff are busy.

Google Reviews

Google Reviews

15 reviews on Google
Goldwater Care Danville presents a stark contrast in experiences, with recent reviews highlighting significant concerns regarding staff professionalism and responsiveness. While some families praise the facility for its cleanliness and dedicated rehabilitation team, others report rude behavior, poor communication, and inconsistent care quality.

Quality Themes

Tap a score for details
FoodN/AStaff4.0Clean8.0ActivitiesN/AMeds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Dedicated and skilled rehabilitation therapy team
  • Clean and well-maintained facility environment
  • Compassionate end-of-life care

Concerns

  • Unprofessional and rude staff behavior (mentioned by 4 reviewers)
  • Poor communication and difficulty reaching staff by phone (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02018(1)5.02021(2)5.02023(2)3.02024(3)2.52025(6)1.02026(1)

Distribution · 15 analyzed

5
8
4
0
3
1
2
1
1
5

How They Respond to Reviews

13%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the recent focus on improving team interactions, what specific training or initiatives are currently in place to ensure staff maintain a professional and supportive tone with residents and their families?
  • 2I noticed the facility has a strong reputation for its rehabilitation therapy team; how do you integrate these therapists into the daily care plan for residents who need ongoing support?
  • 3Communication is very important to our family; what is the best way to receive regular updates on our loved one's health, and who should we contact if we have trouble reaching someone by phone?
  • 4With 27 recent health inspection deficiencies noted, what specific steps has the leadership team taken over the last year to address these concerns and improve the quality of care?
  • 5Since medication management is a critical part of daily health, could you walk us through the process for ensuring medications are administered accurately and on time?
  • 6What does a typical day look like for residents in terms of social activities and engagement, and how do you ensure those who are less mobile still feel included in the community?

Personalized based on this facility's data


Key Review Excerpts

The rehab team is excellent at this location. Jake, Kelsey and Robert are amazing therapist and I couldn't ask for anyone better to complete progressive and client centred care.

Rehab patient family member · 2023★★★★★

Goldwater care in Danville is one of the cleanest and friendliest facilities I have ever seen. From the administration to the entire staff nurses, CNAs and physical therapist all make a very professional and well maintained facility.

General visitor · 2024★★★★★

My Dad was at Colonial Manor for just a couple of days before he went home to heaven, but every single staff member, housekeeper, CNA, and nurse that helped us care for Dad in his final days was beyond helpful and kind.

Long-term resident's family · 2023★★★★★
Source: 15 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.76hrs
OK
Registered nurses for medical care
Total Nursing
3.22hrs
79%
All nurses + aides combined
Staff Turnover
46%
Lower is better (< 30% = good)
RN Turnover
56%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
1/ 5
Better Than Avg

4

measures

Worse Than Avg

9

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility98.9%
Worse than Avg
Here
98.9%
US
12.1%
IL
52.5%
Vermilion
18.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility35.1%
Worse than Avg
Here
35.1%
US
15.3%
IL
15.9%
Vermilion
18.0%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility24.8%
Worse than Avg
Here
24.8%
US
5.3%
IL
6.6%
Vermilion
5.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility30.1%
Worse than Avg
Here
30.1%
US
14.4%
IL
14.2%
Vermilion
18.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.0%
Better than Avg
Here
14.0%
US
19.5%
IL
18.3%
Vermilion
25.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility28.0%
Worse than Avg
Here
28.0%
US
19.4%
IL
21.1%
Vermilion
18.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility67.3%
Worse than Avg
Here
67.3%
US
81.8%
IL
69.0%
Vermilion
90.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility70.4%
Mixed vs Avgs
Here
70.4%
US
79.7%
IL
63.1%
Vermilion
86.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
1.6%
IL
2.4%
Vermilion
2.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

30deficiencies
7penalties
Well above state avg (12.0)
51 complaint-triggered
$221,939 in fines

Goldwater Care Danville has serious concerns with 93 deficiencies across 19 surveys, including 53 triggered by family complaints about resident care. Persistent problems include accident prevention/safety supervision, medication management, and infection control, with issues recurring across multiple years. While the facility reports corrections for cited violations, the high volume of family-initiated complaints about abuse reporting, wound care, and basic safety suggests ongoing quality challenges that merit careful consideration before placement.

Mar 12, 2026Complaint
3
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Nov 26, 2025Complaint
1
0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Oct 2, 2025Complaint
4
0686Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 25, 2025Complaint
7
0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

May 28, 2025Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

May 12, 2025Complaint
2
0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

Federal Penalties

Fine

Oct 2, 2025

$239,680

Payment Denial

Apr 4, 2025

55-day denial

Fine

Jan 16, 2025

$41,005

Payment Denial

Jan 16, 2025

13-day denial

Fine

Nov 27, 2024

$48,031

Fine

Jun 13, 2024

$120,049

Fine

Feb 23, 2024

$12,854

Ownership & Operations

Who Operates This Facility

Owner / Operator

Goldwater Care Danville

Organization Type

for profit

Chain Affiliation

Chain Name

Goldwater Care

Chain Size

11 facilities nationwide

Chain avg rating: 1.4/5 · Rank 4 of 11 (Worst)

Ownership & Management

Owners

Katzenstein, Meir

Owner

35%

Tversky, Aaron

Owner

35%

Key personnel

Lock, MarshaW-2 Managing EmployeeSpector, JenniferOfficer / DirectorSpector, JenniferManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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