Goldwater Care Gibson City
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 8 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (12 vs median 11.0)
- High staff turnover (51%)
Bottom 25% in IL · Below recommended RN staffing · Worst in GOLDWATER CARE chain · $84,595 in fines · Abuse citation
What this means for your family
While some long-term families have had positive experiences, recent reports indicate significant instability in administration and staffing. We strongly recommend visiting during off-hours to observe response times and asking management specifically about their current staffing ratios and medication administration protocols.
Google Reviews
Google Reviews
8 reviews on Google“Goldwater Care Gibson City receives polarized feedback, with some long-term families praising the staff while recent visitors report significant operational failures. Common complaints focus on understaffing, medication delays, and disorganized administrative processes that make scheduling and communication difficult.”
Quality Themes
Tap a score for detailsStrengths
- Dedicated core nursing staff
- Positive long-term care experiences
- Professional rapport with administration
Concerns
- Understaffing leading to delayed care and medication (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 12 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about your dedicated core nursing staff; how do you ensure they have enough support to provide timely care for every resident?
- 2What specific steps are being taken to improve medication management and ensure doses are delivered exactly on schedule?
- 3How does the administration work with families to improve communication and keep us updated on daily changes?
- 4In the event of a medical emergency after hours, what is the specific protocol for notifying the family and coordinating care?
- 5What kind of daily activities or social outings do you have planned to keep the residents engaged and active?
- 6With the recent state inspections, what specific improvements have been implemented to address the identified deficiencies?
Personalized based on this facility's data
Key Review Excerpts
“I have Grown to know the staff here from the administrator did the office people to the nurses to the CNAs and on Down the Line. I know that other people have their own opinion about places where their loved ones are at but in my opinion Gibson City Heritage Health here is one of the top notch places that I have seen throughout the state.”
“Over loaded capacity with not enough employees!! Screaming lady in my moms room saying help me,help me,help me!!!! My mom is just there for rehab and she has to put up with that.Late on her pain pills all the time and tv hasn't worked all day.”
“Had an appt.and called ahead to confirm. They had no appt written down. Person answering the phone was the one I spoke to to make the appt. They have no administrator, no one that can answer questions.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
6
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on antipsychotic medication
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Residents who lost too much weight
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a concerning pattern of repeat safety violations, with families filing numerous complaints that triggered investigations. The most recurring problems involve protecting residents from abuse and neglect, preventing accidents and falls, and medication management errors. Recent complaints through 2024 highlight ongoing issues with these same core safety areas, and the facility has faced multiple violations for failure to properly report suspected abuse or neglect to authorities, suggesting systemic problems persist despite corrections.
Mar 20, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Feb 19, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 23, 2025Complaint4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
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.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Sep 14, 2025Complaint1
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.
May 8, 2025Complaint5
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Mar 28, 2025Routine4
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Federal Penalties
Payment Denial
Mar 28, 2025
33-day denial
Fine
Sep 26, 2024
$59,827
Payment Denial
Sep 26, 2024
2-day denial
Fine
Aug 14, 2023
$2,447
Fine
Aug 7, 2023
$2,117
Fine
Jul 24, 2023
$15,971
Payment Denial
Jul 24, 2023
66-day denial
Fine
Jul 17, 2023
$4,233
Ownership & Operations
Who Operates This Facility
Goldwater Care Gibson City
for profit
Chain Affiliation
Goldwater Care
11 facilities nationwide
Chain avg rating: 1.4/5 · Rank 11 of 11 (Worst)
Ownership & Management
Owners
Goldfarb, Brian
Owner
Berkowitz, David
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Meystel, Yosef
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
8 reviews from families & visitors
Official Website
Visit goldwatercare.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.