Goldwater Pontiac Nursing Home
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 11 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.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (14 vs median 11.0)
Below average in IL · Critically understaffed (RN) · Chain outperformer · $13,635 in fines
What this means for your family
While the facility is praised for its cleanliness and activities, the recent reports of staff inattentiveness and significant delays in financial refunds are major red flags. I strongly recommend that you conduct an unannounced visit during off-hours to observe staffing levels and speak directly with the administration about their billing policies before committing.
Google Reviews
Google Reviews
11 reviews on Google“Goldwater Pontiac Nursing Home receives polarized feedback, with some families praising the facility's cleanliness, activities, and compassionate staff, while others report severe neglect and administrative failures. Recent reviews highlight significant concerns regarding staff attentiveness and the handling of financial matters after a resident's passing. Families should be aware of the stark contrast between reports of high-quality care and allegations of dangerous errors and understaffing.”
Quality Themes
Tap a score for detailsStrengths
- Clean and well-maintained facility
- Engaging and inventive activities
- Compassionate and attentive nursing staff
- Strong physical therapy department
Concerns
- Inattentive staff and lack of care (mentioned by 2 reviewers)
- Administrative issues regarding refunds and billing (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 11 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the current staffing levels, what specific protocols do you have in place to ensure residents receive timely assistance with daily needs?
- 2I noticed some feedback regarding billing and administrative processes; could you walk me through how you handle resident accounts and ensure transparency in invoicing?
- 3With your strong physical therapy department, how do you integrate those services into the daily routines of residents who may need ongoing support?
- 4I read about the inventive activities offered here; could you share a few examples of what a typical week of engagement looks like for residents?
- 5Regarding medication management, what systems do you have in place to ensure accuracy and consistency for residents with complex health needs?
- 6How do you maintain open lines of communication with family members, especially when concerns or changes in a resident's health status arise?
Personalized based on this facility's data
Key Review Excerpts
“The CNAs are excellent—attentive, compassionate, and they build strong rapport with residents. The nursing staff provides thoughtful, skilled, and personalized care, and they work closely with families to keep them involved and informed.”
“The staff sleeps at night instead of caring for their patients. When something is said nothing gets done. The errors that are made are going to cost someone their life if things don’t change.”
“My Mother passed and it has now been over 6 weeks and no refund of the thousands of dollars we are owed. Was told it might take 6 weeks and now being told 3 months. This is unacceptable.”
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
10
measures
6
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
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 has faced repeated compliance issues across multiple surveys, with families filing eight complaints that triggered federal investigations. The most recurring problems involve infection control, emergency preparedness, and medication management, appearing consistently across recent inspections. While the facility reports correcting each deficiency, the pattern of repeat violations in core safety areas suggests ongoing operational challenges that families should carefully consider when evaluating care quality.
Aug 20, 2025Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nov 25, 2024Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 16, 2024Routine15
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service Deficiencies
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.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Sep 27, 2023Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 28, 2023Routine13
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
May 10, 2023Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Jun 12, 2023
$13,635
Ownership & Operations
Who Operates This Facility
Goldwater Pontiac Nursing Home
for profit
Chain Affiliation
Goldwater Care
11 facilities nationwide
Chain avg rating: 1.4/5 · Rank 3 of 11
Ownership & Management
Owners
Katzenstein, Meir
Owner
David a Berkowitz Revoc Tr David Berkowitz Ttee
Owner · Organization
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
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
11 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 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.