Goldwater Care Toluca

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.14 therapist hours per resident per day in 2026Q1 — more than 11% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 104 beds and averages 60.1 residents a day — about 58% occupied, or roughly 44 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.16 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.71 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.92 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.90 hrs/resident/day on weekends vs 3.27 on weekdays — 11% thinner on weekends. RN hours go from 0.78 to 0.53 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 43% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

28 citations, most serious first. The 12 most serious are shown; the remaining 16 are one tap away and print in full.

• Actual harm · G2025-12-30 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the Facility failed to protect Residents' Rights to be free of Mental Abuse and Verbal Abuse from a Facility staff perpetrator that caused mistreatment, emotional distress, and mental anguish for one of three Residents (R1) reviewed for Abuse in a sample of three. Findings include:The Facility Abuse Prevention and Reporting Policy, dated 10/24/22, documents: the Facility affirms the right of our Residents to be free from abuse; the Facility prohibits abuse and mistreatment of Residents; the Facility has established a Resident sensitive and secure environment; the policy assures the Facility is doing all that is within its control to prevent occurrences of abuse; the Facility will establish an environment that promotes Resident sensitivity, security and prevent mistreatment; identify occurrences and patterns of potential mistreatment; implementing systems to promptly and aggressively investigate all reports and allegations of abuse and mistreatment; filing accurate and timely…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-12-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to transfer a resident with a gait belt for one (R1) of three residents reviewed for accident/incidents in a sample of three. This failure resulted in R1 falling and injuring her left wrist where she was transported to the hospital, X-Rays obtained, R1 was ordered a wrist splint to be worn, and follow up appointment with an Orthopedic doctor. Findings include: Facility Transfer-Manual Gait Belt and Mechanical Lifts, revised on 1/19/18, documents Use of gait belt for all physical assist transfers is mandatory. One person transfer requires a gait belt. Facility Handbook, dated 1/2023, documents Resident Injuries and Incidents- A common cause of resident injury is falling. Falls are often caused by leaving a resident unattended; leaving a resident in the bathroom without supervision; and failing to use gait belt when transferring or ambulating a resident. Facility Safety Belt Policy, dated 8/10/24 and signed by V5 CNA/Certified Nurse Aid…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-12-30 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the Facility failed to staff a certified Food Service Manager/Dietary Manager. This failure has the potential to affect all 63 Residents Residing in the Facility.Findings include: The Facility Resident Census Roster, dated 12/24/25, documents 63 Residents residing in the Facility.The Facility Assessment Tool, undated, documents: the purpose of the Assessment is to determine what resources are necessary to care for Residents competently during day-to-day operations; to provide services to the Residents of your Facility; focuses on ensuring each Resident is provided care that allows the Resident to maintain/attain their highest practicable physical, mental and psychosocial well-being; Resident population that must be taken into account when determining staffing and resources needed for daily schedules and food; and identified staff needed to care for the Facility Resident population includes a Food Service Manager/Dietary Manager (Food and Nutrition Services).The Facility Dietary Manager Job Description, dated 3/23/17, documents: is…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-12-30 · tag F0803 — failed to meet residents' dietary needs — widespread
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the Facility failed to follow the Facility menu. This failure has the potential to affect all 63 Residents residing in the Facility.Findings include:The Facility Resident Census Roster, dated 12/24/25, documents 63 Residents residing in the Facility.The Facility Assessment Tool, undated, documents: the purpose of the Assessment is to determine what resources are necessary to care for Residents competently during day-to-day operations; to provide services to the Residents of your Facility; focuses on ensuring each Resident is provided care that allows the Resident to maintain/attain their highest practicable physical, mental and psychosocial well-being; Resident population that must be taken into account when determining staffing and resources needed for daily schedules and food; and identified staff needed to care for the Facility Resident population includes a Food Service Manager/Dietary Manager (Food and Nutrition Services).The Facility Off Versus Serve Meal Service Policy, dated 2020, documents: keeping with the rights of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-30 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to identify Abuse for one of three Residents (R1) reviewed for Abuse investigations in a sample of three.Findings include: The Facility Abuse Prevention and Reporting Policy, dated 10/24/22, documents: the Facility affirms the right of our Residents to be free from abuse; assures the Facility is doing all that is within its control to prevent occurrences of abuse; identify occurrences and patterns of potential mistreatment; implementing systems to promptly and aggressively investigate all reports and allegations of abuse and mistreatment; filing accurate and timely investigative reports; abuse means any mental injury other than by accidental means; and willful in the definition of abuse means the individual must have acted deliberately; mental abuse is verbal/non-verbal conduct which causes or has the potential to cause the Resident to experience humiliation, intimidation, fear, shame, agitation or degradation; verbal abuse is a type of mental abuse and includes oral or gestured communication to Residents within hearing…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-09-26 · tag F0868 — widespread
  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to conduct quarterly Quality Assurance/QA Performance Improvement meetings with the required Committee Members present. This failure has the potential to affect all 61 Residents who currently reside in the facility. Findings Include: The facility's Long-Term Care Facility Application for Medicare and Medicaid (Centers for Medicare and Medicaid Services/CMS 671) form, dated 9/23/25, documents 61 residents reside in the facility. The Facility Quality Assurance Performance Improvement (QA)/QAPI Policy, revised 10/24/22, documents: to ensure the organized quality assessment and improvement process program that includes performance measurement, performance assessment and performance improvement; Committee shall meet at least quarterly to assure activities are performed and identified problems have corrective actions taken or action plan developed; Minutes, related reports and attendance of the Committee members shall be maintained on file in the Administrator's office.The QAPI Meeting Minutes (dated 12/4/24, 2/12/25, 4/9/25,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-09-26 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, the facility failed to test for presence of Legionella throughout the facility's water system. This failure has the potential to affect all 61 residents in the facility.Findings include:On 9/23/25 at approximately 9:20am, V1/Administrator provided the facility's Resident Roster, dated 9/23/25, documenting 61 residents residing in the facility.The facility's Water Management Program for Prevention of Legionella Growth, revised on 6/27/23, documents: The following will be verified and documented at least once weekly: The domestic hot water boiler, storage tanks, verified to be set between 140 - 160 degrees F (Fahrenheit). Thermostat indicating the temperature of water entering the circulating system at the mixing valve is 120 F or above. 9/25/25 at 1:10pm, V11, Maintenance employee, stated the facility does not have a boiler and utilizes a hot water heater to heat the facility's incoming water. V11 stated the Maintenance Department does not keep a weekly log documenting the hot water heater temperatures.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-26 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on Interview and record review, the facility failed to justify the use of an antipsychotic medication for one of five residents (R10) reviewed for unnecessary medications in the sample of 28.Findings include:R10's medical record documents R10 was admitted to the facility on [DATE], with a diagnosis of Severe Vascular Dementia with Agitation.The facility's Psychotropic Medication policy documents the following, under Purpose: To ensure that residents are not given psychotropic drugs unless psychotropic drug therapy is necessary to treat a specific or suspected condition as per standards of practice.R10's POS/Physicians Order Sheet includes the following order by V3, Medical Director: Quetiapine Fumarate (antipsychotic primarily used to treat schizophrenia and bipolar disorder) Oral Tablet 150 MG: Give 1 tablet by mouth at bedtime related to Vascular Dementia, Severe, with Agitation.R10's monthly MAR/Medication Administration Records for past 3 months include documentation that Quetiapine has been…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-26 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the Facility failed to notify Resident Representatives of transfers/discharges and the reason for discharge and send a copy of the notice to a representative of the Office of the State Long-Term Care Ombudsman for two of 15 Residents (R4 and R8) reviewed for transfer and discharge in a sample of 28.Findings include:Facility Bed Hold and Return to Facility Policy, revised 9/26/17, documents: to ensure that Residents and/or Representatives are notified of the Facility Bed Hold Policy and conditions for return to Facility upon admission and at the time of a transfer from the Facility; bed hold policies apply to all Residents; and the Bed Hold Policy will be given to the Resident/Resident Representative at the time of a transfer from the Facility.1.R4's Un-Witness Fall Report, dated 5/24/25, documents R4 was sent to the local Emergency Department for evaluation after a fall.R4's Bed Hold Policy Notice, dated 5/24/25, documents R4 was transferred out of the Facility on 5/24/25. The Notice does not document reason for discharge or notification to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-26 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to revise a care plan for one of 15 residents (R9) reviewed for care planning in a sample of 28.Findings include:The Comprehensive Care Plan policy, revised 11/17/17, documents the Care Plan must describe the services that are being furnished, reviewed and revised by the interdisciplinary team on an ongoing basis to reflect changes in the resident's care.R9 was admitted on [DATE], with diagnoses of Chronic Obstructive Pulmonary Disease, Respiratory Failure, Chronic Pain, Neuropathy, Vascular Dementia, Seizures, Contracture Bilaterial foot and ankles, Dysphagia, Bipolar, and Depression. The Census report documents R9 returned to the facility from a hospitalization on 8/8/25, with Hospice services and was discharged from Hospice services on 8/27/25.R9's current care plan documents on 8/12/25 R9 requires communication and contact assistance with Hospice, staff is to notify the Hospice of any changes in R9's condition and R9 needs a discharge plan and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-26 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a resident received a nursing assessment and timely provider notifications to ensure medical interventions were received during an acute change of condition for one of three (R28) residents reviewed for change of condition, and failed to ensure wound care was provided as ordered for one of three residents (R6) reviewed for wounds in a sample of 28.Findings include: 1.The Physician-Family Notification-Change in Condition policy, revised on 11/13/18, documents the facility will inform the resident, resident's physician and the resident's representative when there is a significant change in the resident's physical status in either life-threatening conditions or clinical complications and/or transfer or discharge from the facility.R28 was admitted on [DATE], with diagnoses including but not limited to Dyspnea, Hypertension, Anemia, Myocardial Infarction, Ventricular Tachycardia, Major Depressive Disorder Congestive Heart Failure, Atrial…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-26 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure daily weights were obtained, notify the physician of weight gains per physician orders, and monitor for discrepancies of weights for one of three residents (R1) with daily weights and failed to clarify diet orders prior to feeding for one of three residents (R9) reviewed for diets in a sample of 28.Findings include: The Weight policy, revised 10/17/19, documents re-weights should be obtained if there is a difference of five pounds or greater (loss or gain) since the previous recorded weight.1. R1 was admitted on [DATE], with diagnoses of Hypertension, Depression, Anxiety, Lymphedema, Obstructive Sleep Apnea, Diabetes Mellitus, and Congestive Heart Failure. R1's Physician Order, dated 11/12/24, documents to weigh R1 daily and to notify the physician if R1's weight gain is greater than three pounds (lbs.) in a day or five pounds in a week.R1's Weight Summary, dated 7/1/25 to 9/24/25, has no documentation of R1's daily weights being obtained for 32…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record. 1 Medicare payment denial on record.

• Medicare payment denial — starting 2026-01-22 for 2 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to GOLDWATER CARE — 11 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 28 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IL