Goldwater Care Peoria Heights: Feces in Shared Bathroom - IL
The resident, identified in inspection records only as R24, has a colostomy bag and cleans it himself in the bathroom sink. On the morning of April 29, 2026, inspectors found feces splattered on the toilet and in the sink. There were also undigested food particles sitting on the drain guard of the sink.
Four residents shared that bathroom.
The facility's own Housekeeping Director told inspectors she knew R24 cleaned his colostomy bag in the sink and had verbally instructed staff to check the bathroom several times a day. There was no written log. No tracking of any kind to show whether those checks were happening or how often the bathroom was actually cleaned. "This information was only relayed verbally," she told inspectors, "and there is not any type of tracking to indicate how often the bathroom is checked and cleaned."
The Maintenance Director, confronted with the same situation, said: "I wish he wouldn't do that."
The problem had not emerged quietly. The Housekeeping Director told inspectors the issue of R24 emptying and cleaning his own colostomy bag, and leaving feces behind, had been raised in multiple meetings with administration and department heads. The meetings happened. The contamination continued. Nobody created a log. Nobody built a system to verify the bathroom was being cleaned.
By the time inspectors arrived, one resident had already left the facility because of it.
That resident, R14, was admitted with hypertension, acute kidney failure, diabetes, and heart failure. He was transferred to a different facility on April 20, 2026, nine days before the inspection. His family member told inspectors what had happened during his stay: R14 had gone to use the shared bathroom and found feces on the floor and on the toilet. He couldn't wait. He got the feces on his pants.
R14's former roommate, still living at the facility, confirmed the connection. He told inspectors that R14's previous roommate had been R24, and that R24 cleaned his colostomy bag in the bathroom.
R24's care plan, last revised March 19, 2026, called for staff to provide ostomy care daily and as needed. R24 told inspectors that staff helped sometimes. The inspection report does not document how often that assistance was actually provided or why a care plan calling for daily ostomy support left a resident managing the process alone in a shared bathroom.
The Director of Nursing confirmed to inspectors that R24, along with three other residents identified as R20, R32, and R42, all shared the contaminated bathroom.
Federal inspectors cited the facility for failing to provide a clean environment, noting minimal harm or potential for actual harm to five residents reviewed for environmental conditions out of a total sample of 48.
The inspection was complaint-driven, meaning someone reported conditions at the facility before inspectors arrived. The report does not identify who filed the complaint.
R14's family member made the report to inspectors on April 27. By then, R14 had already been gone for a week. His family had moved him somewhere else. The bathroom he left behind still had feces on the toilet and food particles in the drain when inspectors walked in two days later.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Goldwater Care Peoria Heights from 2026-04-29 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 7, 2026 · Our methodology
GOLDWATER CARE PEORIA HEIGHTS in PEORIA HEIGHTS, IL was cited for violations during a health inspection on April 29, 2026.
The resident, identified in inspection records only as R24, has a colostomy bag and cleans it himself in the bathroom sink.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.