Goldwater Care Clinton
GOLDWATER CARE CLINTON in CLINTON, IL — inspection on April 29, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
assisted by staff.
This failure affects one resident (R1) of three reviewed for privacy in the sample
cognitively intact. On 4/29/2026 at 11:31AM, R1 reported direct care staff working on night shift are often on their cell phones and often texting or on a call while they are in R1's room taking care of R1.
R1 reported staff will often be on a call using an ear bud or on speakerphone with their phone in their pocket and sometimes they are on a video call but keep the camera pointed towards themselves and not towards R1. R1 reported that some staff will hide in the dining room to use their phones while working. R1 reported these issues do not occur during the daytime. On 4/29/2026 at 1:50PM, V4 CNA reported R1 makes reliable statements and is pretty accurate with what R1 has to say to people.
The facility Resident Rights policy (1/4/2019) documents that residents living in the facility have a right to privacy and confidentiality.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
146076 04/29/2026
Goldwater Care Clinton 1 Park Lane West Clinton, IL 61727
residents (R1, R2, R3) of three reviewed for Activities of Daily Living (ADLs) on the sample list of
diagnoses include Multiple Sclerosis (chronic autoimmune disease of the central nervous system causing numbness, weakness, trouble walking, and vision changes), Chronic Respiratory Failure, Morbid Obesity, Chronic Pain, Overactive Bladder, and Depression.R1's Resident assessment dated [DATE] documents R1 is cognitively intact.
The same assessment documents, R1 requires partial/moderate staff assistance to transfer to the toilet and for toileting hygiene. R1's Care Plan dated 3/17/2026 documents R1 has bladder incontinence and requires partial/moderate staff assistance to transfer to the toilet and for toileting hygiene. On 4/28/2026 at 2:40PM, R1 reported sometimes at night when R1 activates R1's call light, a Certified Nurse Aide (CNA) will enter R1's room and shut the call light off but not return and then R1 will have to press the call light again. R1 reported waiting on staff to be assisted to use the bathroom in R1's room when this occurs and reported the situation occurs every week. R1 reported R1 has had toileting accidents while waiting for help and this makes R1 feel not good. On 4/29/2026 at 11:31AM, R1 reported staff can take thirty minutes to respond to call lights.On 4/29/2026 at 1:50PM, V4 CNA reported R1 makes reliable statements and is pretty accurate with what R1 has to say to people. 2. R2's Medical Diagnosis sheet dated 4/29/2026 documents R2's diagnoses include Muscle Wasting and Atrophy, Generalized Anxiety Disorder, and Depression.R2's Resident assessment dated [DATE] documents R2 is cognitively intact.
The same assessment documents, R2 requires partial/moderate staff assistance to transfer to the toilet and for toileting hygiene. R2's Care Plan dated 2/23/2026 documents R2 has bowel and bladder incontinence and requires partial/moderate staff assistance to transfer to the toilet and for toileting hygiene. On 4/29/2026 at 2:26PM, R2 reported staff sometimes take 30 minutes at night to answer R2's call light to help with toileting. R2 reported this occurs daily in the facility. 3. R3's Medical Diagnosis sheet dated 4/29/2026 documents R3's diagnoses include Overactive Bladder and Urinary Tract Infection. R3's Resident assessment dated [DATE] documents R3 is cognitively intact.
The same assessment documents, R3 requires substantial/maximal staff assistance to transfer to the toilet and partial/moderate staff assistance for toileting hygiene. R3's Care Plan dated 2/12/2026 documents R3 requires substantial/maximal staff assistance to transfer to the toilet and for toileting hygiene. On 4/29/2026 at 2:28PM, R3 reported activating R3's call light a couple of nights ago at 3:00AM to use the restroom and staff didn't arrive for two hours. R3 reports this happens often at night with agency staff. R3 reported staff will sometimes shut off R3's call light and then not return.
On 4/29/2026 at 3:40PM, V8 Licensed Practical Nurse (LPN) reported both R2 and R3 make reliable statements and do not have behaviors and do not make false allegations.
The facility Call Light policy dated 11/28/2012 documents staff will answer resident call lights in a timely manner.
146076 04/29/2026
Goldwater Care Clinton 1 Park Lane West Clinton, IL 61727
nurses on a full time basis.
Nurse staffing coverage per 24-hour period for two of fourteen days reviewed for staffing.
This failure
dated April 14, 2026, through April 28, 2026, document the facility did not have any Registered Nurse working anytime in the facility on April 25, 2026 and April 26, 2026. On 4/29/2026 at 11:04AM, V1 Administrator reported the facility did not have a Registered Nurse working eight hours per day on April 25, 2026, and April 26, 2026.The facility resident census dated 4/28/2026 documents 105 residents reside in the facility.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.