Complaint Investigation

Goldwater Care Gibson City

September 14, 2025 · Gibson City, IL · 620 East First Street

Citations 1

CMS Rating 1/5

Beds 60

Provider ID 145911

Healthcare Facility

Goldwater Care Gibson City

Gibson City, IL · View full profile →

Inspection Summary

GOLDWATER CARE GIBSON CITY in GIBSON CITY, IL — inspection on September 14, 2025.

Found 1 citation. 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

FF0842

Resident Assessment and Care Planning Deficiencies

Potential for More Than Minimal Harm

medication. On 9/13/25 at 10:15 AM V4 Licensed Practical Nurse stated that when V4 administers a residents opioid, V4 will open the lock box, obtain the medication and sign out for the medication on the Controlled Drug Receipt Record/Disposition Form. V4 stated after administering the medication, V4 will then sign that the medication was administered in the residents Electronic Health Record (EHR). On 9/13/25 at V1 Administrator confirmed that R1's Controlled Drug Receipt Record/Disposition Form dated August 29th, 2025, no time given, documents V3 Licensed Practical Nurse signed out for 1 Hydrocodone-Acetaminophen Oral Tablet 5-325 milligrams and R1's Medication Administration Record (MAR) does not document that V3 Licensed Practical Nurse administered R1's as needed Hydrocodone-Acetaminophen Oral Tablet 5-325 milligrams. V1 also confirmed that R2's Controlled Drug Receipt Record/Disposition Form dated September 8th, 2025, at 5:00am, documents V3 Licensed Practical Nurse signed out for 1 Hydrocodone-Acetaminophen Oral Tablet 5-325 milligrams and R2's Medication Administration Record (MAR) dated September 8th, 2025, does not document that V3 Licensed Practical Nurse administered R1's as needed Hydrocodone-Acetaminophen Oral Tablet 5-325 milligrams. V1 stated that V3 should first sign out for the residents narcotic on the Controlled Drug Receipt Record/Disposition Form, and then after administering the medication to the resident, V3 should document that the medication was administered to the resident in the residents Electronic Health Record.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GIBSON CITY, IL, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from GOLDWATER CARE GIBSON CITY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

Goldwater Care Gibson City

Inspection Findings

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