Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

August 20, 2025 Complaint Investigation

Fines and Penalties by Year

2022 9 penalties totaling $128,144

$107,474
Apr 25, 2022

Fine

$4,225
Mar 7, 2022

Fine

$4,225
Feb 28, 2022

Fine

$4,225
Feb 21, 2022

Fine

$3,947
Feb 14, 2022

Fine

$3,618
Feb 7, 2022

Fine

$3,289
Jan 31, 2022

Fine

$2,960
Jan 24, 2022

Fine

$2,631
Jan 17, 2022

Fine

2021 12 penalties totaling $84,614

$33,320
Sep 23, 2021

Fine

$0
Sep 23, 2021

Payment Denial

$2,293
Jun 28, 2021

Fine

$1,965
Jun 21, 2021

Fine

$39,200
Jun 4, 2021

Fine

$0
Jun 4, 2021

Payment Denial

$1,638
Apr 5, 2021

Fine

$1,310
Mar 29, 2021

Fine

$983
Mar 22, 2021

Fine

$3,250
Mar 2, 2021

Fine

$0
Mar 2, 2021

Payment Denial

$655
Jan 25, 2021

Fine

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Health Violations by Year

2024 11 violations

Tag 0550 D May 16, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: May 21, 2024
Tag 0554 D May 16, 2024

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: May 21, 2024
Tag 0609 D May 16, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: May 21, 2024
Tag 0641 D May 16, 2024

Ensure each resident receives an accurate assessment.

✓ Corrected: May 21, 2024
Tag 0677 D May 16, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: May 21, 2024
Tag 0686 D May 16, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: May 21, 2024
Tag 0740 G May 16, 2024

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

✓ Corrected: May 21, 2024
Tag 0758 D May 16, 2024

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.

✓ Corrected: May 21, 2024
Tag 0759 D May 16, 2024

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: May 17, 2024
Tag 0760 D May 16, 2024

Ensure that residents are free from significant medication errors.

✓ Corrected: May 21, 2024
Tag 0880 F May 16, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: May 21, 2024

2023 11 violations

Tag 0880 E Sep 27, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 29, 2023
Tag 0689 D Jul 28, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 7, 2023
Tag 0695 D Jul 28, 2023

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Aug 7, 2023
Tag 0698 D Jul 28, 2023

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Aug 7, 2023
Tag 0740 D Jul 28, 2023

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

✓ Corrected: Aug 7, 2023
Tag 0758 D Jul 28, 2023

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.

✓ Corrected: Aug 7, 2023
Tag 0812 F Jul 28, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 7, 2023
Tag 0880 F Jul 28, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 7, 2023
Tag 0882 F Jul 28, 2023

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

✓ Corrected: Aug 7, 2023
Tag 0883 D Jul 28, 2023

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Aug 7, 2023
Tag 0689 D May 10, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 11, 2023

2022 13 violations

Tag 0580 D Nov 29, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Dec 15, 2022
Tag 0689 D Nov 29, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Dec 15, 2022
Tag 0689 D Aug 12, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 24, 2022
Tag 0758 E Aug 12, 2022

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.

✓ Corrected: Aug 24, 2022
Tag 0812 F Aug 12, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 24, 2022
Tag 0607 C Jun 1, 2022

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jun 15, 2022
Tag 0609 D Jun 1, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jun 15, 2022
Tag 0658 D Apr 25, 2022

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: May 4, 2022
Tag 0689 J Apr 25, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 4, 2022
Tag 0712 D Apr 25, 2022

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

✓ Corrected: May 4, 2022
Tag 0550 D Feb 8, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Feb 25, 2022
Tag 0609 D Feb 8, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Feb 25, 2022
Tag 0659 D Feb 8, 2022

Provide care by qualified persons according to each resident's written plan of care.

✓ Corrected: Feb 25, 2022

2021 20 violations

Tag 0609 D Oct 13, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Oct 19, 2021
Tag 0573 D Sep 23, 2021

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

✓ Corrected: Oct 5, 2021
Tag 0689 G Sep 23, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 5, 2021
Tag 0578 D Jun 4, 2021

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Jun 23, 2021
Tag 0607 D Jun 4, 2021

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jun 23, 2021
Tag 0610 D Jun 4, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Jun 23, 2021
Tag 0689 G Jun 4, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 23, 2021
Tag 0744 E Jun 4, 2021

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Jun 23, 2021
Tag 0882 C Jun 4, 2021

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

✓ Corrected: Jun 23, 2021
Tag 0684 E Mar 31, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 21, 2021
Tag 0686 D Mar 31, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Apr 21, 2021
Tag 0692 D Mar 31, 2021

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Apr 21, 2021
Tag 0607 D Mar 25, 2021

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Apr 11, 2021
Tag 0609 D Mar 25, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Apr 11, 2021
Tag 0686 G Mar 25, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Apr 11, 2021
Tag 0727 D Mar 25, 2021

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

✓ Corrected: Apr 11, 2021
Tag 0835 D Mar 25, 2021

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Apr 11, 2021
Tag 0684 D Mar 2, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 12, 2021
Tag 0880 D Mar 2, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 2, 2021
Tag 0885 E Mar 2, 2021

Report COVID19 data to residents and families.

✓ Corrected: Apr 2, 2021

2020 3 violations

Tag 0880 F Sep 23, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 9, 2020
Tag 0689 D Aug 4, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 28, 2020
Tag 0692 D Aug 4, 2020

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Aug 28, 2020

2019 5 violations

Tag 0689 D Sep 19, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 1, 2019
Tag 0578 D Sep 12, 2019

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Oct 3, 2019
Tag 0690 D Sep 12, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Oct 3, 2019
Tag 0759 D Sep 12, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Oct 3, 2019
Tag 0812 F Sep 12, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Oct 3, 2019

2018 8 violations

Tag 0582 D Oct 11, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Nov 2, 2018
Tag 0584 D Oct 11, 2018

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Nov 2, 2018
Tag 0865 C Oct 11, 2018

Have a plan that describes the process for conducting QAPI and QAA activities.

✓ Corrected: Nov 2, 2018
Tag 0880 E Oct 11, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 2, 2018
Tag 0657 D Jul 27, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Aug 10, 2018
Tag 0689 D Jul 27, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 10, 2018
Tag 0808 D May 8, 2018

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

✓ Corrected: May 24, 2018
Tag 0842 D May 8, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: May 24, 2018

2017 12 violations

Tag 0164 D Sep 21, 2017

Keep residents' personal and medical records private and confidential.

✓ Corrected: Oct 18, 2017
Tag 0257 E Sep 21, 2017

Maintain comfortable and safe temperature levels.

✓ Corrected: Oct 18, 2017
Tag 0282 D Sep 21, 2017

Provide care by qualified persons according to each resident's written plan of care.

✓ Corrected: Oct 18, 2017
Tag 0309 D Sep 21, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Oct 18, 2017
Tag 0315 D Sep 21, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

✓ Corrected: Oct 18, 2017
Tag 0332 D Sep 21, 2017

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

✓ Corrected: Oct 18, 2017
Tag 0354 F Sep 21, 2017

Use a registered nurse at least 8 hours a day, 7 days a week.

✓ Corrected: Oct 18, 2017
Tag 0363 E Sep 21, 2017

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.

✓ Corrected: Oct 18, 2017
Tag 0366 B Sep 21, 2017

Offer other nutritional food to each resident who will not eat the food served.

✓ Corrected: Oct 18, 2017
Tag 0372 C Sep 21, 2017

Dispose of garbage and refuse properly.

✓ Corrected: Oct 18, 2017
Tag 0441 E Sep 21, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Oct 18, 2017
Tag 0520 F Sep 21, 2017

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.

✓ Corrected: Oct 18, 2017
🏥 Facility Summary

GOLDWATER PONTIAC NURSING HOME is a 2-star nursing home in PONTIAC, IL with 90 beds.

Most recent inspection: Data not available. No current violations on record.

📞 8158445121
📍 1225 SOUTH EWING DRIVE, PONTIAC, IL
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About GOLDWATER PONTIAC NURSING HOME

What violations has GOLDWATER PONTIAC NURSING HOME received?
GOLDWATER PONTIAC NURSING HOME has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of GOLDWATER PONTIAC NURSING HOME?
GOLDWATER PONTIAC NURSING HOME has a 2-star rating out of 5 from CMS. This rating indicates the facility may have quality concerns that should be investigated further. The rating is based on health inspections, staffing levels, and quality measures.
When was GOLDWATER PONTIAC NURSING HOME last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is GOLDWATER PONTIAC NURSING HOME safe?
Safety at GOLDWATER PONTIAC NURSING HOME should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact GOLDWATER PONTIAC NURSING HOME?
Phone: 8158445121. Address: 1225 SOUTH EWING DRIVE, PONTIAC, IL. For visiting hours and admission information, call the facility directly.
What services does GOLDWATER PONTIAC NURSING HOME offer?
GOLDWATER PONTIAC NURSING HOME is a skilled nursing facility with 90 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near PONTIAC, IL?
Compare GOLDWATER PONTIAC NURSING HOME with other nursing homes in PONTIAC, IL on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.