Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

GOLDWATER CARE BLOOMINGTON

BLOOMINGTON, IL · 88 certified beds · Last Life Safety survey February 26, 2025

CMS Certification Number 145016 · first certified January 1967

Ownership

Operated by GOLDWATER CARE · For profit - Limited Liability company

  • Ownership changed July 1, 2023 (change of ownership)from HERITAGE MANOR-BLOOMINGTON LLC
22
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
7
Tags cited more than once
Across separate surveys
14
Inspection & testing records
Of the citations on file

Position within IL

22 citations — more than 69% of the 666 certified nursing homes in IL. Compared within IL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 11 citations; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (January 2026 to April 2026), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was February 2025. Facilities in IL are typically surveyed 11–13 months after the last one (median 12), measured over 759 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

6 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 22 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

22 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 22 Life Safety citations above. The Physical Environment Index

  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • F-0924 Put firmly secured handrails on each side of hallways.

How that compares

Citations on file over three years

Compared with the median facility in IL, and nationally. Surveyors differ markedly between states, so the IL figure is the meaningful one.

This facility22IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility22
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
62023-0152024-02112025-02
Citations at each Life Safety survey
Survey dateCitations
January 24, 20236
February 2, 20245
February 26, 202511

Most-cited tags

Most-cited tags at this facility
E-00372K-03632K-03532K-09182K-07612K-03452K-02912K-03241
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0037Establish staff and initial training requirements.22025-02-26
K-0363Install corridor and hallway doors that block smoke.22025-02-26
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-02-26
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-02-26
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22025-02-26
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-02-26
K-0291Install emergency lighting that can last at least 1 1/2 hours.22025-02-26
K-0324Provide properly protected cooking facilities.12024-02-02

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Miscellaneous Deficiencies 3
  • Emergency Preparedness Deficiencies 2
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies5
Miscellaneous Deficiencies3
Emergency Preparedness Deficiencies2
Egress Deficiencies2
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 26, 2025 — 11 citations

Citations issued on February 26, 2025
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (February 28, 2025)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (February 28, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (February 28, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 28, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 27, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 28, 2025)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (February 28, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 28, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (February 28, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 28, 2025)
K-0930Ensure proper storage of liquid oxygen.Deficient, Provider has date of correction (February 28, 2025)

February 2, 2024 — 5 citations

Citations issued on February 2, 2024
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (February 15, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (February 15, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 15, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (February 15, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (February 15, 2024)

January 24, 2023 — 6 citations

Citations issued on January 24, 2023
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (February 17, 2023)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (February 16, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 16, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 16, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 16, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 16, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.