Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Goldwater Care Danville
DANVILLE, IL · 90 certified beds · Last Life Safety survey April 4, 2025
CMS Certification Number 145183 · first certified April 1968
Ownership
Operated by GOLDWATER CARE · For profit - Limited Liability company
- Ownership changed July 1, 2023 (change of ownership)from HERITAGE MANOR - DANVILLE LLC
Position within IL
13 citations — more than 44% 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
The latest survey found 4 citations; the earlier surveys in the window averaged 4.5. 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 (March 2026 to May 2026), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was April 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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2 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
7 of the 13 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)
12 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 13 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in IL, and nationally. Surveyors differ markedly between states, so the IL figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 13 |
| Median facility in IL | 15 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| January 20, 2023 | 3 |
| February 23, 2024 | 6 |
| April 4, 2025 | 4 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0037 | Establish staff and initial training requirements. | 3 | 2025-04-04 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 2 | 2024-02-23 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 2 | 2025-04-04 |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | 1 | 2024-02-23 |
| E-0033 | Establish methods for sharing information. | 1 | 2024-02-23 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2025-04-04 |
| E-0041 | Implement emergency and standby power systems. | 1 | 2025-04-04 |
| E-0035 | Provide family notifications of emergency plan. | 1 | 2024-02-23 |
What the citations cover
- Emergency Preparedness Deficiencies 7
- Smoke Deficiencies 4
- Gas, Vacuum, and Electrical Systems Deficiencies 2
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 7 |
| Smoke Deficiencies | 4 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
April 4, 2025 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (April 18, 2025) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (April 16, 2025) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (May 5, 2025) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (April 16, 2025) |
February 23, 2024 — 6 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (March 7, 2024) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (March 18, 2024) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (March 8, 2024) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Waiver has been granted (July 11, 2024) |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Deficient, Provider has date of correction (March 7, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (March 21, 2024) |
January 20, 2023 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (February 8, 2023) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (February 8, 2023) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (January 31, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.