Golden Good Shepherd Home
101 Prairie Mills Road, Golden, IL 62339 · Adams County · 46 certified beds · avg 32 residents/day · certified since Jul 1, 2007
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Nov 26, 2024 · F-0760
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 21, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (17)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 26, 2024 | ▲ G · Actual harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Nov 26, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 26, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Nov 26, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Nov 26, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Nov 26, 2024 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Nov 26, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Nov 26, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Nov 26, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 7, 2023 | F · Potential for harm, facility-wide | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Sep 7, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Sep 7, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 7, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Aug 18, 2022 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Aug 18, 2022 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Aug 18, 2022 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Aug 18, 2022 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 4 | 0 | D |
| 2023 | 4 | 0 | F |
| 2024 | 9 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
0 fines totaling $0, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Nov 26, 2024 | Payment Denial | 60 days from Dec 26, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Illinois avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.68 | 2.99 | 3.95 | top 20% in Illinois; bottom 46% in the U.S. |
| Registered Nurse hours | 0.49 | 0.63 | 0.69 | bottom 50% in Illinois; bottom 37% in the U.S. |
| Weekend total nurse staffing | 3.41 | 2.67 | 3.50 | top 19% in Illinois; top 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.56 | 0.48 | bottom 42% in Illinois; top 45% in the U.S. |
| Total nursing staff turnover (%) | 36.4 | 44.5 | 45.8 | top 28% in Illinois; top 27% in the U.S. |
| RN turnover (%) | 0.0 | 41.8 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.41, RN 0.46, weekend 3.16. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bruns, Paul | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/15/2024 |
| Bruns, Paul | Individual | Corporate Officer | NOT APPLICABLE | 10/15/2024 |
| Cassens, Cynthia | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/1981 |
| Cassens, Cynthia | Individual | Corporate Officer | NOT APPLICABLE | 01/01/1981 |
| Dixon, William | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Dixon, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2018 |
| Dixon, William | Individual | ADP of the SNF | NOT APPLICABLE | 11/14/2025 |
| Gronewold, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2015 |
| Gronewold, David | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2015 |
| Heinecke, Carl | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/15/2024 |
| Heinecke, Carl | Individual | Corporate Officer | NOT APPLICABLE | 10/15/2024 |
| Higdon, Britney | Individual | Corporate Director | NOT APPLICABLE | 09/07/2025 |
| Higdon, Britney | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/07/2025 |
| Higdon, Britney | Individual | ADP of the SNF | NOT APPLICABLE | 03/23/2026 |
| Post, Curtis | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/07/2012 |
| Post, Curtis | Individual | Corporate Officer | NOT APPLICABLE | 02/07/2012 |
| Waite, Linda | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/15/2015 |
| Waite, Linda | Individual | Corporate Director | NOT APPLICABLE | 10/15/2015 |
| Waterkotte, Jana | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2024 |
| Waterkotte, Jana | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Timber Point Healthcare Center | 5.1 mi | Camp Point, IL | ★☆☆☆☆ | 2/5 | |
| Mount Sterling Health and Rehab Center | 15.8 mi | Mount Sterling, IL | ★☆☆☆☆ | 2/5 | abuse |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 146111.