Goldwater Care Princeton
515 Bureau Valley Parkway, Princeton, IL 61356 · Bureau County · 92 certified beds · avg 77 residents/day · certified since Jan 28, 1982
Part of chain: GOLDWATER CARE (11 facilities, chain avg rating 1.5★)
4/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
2.05
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5
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.
All citations in the current public record (30)
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 |
|---|---|---|
| Apr 23, 2026 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint |
| Aug 15, 2025 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Aug 15, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jul 15, 2025 | 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. · from a complaint |
| Jun 13, 2024 | F · Potential for harm, facility-wide | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Jun 13, 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. |
| Jun 13, 2024 | F · Potential for harm, facility-wide | 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. |
| Jun 13, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Jun 13, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jun 13, 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. |
| Jun 13, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jun 13, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jun 13, 2024 | 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. |
| Jun 13, 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. |
| Jun 13, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jun 13, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Jun 13, 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. |
| Oct 13, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Oct 13, 2023 | D · Potential for 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. · from a complaint |
| Sep 20, 2023 | 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. · from a complaint |
| Sep 20, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Sep 20, 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. · from a complaint |
| Aug 24, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to manage their own money and financial affairs. · from a complaint |
| Jun 29, 2023 | F · Potential for harm, facility-wide | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Jun 29, 2023 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Jun 29, 2023 | F · Potential for harm, facility-wide | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Jun 29, 2023 | 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. |
| Jun 29, 2023 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Jun 29, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jun 29, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (13 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 13 | 0 | F |
| 2024 | 13 | 0 | F |
| 2025 | 3 | 0 | E |
| 2026 | 1 | 0 | F |
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)
No fines or payment denials in the published 3-year window.
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) | 2.05 | 2.99 | 3.95 | bottom 11% in Illinois; bottom 1% in the U.S. |
| Registered Nurse hours | 0.29 | 0.63 | 0.69 | bottom 14% in Illinois; bottom 8% in the U.S. |
| Weekend total nurse staffing | 1.95 | 2.67 | 3.50 | bottom 17% in Illinois; bottom 1% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.56 | 0.48 | bottom 34% in Illinois; bottom 46% in the U.S. |
| Total nursing staff turnover (%) | 42.4 | 44.5 | 45.8 | top 47% in Illinois; top 43% in the U.S. |
| RN turnover (%) | 50.0 | 41.8 | 42.9 | bottom 37% in Illinois; bottom 39% in the U.S. |
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 2.75, RN 0.39, weekend 2.61. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 515 Bureau Valley Pkwy LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/23/2025 |
| Aci Equities, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Ahearn, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Ahearn, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Cox, Deanna | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/01/2024 |
| Cox, Deanna | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Cox, Deanna | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Curis Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| David a Berkowitz Delta Trust | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Frankel, Frederick | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 12/11/2025 |
| Goldwater Care Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Goldwater Care Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/23/2025 |
| Hti Investor Group, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Jack Yolinsky Revocable Trust Agreement Dated 2/18/11 | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Kahan, Jerome | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Katzenstein, Meir | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2024 |
| Katzenstein, Meir | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Katzenstein, Meir | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Munson, Chi | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Munson, Chi | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "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 |
|---|---|---|---|---|---|
| Manor Court of Princeton | 0.6 mi | Princeton, IL | ★★★★☆ | 4/5 | |
| Goldwater Care Spring Valley | 13.2 mi | Spring Valley, IL | ★★★★☆ | 4/5 | |
| Allure of Walnut | 14.9 mi | Walnut, IL | ★★★★★ | 5/5 | |
| Manor Court of Peru | 17.1 mi | Peru, IL | ★★★★☆ | 4/5 | |
| Allure of Peru | 17.1 mi | Peru, IL | ★★★☆☆ | 4/5 | |
| Henry Rehab and Nursing | 18.2 mi | Henry, IL | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 145437.