Goldwater Care Roseville
145 S Chamberlain St, Box 770, Roseville, IL 61473 · Warren County · 99 certified beds · avg 39 residents/day · certified since Apr 1, 2002
Part of chain: GOLDWATER CARE (11 facilities, chain avg rating 1.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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)
▲ Immediate jeopardy, facility-wide · Sep 10, 2025 · F-0919 · triggered by a complaint
The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Why it matters: A resident who falls or needs help in a bathroom without a working call button may be stranded and unable to summon aid.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Sep 11, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Nov 15, 2023 · F-0600 · triggered by a complaint
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 16, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, repeated · Jun 3, 2025 · F-0919 · triggered by a complaint
The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Why it matters: A resident who falls or needs help in a bathroom without a working call button may be stranded and unable to summon aid.
Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Jun 8, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (35)
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 |
|---|---|---|
| Sep 10, 2025 | ▲ L · Immediate jeopardy, facility-wide | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Sep 10, 2025 | F · Potential for harm, facility-wide | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Sep 10, 2025 | F · Potential for harm, facility-wide | The facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better. · from a complaint |
| Sep 10, 2025 | F · Potential for harm, facility-wide | The facility did not provide its staff with training in compliance and ethics — teaching employees the laws and ethical standards that govern how residents must be treated. · from a complaint |
| Jun 3, 2025 | ▲ H · Actual harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Jun 3, 2025 | F · Potential for harm, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Mar 7, 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. |
| Mar 7, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Mar 7, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Mar 7, 2025 | 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. |
| Mar 7, 2025 | 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. |
| Mar 7, 2025 | 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. |
| Feb 19, 2025 | 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. · from a complaint |
| Feb 19, 2025 | 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 |
| Apr 18, 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. |
| Apr 18, 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. |
| Apr 18, 2024 | F · Potential for harm, facility-wide | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Apr 18, 2024 | 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. |
| Apr 18, 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. |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Apr 18, 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. |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. |
| Apr 18, 2024 | C · Minimal risk, facility-wide | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. |
| Apr 18, 2024 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Nov 15, 2023 | ▲ J · Immediate jeopardy, 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 |
| May 11, 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. |
| May 11, 2023 | 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. |
| May 11, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 11, 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. |
| May 11, 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. |
| May 11, 2023 | 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. |
| May 11, 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. |
| May 11, 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (12 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 9 | 1 | J ▲ |
| 2024 | 12 | 0 | F |
| 2025 | 14 | 2 | L ▲ |
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)
3 fines totaling $138,664.
| Date | Type | Amount / length |
|---|---|---|
| Sep 10, 2025 | Fine | $66,989 |
| Jun 3, 2025 | Fine | $7,474 |
| Nov 15, 2023 | Fine | $64,201 |
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) | 2.52 | 2.99 | 3.95 | bottom 37% in Illinois; bottom 4% in the U.S. |
| Registered Nurse hours | 0.34 | 0.63 | 0.69 | bottom 22% in Illinois; bottom 13% in the U.S. |
| Weekend total nurse staffing | 2.35 | 2.67 | 3.50 | bottom 47% in Illinois; bottom 6% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.17 | 0.56 | 0.48 | bottom 6% in Illinois; bottom 8% in the U.S. |
| Total nursing staff turnover (%) | 46.7 | 44.5 | 45.8 | bottom 42% in Illinois; bottom 45% in the U.S. |
| RN turnover (%) | 55.6 | 41.8 | 42.9 | bottom 27% in Illinois; bottom 28% 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 3.37, RN 0.45, weekend 3.14. 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: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Arteaga, Mayra | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/01/2024 |
| Arteaga, Mayra | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2024 |
| Arteaga, Mayra | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2024 |
| Battenburg, James | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/01/2024 |
| Battenburg, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2024 |
| Battenburg, James | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2024 |
| Berkowitz, David | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/04/2025 |
| Curis Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2024 |
| Goldwater Care Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2024 |
| Goldwater Care Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/04/2025 |
| Katzenstein, Meir | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/01/2024 |
| Katzenstein, Meir | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2024 |
| Katzenstein, Meir | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2024 |
| Meystel, Yosef | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/04/2025 |
| Petersen SNF Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/04/2025 |
| Spector, Jennifer | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2024 |
| Spector, Jennifer | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2024 |
| Spector, Jennifer | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2024 |
| Stachowiak, Melissa | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2024 |
| Stachowiak, Melissa | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How do frontline staff report care problems, and how does your quality improvement program act on them?"
- "What compliance and ethics training do employees receive, and how often is it repeated?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "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 |
|---|---|---|---|---|---|
| Henderson County Ret Center | 14.5 mi | Stronghurst, IL | ★★★★★ | 5/5 | |
| Wesley Village | 15.2 mi | Macomb, IL | ★★★★★ | 5/5 | |
| Macomb Post Acute Care Center | 15.2 mi | Macomb, IL | ★★★★☆ | 4/5 | |
| Countryside Care Center | 15.2 mi | Macomb, IL | ★★☆☆☆ | 1/5 | |
| Elms, the | 15.3 mi | Macomb, IL | ★★★★★ | 4/5 | |
| Monmouth Rehab and Nursing | 16.9 mi | Monmouth, IL | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 146020.