Illinois ›Pontiac

Goldwater Pontiac Nursing Home

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1225 South Ewing Drive, Pontiac, IL 61764 (opens Google Maps) · Livingston County · (815) 844-5121· 90 certified beds · avg 85 residents/day · certified since Aug 1, 1997 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: GOLDWATER CARE (11 facilities, chain avg rating 1.5★)

3/5
Health inspection rating (on-site)
inspected May 16, 2024
1
Serious findings on record
most recent May 16, 2024
$0
Fines, last 3 years
2.51
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5 · how star ratings work →

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · May 16, 2024 · F-0740

The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.

Why it matters: A resident's untreated mental health needs can worsen and take a toll on their physical health too.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: May 21, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 33 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not honor residents' right to manage their own money and financial affairs. · from a complaint F-0567

  2. D · Potential for more than minimal harm, isolated

    The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint F-0684

  3. D · Potential for more than minimal harm, isolated

    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 F-0689

View all 33 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jun 29, 2026D · Potential for more than minimal harm, isolatedThe facility did not honor residents' right to manage their own money and financial affairs. · from a complaint · F-0567
Jun 29, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Jun 29, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Aug 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint · F-0602
Aug 20, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0609
Aug 20, 2025D · Potential for more than minimal harm, isolatedThe 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. · from a complaint · F-0695
Nov 25, 2024E · Potential for more than minimal harm, patternThe 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 · F-0610
Nov 25, 2024D · Potential for more than minimal harm, isolatedThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
Nov 25, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0609
May 16, 2024▲ G · Actual harm, isolatedThe facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · F-0740
May 16, 2024F · Potential for more than minimal harm, widespreadThe 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. · F-0880
May 16, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0550
May 16, 2024D · Potential for more than minimal harm, isolatedThe facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · F-0554
May 16, 2024D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
May 16, 2024D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
May 16, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
May 16, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0686
May 16, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0758
May 16, 2024D · Potential for more than minimal harm, isolatedThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759
May 16, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
Sep 27, 2023E · Potential for more than minimal harm, patternThe 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. · from a complaint · F-0880
Jul 28, 2023F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jul 28, 2023F · Potential for more than minimal harm, widespreadThe 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. · F-0880
Jul 28, 2023F · Potential for more than minimal harm, widespreadThe facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882
Jul 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jul 28, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0695
Jul 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Jul 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · F-0740
Jul 28, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0758
Jul 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
Aug 12, 2022F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Aug 12, 2022E · Potential for more than minimal harm, patternThe 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. · F-0758
Aug 12, 2022D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 11).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2022
All citations: 3
Serious citations (G–L): 0
2023
All citations: 10
Serious citations (G–L): 0
2024
All citations: 14
Serious citations (G–L): 1
2025
All citations: 3
Serious citations (G–L): 0
2026
All citations: 3
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202230F
2023100F
2024141G ▲
202530D
202630D

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityIllinois averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.51
Illinois average: 2.99
U.S. average: 3.95
Registered Nurse hours
This facility: 0.21
Illinois average: 0.63
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.26
Illinois average: 2.67
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityIllinois avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.512.993.95bottom 37% in Illinois; bottom 4% in the U.S.
Registered Nurse hours0.210.630.69bottom 7% in Illinois; bottom 3% in the U.S.
Weekend total nurse staffing2.262.673.50bottom 39% in Illinois; bottom 4% in the U.S.
Weekend RN hours (not acuity-adjusted)0.160.560.48bottom 5% in Illinois; bottom 7% in the U.S.
Total nursing staff turnover (%)43.344.545.8top 49% in Illinois; top 45% in the U.S.
RN turnover (%)50.041.842.9bottom 37% in Illinois; bottom 39% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.24, RN 0.27, weekend 2.91.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.24 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Goldwater Pontiac Nursing Home. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / managerTypeRoleStakeSince
David a Berkowitz Revoc Tr David Berkowitz TteeOrganizationDirect Ownership InterestNOT APPLICABLE10/01/2022
1225 S Ewing Drive, LLCOrganizationADP of the SNFNOT APPLICABLE03/28/2025
Berkowitz, DavidIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE04/23/2025
Curis Services LLCOrganizationADP of the SNFNOT APPLICABLE10/01/2022
Devault, DianaIndividualManaging Control - Governing BodyNOT APPLICABLE10/01/2022
Devault, DianaIndividualOperational/Managerial ControlNOT APPLICABLE10/01/2022
Devault, DianaIndividualADP of the SNFNOT APPLICABLE10/01/2022
Goldwater Care Management LLCOrganizationOperational/Managerial ControlNOT APPLICABLE10/01/2022
Goldwater Care Management LLCOrganizationADP of the SNFNOT APPLICABLE03/28/2025
Katzenstein, MeirIndividualCorporate OfficerNOT APPLICABLE10/01/2022
Katzenstein, MeirIndividualOperational/Managerial ControlNOT APPLICABLE10/01/2022
Katzenstein, MeirIndividualADP of the SNFNOT APPLICABLE10/01/2022
Mays, ErinIndividualOperational/Managerial ControlNOT APPLICABLE10/01/2022
Mays, ErinIndividualADP of the SNFNOT APPLICABLE10/01/2022
Meystel, YosefIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE04/23/2025
Spector, JenniferIndividualCorporate OfficerNOT APPLICABLE10/01/2022
Spector, JenniferIndividualOperational/Managerial ControlNOT APPLICABLE10/01/2022
Spector, JenniferIndividualADP of the SNFNOT APPLICABLE10/01/2022
Stachowiak, MelissaIndividualManaging Control - Governing BodyNOT APPLICABLE10/01/2022
Stachowiak, MelissaIndividualADP of the SNFNOT APPLICABLE10/01/2022

Showing 20 of 29 parties CMS has on file for this facility; 9 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Goldwater Care — 11 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 10 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What mental health services do you provide on-site, and who delivers them?"
  • "How are residents' personal funds handled here, and what records can families review?"
  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
  • "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
  • "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
  • "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Illinois midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 43% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 29 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Accolade Healthcare of Pontiac2.4 miPontiac, IL★★★☆☆3/5
Evenglow Lodge2.7 miPontiac, IL★★★★★5/5
Fairview Haven11.6 miFairbury, IL★★★★★5/5
Flanagan Rehabilitation and Health Care Center12.2 miFlanagan, IL★★☆☆☆2/5
Arc at Streator19.0 miStreator, IL★★★☆☆3/5
El Paso Rehabilitation and Health Care Center19.2 miEl Paso, IL—/5abuseSFF
Arc at el Paso19.6 miEl Paso, IL★★☆☆☆2/5abuse

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Livingston, IL — 6 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Pontiac →

Facility data as of CMS processing date 2026-08-01. CCN 145930.

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