Marshall County, Illinois · Nursing home
Goldwater Care Toluca
1 of 5 overall from CMS
101 East Via Ghiglieri, Toluca, IL 61369
At a glance
- Overall rating 1 of 5 Below the state average of 2.5
- Nurse time per resident, per day 3.16 hours Below the state average of 3.45
- Nursing staff who left in a year 43.4% Below the state average of 44.5%
- Health citations, last 3 inspection cycles 28 2 at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 57.8% of 104 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Goldwater Care Toluca is a 104-bed nursing home in Toluca, Illinois (Marshall County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.16 nurse staffing hours per resident per day, below the Illinois average of 3.45. CMS lists no fines in the past three years.
- Certified beds
- 104
- Residents per day (average)
- 60.1
- Certified since
- 1980 (46 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Goldwater Care (11 homes)CMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Goldwater Care Toluca
Chosen from this home's public data.
- CMS counts 13 health deficiencies in the latest inspection cycle (the standard inspection on Sep 26, 2025 plus complaint and infection-control inspections); the Illinois average is 12.6. Which have been corrected?Inspection results in CMS data
- About 57.8% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
- Registered nurse time is 0.71 hours per resident per day; the Illinois average is 0.72. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Illinois average 2.5
- Health inspections 2 of 5 Illinois average 2.7
- Staffing 1 of 5 Illinois average 2.1
- Quality measures 4 of 5 Illinois average 3.0
The vertical line marks the Illinois average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.16 h Illinois average 3.45
- Nurse aides 1.92 h Illinois average 2.09
- Licensed practical nurses 0.53 h Illinois average 0.64
- Registered nurses 0.71 h Illinois average 0.72
- All staff, weekends 2.90 h Illinois average 3.07
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the Illinois average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover43.4%
- Illinois average44.5%
- Registered nurse turnover53.8%
- Illinois average41.8%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Illinois and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Illinois | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 3.2% | 13.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.7% | 6.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% | 0.9% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 73.5% | 54.2% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.8% | 3.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.2% | 90.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 7.0% | 14.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 39.3% | 18.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.0% | 91.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 7.6% | 4.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.1% | 20.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 34.7% | 21.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.25 | 2.02 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.40 | 2.22 | 1.78 |
Short-stay residents
| Measure | This home | Illinois | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 73.5% | 69.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 2.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 63.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.4% | 26.1% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 9.1% | 13.9% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 28 health deficiencies in the three most recent inspection cycles. Of these, 2 involved actual harm; the rest were graded as no actual harm. 7 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Dec 30, 2025: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Sep 26, 2025 | 13 | 3 |
| May 2, 2024 | 9 | 5 |
| May 12, 2023 | 6 | 2 |
Illinois homes averaged 12.6 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (28)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 31, 2025)
-
FPotential for more than minimal harm, widespread
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Dec 31, 2025)
-
FPotential for more than minimal harm, widespread
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jan 24, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 31, 2025)
-
FPotential for more than minimal harm, widespread
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · Deficient, Provider has date of correction (Sep 29, 2025)
Show 23 more
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 29, 2025)
-
DPotential for more than minimal harm, isolated
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 29, 2025)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (Sep 29, 2025)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 29, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 29, 2025)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 29, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 29, 2025)
-
DPotential for more than minimal harm, isolated
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Sep 29, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 30, 2024)
-
FPotential for more than minimal harm, widespread
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Dec 14, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Dec 12, 2024)
-
FPotential for more than minimal harm, widespread
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · Deficient, Provider has date of correction (May 8, 2024)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (May 8, 2024)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (May 8, 2024)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 8, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (May 8, 2024)
-
DPotential for more than minimal harm, isolated
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service · Deficient, Provider has date of correction (May 8, 2024)
-
EPotential for more than minimal harm, pattern
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (May 26, 2023)
-
EPotential for more than minimal harm, pattern
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights · Deficient, Provider has date of correction (May 26, 2023)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (May 26, 2023)
-
DPotential for more than minimal harm, isolated
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care · Deficient, Provider has date of correction (May 26, 2023)
-
DPotential for more than minimal harm, isolated
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service · Deficient, Provider has date of correction (May 26, 2023)
-
CPotential for minimal harm, widespread
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights · Deficient, Provider has date of correction (May 26, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Dec 30, 2025 | Payment Denial | 2 days |
Illinois homes averaged 2.2 fines and $111,013 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Illinois
- Size372 of 666 by certified beds
- Illinois average residents per day95.4
- ChainGoldwater Care
- Chain average overall rating1.4 of 5
- Resident or family councilResident
- Homes in Marshall County3
Common questions
What is the CMS star rating for Goldwater Care Toluca?
Goldwater Care Toluca has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 1 and quality measures is 4.
How many beds does Goldwater Care Toluca have?
Goldwater Care Toluca has 104 certified beds. It averages 60.1 residents per day, about 57.8% of its certified beds.
How much nursing care do residents get at Goldwater Care Toluca?
The home reports 3.16 hours of nurse staffing per resident per day, including 0.71 hours from registered nurses. The Illinois average is 3.45 hours and 0.72 hours from registered nurses.
Has Goldwater Care Toluca been fined?
CMS lists no fines for this home in the past three years. It also lists 1 payment denial.
Does Goldwater Care Toluca accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Henry Rehab and Nursing 81beds 64.1%in use 3.59nurse hours a day
- 2 of 5 Lacon Rehab and Nursing 93beds 61.5%in use 3.84nurse hours a day
- 5 of 5 Apostolic Christian Home 60beds 76.7%in use 3.91nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Marshall County
Who to call in Illinois
These offices serve residents of every nursing home in Illinois.
- Long-term care ombudsman Illinois Long-Term Care Ombudsman Program 1-800-252-8966 (Senior HelpLine) An advocate for residents and their families.
- File a complaint about a nursing home Central Complaint Registry 1-800-252-4343 The state agency that inspects nursing homes.
Illinois staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 145413. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.