Golden Good Shepherd Home

Penalties

• Sep 12, 2025 — IDPH fine (Nursing Home Care Act) ($500)
• Sep 12, 2025 — IDPH fine (Nursing Home Care Act) ($500)
• Nov 26, 2024 — Payment Denial · payment denial 60 days
• Nov 26, 2024 — IDPH fine (Nursing Home Care Act) ($2,200)

Inspection findings

1. Sep 12, 2025 IDPH docket NH 25-S1093 · 2 findings
   • Not serious Scope/severity C

     Type C Illinois Nursing Home Care Act violation

     Type C: less than minimal harm (1-132). Sections of the Illinois Administrative Code cited: 300.661. The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation:300.661.

     Statement of deficiencies (PDF)

   • Not serious Scope/severity C

     Type C Illinois Nursing Home Care Act violation

     Type C: less than minimal harm (1-132). Sections of the Illinois Administrative Code cited: 300.610a), 300.615e), 300.615f), and 300.615j). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation:300.615e) and 300.615f).

     Statement of deficiencies (PDF)

2. Nov 26, 2024 Fire Safety · 15 findings
   • Not serious Scope/severity F

     E0037 Emergency Preparedness Deficiencies

     Establish staff and initial training requirements.

     Corrected Feb 1, 2025 · CMS fire safety

   • Not serious Scope/severity F

     E0039 Emergency Preparedness Deficiencies

     Conduct testing and exercise requirements.

     Corrected Feb 1, 2025 · CMS fire safety

   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Dec 20, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Dec 21, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0578 Resident Rights Deficiencies

     Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

     Corrected Dec 21, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0688 Quality of Life and Care Deficiencies

     Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

     Corrected Feb 24, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0692 Quality of Life and Care Deficiencies

     Provide enough food/fluids to maintain a resident's health.

     Corrected Feb 24, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     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.

     Corrected Feb 24, 2025 · CMS health inspection

   • Serious Scope/severity G

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Dec 21, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Dec 21, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Feb 24, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0761 Miscellaneous Deficiencies

     To conduct inspection, testing and maintenance of fire doors by qualified individuals.

     Corrected Feb 1, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0914 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

     Corrected Dec 18, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Jan 10, 2025 · CMS fire safety

   • Not serious Scope/severity B

     Type B Illinois Nursing Home Care Act violation

     Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b), 300.1210d)1), and 300.1630c). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b).

     Statement of deficiencies (PDF)

3. Sep 7, 2023 Fire Safety · 8 findings
   • Not serious Scope/severity F

     E0026 Emergency Preparedness Deficiencies

     Establish roles under a Waiver declared by secretary.

     Corrected Oct 6, 2023 · CMS fire safety

   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Sep 11, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Sep 15, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     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.

     Corrected Sep 10, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0881 Infection Control Deficiencies

     Implement a program that monitors antibiotic use.

     Corrected Sep 15, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Sep 12, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Dec 4, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Sep 11, 2023 · CMS fire safety

4. Aug 18, 2022 Health · 11 findings
   • Not serious Scope/severity D

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Sep 7, 2022 · CMS health inspection

   • Not serious Scope/severity D

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Sep 7, 2022 · CMS health inspection

   • Not serious Scope/severity D

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Sep 7, 2022 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Sep 7, 2022 · CMS health inspection

   • Not serious Scope/severity F

     K0133 Construction Deficiencies

     Install a two-hour-resistant firewall separation.

     Corrected Oct 15, 2022 · CMS fire safety

   • Not serious Scope/severity F

     K0291 Egress Deficiencies

     Install emergency lighting that can last at least 1 1/2 hours.

     Corrected Oct 15, 2022 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Oct 27, 2022 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Oct 15, 2022 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Oct 15, 2022 · CMS fire safety

   • Not serious Scope/severity F

     K0761 Miscellaneous Deficiencies

     To conduct inspection, testing and maintenance of fire doors by qualified individuals.

     Corrected Oct 15, 2022 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Oct 15, 2022 · CMS fire safety

Owners and managers (as published by CMS)

• BRUNS, PAUL — corporate officer, NOT APPLICABLE, since 10/15/2024
• BRUNS, PAUL — managing control - governing body, NOT APPLICABLE, since 10/15/2024
• CASSENS, CYNTHIA — managing control - governing body, NOT APPLICABLE, since 01/01/1981
• CASSENS, CYNTHIA — corporate officer, NOT APPLICABLE, since 01/01/1981
• DIXON, WILLIAM — operational/managerial control, NOT APPLICABLE, since 01/01/2018
• DIXON, WILLIAM — adp of the snf, NOT APPLICABLE, since 11/14/2025
• DIXON, WILLIAM — corporate director, NOT APPLICABLE, since 01/01/2018
• GRONEWOLD, DAVID — managing control - governing body, NOT APPLICABLE, since 01/01/2015
• GRONEWOLD, DAVID — corporate officer, NOT APPLICABLE, since 01/01/2015
• HEINECKE, CARL — corporate officer, NOT APPLICABLE, since 10/15/2024
• HEINECKE, CARL — managing control - governing body, NOT APPLICABLE, since 10/15/2024
• HIGDON, BRITNEY — corporate director, NOT APPLICABLE, since 09/07/2025
• HIGDON, BRITNEY — adp of the snf, NOT APPLICABLE, since 03/23/2026
• HIGDON, BRITNEY — operational/managerial control, NOT APPLICABLE, since 09/07/2025
• POST, CURTIS — managing control - governing body, NOT APPLICABLE, since 02/07/2012
• POST, CURTIS — corporate officer, NOT APPLICABLE, since 02/07/2012
• WAITE, LINDA — corporate director, NOT APPLICABLE, since 10/15/2015
• WAITE, LINDA — managing control - governing body, NOT APPLICABLE, since 10/15/2015
• WATERKOTTE, JANA — operational/managerial control, NOT APPLICABLE, since 11/01/2024
• WATERKOTTE, JANA — managing control - governing body, NOT APPLICABLE, since 11/01/2024