Accolade Healthcare of Waterloo
623 Hamacher Street, Waterloo, IL 62298 · Monroe County · (618) 939-3488
144 certified beds, about 135 residents a day · Government - County · Medicare and Medicaid since 1982
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145445 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 25, 2025, inspectors cited 3 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 8 health citations since October 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.77 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.84 of those hours.
81.2% of nursing staff left within the year CMS measured (Illinois average 44.5%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
July 25, 2025Standard inspection · 3 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow physician's orders for STAT labs and x rays for 2 (R4, R103) of 4 residents reviewed for following physician's orders in a sample of 49. This failure resulted in delayed treatment for symptomatic pneumonia.
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on interview, observation and record review the facility failed to document the date a multi dose vial of Tuberculin Purified Protein Derivative (Mantoux) Tubersol was opened for 4 of 4 residents (R45,R80,R118,R130) reviewed for medication storage and labeling in the sample of 49.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review the Facility failed to ensure progressive interventions were being implemented for 1 of 14 residents (R8) reviewed for falls in the sample of 49.
August 23, 2024Standard inspection, Complaint inspection · 4 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review the Facility failed to ensure resident was being properly supervised and in a clutter-free environment that was free of hazards for 1 of 5 residents (R80) reviewed for falls in the sample of 56. This failure resulted in R80 who had a history of falls tripping over a chair or bedside table in the sunroom, requiring seven stitches.
- F Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review the facility failed to identify and immediately report allegations of physical and sexual abuse for 4 (R5, R124, R430, R103) residents reviewed for abuse. This failure has the potential to affect all residents in the facility.
- F Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and record review the facility failed to thoroughly investigate allegations of physical and sexual abuse for 3 (R124, R430, R103) residents reviewed for abuse. This failure has the potential to affect all residents in the facility.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure infection control procedures were in accordance with current standards of practice for Covid-19. This failure has the potential to affect all 133 residents residing in the facility. Findings Include: On 8/20/24 the facility provided a document titled, Covid Positive which noted R113 and R51 are the resident's currently residing in the facility who are positive for Covid-19 at this time. 1. On 8/20/2024 at 12:00 PM R51 was observed lying in bed, as well as R12 sitting up in a chair within the same room. No masks being worn by either resident and the privacy curtain was not observed as being pulled to separate the residents. R12 stated My roommate has COVID. She really is not feeling well. I had COVID in 2021 and was very sick. I was not offered a mask or to move rooms. [...]
October 27, 2023Standard inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview, record review, and observation the facility failed to provide supervision to prevent falls for 1 of 14 resident (R5) reviewed for falls in the sample of 33. Findings Include: On 10/26/23 at 11:48 AM V17, Certified Nurse's Aide, CNA assisted R5 with transferring R5 from the bed to the wheelchair and then from the chair back to bed with gait belt. R5's Face Sheet, undated, documents R5's has diagnoses of unspecified dementia, repeated falls, and fracture of unspecified part of neck of left femur, R5's Minimum Data Set (MDS) dated [DATE] documents R5 is a limited assistance of one staff for transfers. R5's MDS documented that R5's balance was not steady only able to stabilize with staff assistance for going from seated to standing and moving on and off the toilet. The MDS documented R5 required one-person physical assistance with transfers and toileting. [...]
Fire safety inspections
8 fire safety citations on file: 1 on July 25, 2025, 4 on August 23, 2024, 3 on October 27, 2023.
Every fire safety citation8 citations
- E Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Have simulated fire drills held at unexpected times.
- F Have proper power supply for life support equipment.
- F Have simulated fire drills held at unexpected times.
- F Have proper medical gas storage and administration areas.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Illinois | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.77 | 3.45 | 3.86 |
| Registered nurses | 0.84 | 0.72 | 0.69 |
| All nursing staff on weekends | 3.35 | 3.07 | 3.42 |
| Nurse aides | 2.24 | ||
| Licensed practical nurses | 0.69 | ||
| Nursing staff turnover (share who left in a year) | 81.2% | 44.5% | 45.8% |
| Registered nurse turnover | 74.3% | 41.8% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.97 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.94 on weekdays and 3.35 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 22.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.10 in April to June 2025 to 3.77 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.77 | 0.84 | 3.94 | 3.35 | 22.4% | 0 of 90 | 135 |
| Oct to Dec 2025 | 3.66 | 0.82 | 3.80 | 3.30 | 25.9% | 0 of 92 | 135 |
| Jul to Sep 2025 | 4.13 | 0.89 | 4.27 | 3.78 | 25.0% | 0 of 92 | 128 |
| Apr to Jun 2025 | 4.10 | 0.79 | 4.23 | 3.77 | 26.1% | 0 of 91 | 128 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Illinois, Jan to Mar 2026 | 3.26 | 0.65 | 3.40 | 2.92 | 5.4% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Illinois | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 42.0 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.8 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.6 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.9 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 31.5 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.7 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.4 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.8 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.6 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 2.2 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on July 25, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on August 23, 2024: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on July 25, 2025: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 23, 2024: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Nexus at Columbia Columbia, 8.4 mi · 1 of 5 stars · 42 citations
- Bethesda Southgate Saint Louis, 12.3 mi · 5 of 5 stars · 15 citations
- Helia Southbelt Healthcare Belleville, 13.5 mi · 1 of 5 stars · 61 citations
- La Bella of Freeburg Freeburg, 13.8 mi · 1 of 5 stars · 23 citations
- Bria of Belleville Belleville, 14.2 mi · 1 of 5 stars · 66 citations
- St. Paul's Senior Community Belleville, 14.2 mi · 1 of 5 stars · 40 citations
- Nazareth Living Center Saint Louis, 14.2 mi · 1 of 5 stars · 49 citations
- Nexus Pavilion at Belleville Belleville, 14.2 mi · 1 of 5 stars · 79 citations
Illinois contacts for a concern about a nursing home
These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Illinois Department of Public Health, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Illinois Long-Term Care Ombudsman Program, Illinois Department on Aging, 1-800-252-8966. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: IDPH Quarterly Reports of Nursing Home Violators, where Illinois publishes its own records on licensed homes.
Common questions
- What is Accolade Healthcare of Waterloo's Medicare star rating?
- CMS rates Accolade Healthcare of Waterloo 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Accolade Healthcare of Waterloo get at its last inspection?
- 3 health deficiencies at the standard inspection on July 25, 2025. The Illinois average is 12.6.
- Has Accolade Healthcare of Waterloo been fined?
- CMS lists no fines in the last three years.
- Does Accolade Healthcare of Waterloo accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Accolade Healthcare of Waterloo?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.