Accolade Paxton Senior Living
450 Fulton Street, Paxton, IL 60957 · Ford County · (217) 379-2116
75 certified beds, about 66 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1982
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145449 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 8, 2026, inspectors cited 6 health deficiencies (the Illinois average is 12.6, the national average 9.2).
None of its 13 health citations since March 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.48 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
48.4% of nursing staff left within the year CMS measured (Illinois average 44.5%).
CMS links it to Accolade Healthcare, an affiliated group of 6 nursing homes.
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.
703/24
002/25
604/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
2E
1F
Potential for minimal harm
0A
0B
0C
April 8, 2026Standard inspection, Complaint inspection · 6 citations
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteFailures at this level required more than one deficient practice statement. A. Based on observation, interview and record review, the facility failed to ensure resident's call lights were answered in a reasonable time frame for seven of 17 residents (R50, R60, R81, R82, R74, R83, R43) reviewed for resident rights on a sample list of 43. B. Based on interview and record review the facility failed to ensure residents were treated with dignity and respect for three of 17 residents (R18, R74, R82) reviewed for resident rights in the sample list of 43. a.1) The facility policy Call Lights: Answering dated 8/2/17 documents call lights are to be answered in a reasonable time frame and all call lights should be answered courteously. Record review of Resident Council meeting minutes dated January, February, and March 2026 document ongoing concerns related to call lights not being answered timely. [...]
- 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 observation, interview, and record review the facility failed to appropriately label eye drops and inhalers with the date opened for three (R18, R42, R48) of eight residents reviewed for medication administration on a sample list of 43.
- D 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.
Inspectors wroteBased on interview and record review, the facility failed to ensure Practitioner Orders for Life-Sustaining Treatment (POLST) status reflected resident wishes as desired throughout the Electronic Health Record for two (R8 and R51) of 17 residents reviewed for advanced directives in the sample of 43. Findings Include: 1. R51's admission Record documents an admission date of [DATE]. R51's Order Detail Report printed [DATE] documents on [DATE] an Advance Directive order for Full Code. R51's Resident Information Sheet printed on [DATE] documents R51's Advance Directive as FULL CODE. R51's IDPH (Illinois Department of Public Health) Uniform Practitioner Order For Life-Sustaining Treatment (POLST) Form documented an X marked on the box for Do Not Attempt Resuscitation. This form was signed by R51 and dated [DATE] and signed by the Authorized Practitioner. [...]
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review, the facility failed to submit a discharge Minimum Data Sheet (MDS) resident assessment for two of 17 residents (R20, R54) reviewed for resident assessment on a sample list of 43. Findings Include: R20's census list documents an admission date of 11/12/25 and a discharge date of 12/27/25. R20's MDS list documents no discharge MDS completed. R54's census list documents an admission date of 11/06/25 and a discharge date of 12/11/25. R54's MDS list documents no discharge MDS completed. On 04/08/2026 at 11:22 AM V23 Minimum Data Set Registered Nurse stated she did in fact miss doing the discharge MDS for R20 and R54. V23 stated she usually completes the discharge MDS immediately.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, and record review the facility failed to revise a care plan with falls and post fall interventions for one of three residents (R82) reviewed for falls in the sample list of 43.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on interview and record review the facility failed to accurately transcribe an order for pain medication for one of three residents (R18) reviewed for hospitalization in the sample list of 43.
February 6, 2025Standard inspection · 0 citations
March 7, 2024Standard inspection · 7 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to monitor the dishwasher rinse temperatures to ensure sanitation of service wares and utensils utilized to serve meals to the residents. This failure affects nearly all (62 of 63) residents residing in the facility.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview and record review the facility failed to provide dignity while obtaining a respiratory assessment for one (R46) resident out of one resident reviewed for dignity in a sample list of 33 residents.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on interview and record review the facility failed to complete a Baseline Care Plan timely for one (R266) resident out of one resident reviewed for Baseline Care Plans in a sample list of 33 residents.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review the facility failed to prevent cross contamination of pressure ulcers during pressure ulcer wound care and failed to complete wound treatments for two (R45, R266) residents out of four residents reviewed for Pressure Ulcers in a sample list of 33 residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe environment for use of oxygen in the presence of electrical heating devices and flammable materials in the facility beauty shop. This failure affects two residents (R11 and R48) out of nine reviewed for accidents and safety on a sample list of 33.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide complete perineal care for one resident (R8) of one resident reviewed for perineal care in the sample list of 33.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain and implement physician orders for Continuous Positive Airway Pressure (CPAP) machine settings and cleaning schedules and failed to properly store Nebulizer tubing. These failures have the potential to affect three residents (R12, R17, R21) out of three reviewed for respiratory care on a sample list of 33.
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) | 3.48 | 3.45 | 3.86 |
| Registered nurses | 0.63 | 0.72 | 0.69 |
| All nursing staff on weekends | 3.22 | 3.07 | 3.42 |
| Nurse aides | 2.19 | ||
| Licensed practical nurses | 0.66 | ||
| Nursing staff turnover (share who left in a year) | 48.4% | 44.5% | 45.8% |
| Registered nurse turnover | 54.5% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 5.00 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 3.59 on weekdays and 3.22 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 13.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.63 in April to June 2025 to 3.48 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 | 3.48 | 0.63 | 3.59 | 3.22 | 13.3% | 0 of 90 | 66 |
| Oct to Dec 2025 | 3.88 | 0.76 | 4.03 | 3.49 | 8.8% | 0 of 92 | 60 |
| Jul to Sep 2025 | 3.72 | 0.70 | 3.90 | 3.26 | 10.8% | 0 of 92 | 60 |
| Apr to Jun 2025 | 3.63 | 0.76 | 3.80 | 3.21 | 15.2% | 0 of 91 | 61 |
| 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 | 16.2 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.6 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.5 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 23.0 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.2 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.3 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 39.4 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.3 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.2 | 1.8 |
Owners and operators
Legal business name: ACCOLADE HEALTHCARE OF PAXTON SENIOR LIVING LLC. CMS links this home to Accolade Healthcare, a group of 6 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Freedman, Moshe | 5% or greater direct ownership interest | Individual | 99% | 11/01/2017 |
| Chitty, William | W-2 managing employee | Individual | 11/01/2017 | |
| Gross, Norman | W-2 managing employee | Individual | 11/01/2017 | |
| Jarrett, Allison | W-2 managing employee | Individual | 11/01/2017 |
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 5 problems in this area, most recently on April 8, 2026: "Provide safe, appropriate pain management for a resident who requires such services."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on April 8, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on April 8, 2026: "Ensure each resident receives an accurate assessment."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on April 8, 2026: "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."
Other nursing homes nearby
- Accolade Hc of Paxton on Pells Paxton, 0.7 mi · 3 of 5 stars · 57 citations
- Country Health Gifford, 10.7 mi · 2 of 5 stars · 50 citations
- Goldwater Care Gibson City Gibson City, 14.4 mi · 1 of 5 stars · 76 citations
- Gibson Community Hsp Annex Gibson City, 14.6 mi · 5 of 5 stars · 11 citations
- Gilman Healthcare Center Gilman, 21 mi · 3 of 5 stars · 27 citations
- Heritage Health-Hoopeston Hoopeston, 21.4 mi · 4 of 5 stars · 24 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 Paxton Senior Living's Medicare star rating?
- CMS rates Accolade Paxton Senior Living 4 out of 5 stars overall, with 5 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Accolade Paxton Senior Living get at its last inspection?
- 6 health deficiencies at the standard inspection on April 8, 2026. The Illinois average is 12.6.
- Has Accolade Paxton Senior Living been fined?
- CMS lists no fines in the last three years.
- Does Accolade Paxton Senior Living 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 Paxton Senior Living?
- CMS lists 4 owners and managers, and links the home to Accolade Healthcare. Legal business name: ACCOLADE HEALTHCARE OF PAXTON SENIOR LIVING LLC.
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.