States › Illinois › Monroe County
Nursing homes in Monroe County, Illinois
There are 2 certified nursing homes in Monroe County, Illinois, with 263 beds between them.
50% of them are rated 1 or 2 stars overall, about the same share as the state (52%). Inspectors recorded 54 health deficiencies over three cycles, 20.5 per 100 beds against 29.8 statewide.
Fines in the period covered total $339K across 6 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Monroe County | Illinois | US |
|---|---|---|---|
| Facilities | 2 | 666 | 14690 |
| Rated 1–2 stars overall | 50% | 52% | 41% |
| Median overall rating | 4 | 2 | 3 |
| Citations per 100 beds (3 cycles) | 20.5 | 29.8 | 26.8 |
| Median nurse hours per resident day | 3.8 | 3.3 | 3.7 |
| Fines listed | $339K | $75M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Accolade Healthcare of Waterloo | Waterloo | 144 | 4 | 4 | 2 | 8 | 5.6 | — | 25 Jul 2025 |
| Nexus At Columbia | Columbia | 119 | 1 | 2 | 1 | 46 | 38.7 | $339K | 30 Apr 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 6 |
| F0610 | Respond appropriately to all alleged violations. | 6 |
| F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | 5 |
| F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 4 |
| F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 4 |
Ownership
| Type | Facilities |
|---|---|
| Government | 1 |
| For profit | 1 |
Questions and answers
How many nursing homes are in Monroe County, Illinois?
2 Medicare-certified nursing homes with 263 certified beds.
Which nursing homes in Monroe County have the highest CMS ratings?
Accolade Healthcare of Waterloo (4 stars), Nexus At Columbia (1 stars)
How do Monroe County nursing homes compare with Illinois?
50% are rated 1–2 stars overall against 52% statewide; citations run at 20.5 per 100 beds against 29.8 statewide.