Illinois › Monroe County › Waterloo
Accolade Healthcare of Waterloo
623 Hamacher Street, Waterloo, IL 62298
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Accolade Healthcare of Waterloo, in Waterloo, Illinois, is certified for 144 beds under government, county ownership.
CMS gives it 4 of 5 stars overall, above the Illinois median of 2; the health inspection rating is 4, staffing 2 and quality measures 3.
Inspectors recorded 8 health deficiencies across the three most recent survey cycles (3, 4, 1 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 5.6 per 100 beds, fewer than the state median of 28.4.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.8 hours per resident per day (0.8 RN), close to the Illinois median of 3.3; nursing staff turnover is 81.2%.
Compared with county, state and nation
| Measure | This facility | Monroe Co. median | Illinois median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 8 | 46 | 34 | 28.7 |
| Citations per 100 beds | 5.6 | 38.7 | 28.4 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.8 | 3.3 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.6 | 0.7 |
| Nursing staff turnover | 81.2% | 81.2% | 43.4% | 45.8% |
| Fines listed | $0 | $338,854 | $45,123 | — |
County and state figures are medians across facilities (2 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Jul 2025, 23 Aug 2024.
Severity mix: G ×2 D ×2 E ×1 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 25 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 15 Aug 2025 |
| 25 Jul 2025 | F0761 | 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. | E | Standard survey | 15 Aug 2025 |
| 25 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 28 Jul 2025 |
| 23 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 17 Sep 2024 |
| 23 Aug 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | F | Complaint investigation | 17 Sep 2024 |
| 23 Aug 2024 | F0610 | Respond appropriately to all alleged violations. | F | Complaint investigation | 17 Sep 2024 |
| 23 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 17 Sep 2024 |
| 27 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 22 Nov 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 81.2%, RNs 74.3%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Illinois median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 42.0% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.8% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.6% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.9% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.4% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 31.5% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.7% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.4% | 17.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, county. Legal business name: Legal Business Name Not Available.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Monroe County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Nexus At Columbia | Columbia | 119 | 1 | 2 | 1 | 46 | 38.7 | $339K | 30 Apr 2026 |
All 2 facilities in Monroe County
Questions and answers
How many deficiencies has Accolade Healthcare of Waterloo been cited for?
8 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.
Has Accolade Healthcare of Waterloo been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Accolade Healthcare of Waterloo compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.
Who operates Accolade Healthcare of Waterloo?
Ownership type is government, county. Individual owners and managers are not listed on this site.
When was Accolade Healthcare of Waterloo last inspected?
The most recent survey or investigation in the CMS record is dated 25 Jul 2025; the most recent standard health survey was 25 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.