facebook tracking Accolade Healthcare of Waterloo, Waterloo IL: CMS Ratings
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Accolade Healthcare of Waterloo

All states › Illinois › Waterloo › Accolade Healthcare of Waterloo

623 Hamacher Street Waterloo, IL 62298 · Monroe County

(618) 939-3488

Accepts Medicare Accepts Medicaid 144 certified beds Government Continuing care retirement community

CMS certification number 145445 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Accolade Healthcare of Waterloo a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Accolade Healthcare of Waterloo as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Illinois average of 2.6. Inspectors issued 8 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 3 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.80 hours per resident per day at Accolade Healthcare of Waterloo, above the Illinois median of 3.33 (US median: 3.72). About 0.82 of those hours are from registered nurses. On weekends it falls to 3.48 hours, 8% below its all-week average. 86.1% of nursing staff left within a year (Illinois median 43.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.

Nursing care per resident per day 3.80 hours
Above the Illinois median of 3.33 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.82 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.48 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 86.1% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 78.8% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds144
Residents per day 132 About 92% of beds filled, on average
OwnershipGovernment - County
Payment acceptedMedicare and Medicaid
Certified sinceApril 1982
Legal business nameLegal Business Name Not Available

Paying for care at Accolade Healthcare of Waterloo: Medicare and Medicaid

Accolade Healthcare of Waterloo is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Illinois's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on July 25, 2025 and found 3 deficiencies. In total, inspectors issued 8 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 8 citations at Accolade Healthcare of Waterloo across 3 inspection dates, 2 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on July 25, 2025. The most common areas cited were quality of life and care (4) and freedom from abuse, neglect, and exploitation (2). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level G, July 25, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.

July 25, 2025 · 3 citations

GProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Aug 15, 2025)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Aug 15, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jul 28, 2025)

August 23, 2024 · 4 citations, includes actual harm · includes complaint inspection

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Sep 17, 2024)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Sep 17, 2024)

FRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Sep 17, 2024)

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Sep 17, 2024)

October 27, 2023 · 1 citation

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Nov 22, 2023)

Questions to ask on a tour of Accolade Healthcare of Waterloo

  1. Inspectors cited the home at the actual-harm level on July 25, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on August 23, 2024. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Nursing staff turnover was 86.1% a year. How many of the staff come from agencies?
  5. Several administrators left in the past year. What has changed for residents since then?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 2/5 4/5
August 2026 4/5 4/5 2/5 3/5
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Location

Hospitals near Accolade Healthcare of Waterloo

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 11.9 mi
    Red Bud Regional Hospital Red Bud
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 2m for patients treated and sent home
  • 13.9 mi
    St Elizabeth Hospital Belleville
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 42m for patients treated and sent home
  • 15.4 mi
    Memorial Hospital Belleville
    Emergency room ★★★★★ Medicare overall 5 of 5
    Median ER visit 3h 15m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Nexus at Columbia Columbia · 8.4 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 119 beds · Medicaid
Helia Southbelt Healthcare Belleville · 13.5 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 156 beds · Medicaid
La Bella of Freeburg Freeburg · 13.8 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 118 beds · Medicaid
Bria of Belleville Belleville · 14.2 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 140 beds · Medicaid
St Paul's Senior Community Belleville · 14.2 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 108 beds · Medicaid

More nursing homes near Accolade Healthcare of Waterloo ›   All nursing homes in Waterloo ›

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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/illinois/waterloo/accolade-healthcare-of-waterloo/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.