Accolade Healthcare of Waterloo
623 Hamacher Street, Waterloo, IL 62298 · Monroe County · 144 certified beds · avg 135 residents/day · certified since Apr 19, 1982
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jul 25, 2025 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 15, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 23, 2024 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 17, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (8)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 25, 2025 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 25, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 25, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 23, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 23, 2024 | F · Potential for harm, facility-wide | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Aug 23, 2024 | F · Potential for harm, facility-wide | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Aug 23, 2024 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 27, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 4 | 1 | G ▲ |
| 2025 | 3 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Illinois avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.64 | 2.99 | 3.95 | top 21% in Illinois; bottom 44% in the U.S. |
| Registered Nurse hours | 0.81 | 0.63 | 0.69 | top 21% in Illinois; top 27% in the U.S. |
| Weekend total nurse staffing | 3.23 | 2.67 | 3.50 | top 21% in Illinois; bottom 44% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.63 | 0.56 | 0.48 | top 30% in Illinois; top 21% in the U.S. |
| Total nursing staff turnover (%) | 81.2 | 44.5 | 45.8 | bottom 1% in Illinois; bottom 2% in the U.S. |
| RN turnover (%) | 74.3 | 41.8 | 42.9 | bottom 7% in Illinois; bottom 9% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.77, RN 0.84, weekend 3.35. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 5/5
Who owns this facility
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ownership Data Not Available |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Nexus at Columbia | 8.4 mi | Columbia, IL | ★☆☆☆☆ | 2/5 | |
| Bethesda Southgate | 12.3 mi | Saint Louis, MO | ★★★★★ | 5/5 | |
| Helia Southbelt Healthcare | 13.5 mi | Belleville, IL | ★☆☆☆☆ | 1/5 | abuse |
| La Bella of Freeburg | 13.8 mi | Freeburg, IL | ★☆☆☆☆ | 2/5 | abuse |
| Bria of Belleville | 14.2 mi | Belleville, IL | ★☆☆☆☆ | 1/5 | abuse |
| St Paul's Senior Community | 14.2 mi | Belleville, IL | ★☆☆☆☆ | 2/5 | |
| Nazareth Living Center | 14.2 mi | Saint Louis, MO | ★☆☆☆☆ | 2/5 | |
| Nexus Pavilion at Belleville | 14.2 mi | Belleville, IL | ★☆☆☆☆ | 1/5 | abuseSFF |
| Bria of Cahokia | 14.3 mi | Cahokia, IL | ★☆☆☆☆ | 1/5 | abuse |
| Evercare of Swansea | 14.9 mi | Swansea, IL | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 145445.