PlainNursing
CMS Nursing Home Compare · March 2026

Accolade Healthcare of Waterloo

623 Hamacher Street, Waterloo, IL 62298

Accolade Healthcare of Waterloo, a 144-bed government - county nursing facility in Waterloo, IL, holds a 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6189393488

Build a private shortlist as you compare, saved on this device, no account needed.

4 / 5
Above average · CMS overall · nat'l 3.0
4.13
Above average · nurse hrs/day · nat'l 3.89
6
Inspection findings · 2 serious
$0
Federal penalties (0)

Health Inspection

4/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

2/5

Facility Information

Provider Number
145445
Ownership
Government - County
Provider Type
Medicare and Medicaid
Beds
144
Residents
128
In Hospital
No
County
Monroe
Last Inspection
Jul 25, 2025

Staffing Data

How the 4.13 total nursing hours per resident-day are staffed:

RN Hours
0.89 (nat'l avg: 0.68)
LPN Hours
0.76
CNA Hours
2.48
Total Nursing Hours
4.13 (nat'l avg: 3.89)
PT Hours
0.03
Nursing Turnover
74.7%
RN Turnover
68.0%

What the CMS Record Reveals About Accolade Healthcare of Waterloo

Accolade Healthcare of Waterloo operates 144 certified beds in Waterloo, IL with approximately 128 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 3★ · quality 4★).

The inspection file contains 6 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Per resident day, this facility reports 4.13 total nursing hours (national average 3.89) and 0.89 RN hours.

Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider, Accolade Healthcare of Waterloo falls into a category where comparative context matters. Reported nursing turnover at this facility is 74.7%, above the level where continuity of care typically begins to suffer.

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (6 most recent)

F - Widespread - Minimal harm Aug 23, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 17, 2024

F - Widespread - Minimal harm Aug 23, 2024 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 17, 2024

F - Widespread - Minimal harm Aug 23, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 17, 2024

G - Isolated - Actual harm Aug 23, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 17, 2024

D - Isolated - Minimal harm Oct 27, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 22, 2023

G - Isolated - Actual harm Sep 16, 2022 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 1, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 34.9% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 3.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 4.3% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 29.5% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 1.7% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 10.5% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.1% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 93.9% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 12.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.6% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 25.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 91.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 79.3% No

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Accolade Healthcare of Waterloo?
Accolade Healthcare of Waterloo has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at Accolade Healthcare of Waterloo?
Accolade Healthcare of Waterloo reports 4.13 total nursing hours per resident day (national average: 3.89). RN hours are 0.89 per resident day (national average: 0.68). Nursing staff turnover is 74.7%.
How many beds does Accolade Healthcare of Waterloo have?
Accolade Healthcare of Waterloo has 144 certified beds with approximately 128 residents. The facility is located at 623 Hamacher Street, Waterloo, IL 62298.
Does Accolade Healthcare of Waterloo have any deficiencies on record?
Yes, Accolade Healthcare of Waterloo has 6 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Accolade Healthcare of Waterloo received any fines or penalties?
No, Accolade Healthcare of Waterloo has no fines or penalties on record.
Who owns Accolade Healthcare of Waterloo?
Accolade Healthcare of Waterloo is classified as "Government - County" ownership. The facility type is "Medicare and Medicaid".
When was Accolade Healthcare of Waterloo last inspected?
The most recent health inspection for Accolade Healthcare of Waterloo was on Jul 25, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Accolade Healthcare of Waterloo?
Accolade Healthcare of Waterloo is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

Found this useful? Share Accolade Healthcare of Waterloo's record.