F
Nexus at Columbia
11/100 score
0.34 hrs RN staffing
9 deficiencies
Accolade Healthcare of Waterloo
623 HAMACHER STREET, WATERLOO, IL 62298
- Provider number (CCN)
- 145445
- Certification
- Medicare and Medicaid
- Ownership
- Government - County
- Certified beds
- 144
- Phone
- (618) 939-3488
- CMS data as of
- July 1, 2026
B
What the records show
CMS rates Accolade Healthcare of Waterloo 4 out of 5 stars overall, with 4 of 5 for health inspections, 2 of 5 for staffing, 3 of 5 for quality measures. Federal inspectors cited 8 health deficiencies across the last three survey cycles, most recently surveyed in 2025, 2 at actual-harm level or higher. CMS lists no fines or payment denials for this facility in the covered period.
Facility Assessment
Inspectors recorded 2 citations at the actual-harm level or worse in the last three survey cycles.
Reviews, Ratings and Official Records
This page reviews Accolade Healthcare of Waterloo using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
At or above the 2024 benchmark — above average inspection record.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.84 — At or above the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
8
Outstanding
0
Actual harm or worse (G–L)
2
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★★★☆ (4/5)
Health inspection: ★★★★☆ (4/5)
Quality: ★★★☆☆ (3/5)
Staffing: ★★☆☆☆ (2/5)
|
|
NursingHomeGrade Score
|
68/100 |
Loaded into NursingHomeGrade on August 7, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.84 hrs |
|---|---|
| IL median | 0.61 hrs |
| National average | 0.69 hrs |
Registered nurse turnover: 74.3% · Total nursing staff turnover: 81.2%
Staffing figures are the values CMS published in its file processed July 1, 2026, drawn from payroll-based journal reporting.
Audit and Inspection Reports
Accolade Healthcare of Waterloo is a Government - County facility. The records on this page are the federal health-inspection and enforcement records CMS publishes. We do not hold, and have not reviewed, any separate financial or performance audit issued by a county, state or independent auditor — if one exists for this facility, it is not part of the data described below.
- Most recent standard health survey: July 25, 2025.
- Citations shown below span 3 recorded inspection cycles.
- Survey dates on file range from October 27, 2023 to July 25, 2025.
Source records: CMS Care Compare profile for provider 145445 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
2 actual harm issues found among 8 total deficiencies. 8 corrected.
Most recent inspection (July 25, 2025)
E
Potential harm — pattern
F0761
Status: Corrected
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.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected August 15, 2025
G
Actual harm — isolated
F0684
Status: Corrected
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected August 15, 2025
D
Potential harm — isolated
F0689
Status: Corrected
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected July 28, 2025
Inspection cycle 2 (August 23, 2024)
F
Potential harm — widespread
F0609
Status: Corrected
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies — Deficient, Provider has date of correction, corrected September 17, 2024
F
Potential harm — widespread
F0610
Status: Corrected
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies — Deficient, Provider has date of correction, corrected September 17, 2024
F
Potential harm — widespread
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected September 17, 2024
G
Actual harm — isolated
F0689
Status: Corrected
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected September 17, 2024
Inspection cycle 3 (October 27, 2023)
D
Potential harm — isolated
F0689
Status: Corrected
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected November 22, 2023
Fines and Enforcement Actions
CMS lists no fines and no payment denials for Accolade Healthcare of Waterloo in the enforcement records covering the last three years, as published in the file processed July 1, 2026.
Ownership and Contact Information
- Facility name
- Accolade Healthcare of Waterloo
- Legal business name
- Legal Business Name Not Available
- Address
- 623 HAMACHER STREET, WATERLOO, IL 62298
- Phone
- (618) 939-3488
- Provider number (CCN)
- 145445
- Ownership type
- Government - County
- Medicare/Medicaid certified since
- April 19, 1982
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- July 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in WATERLOO
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BRIA OF BELLEVILLE
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ST PAUL'S SENIOR COMMUNITY
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Sources and Methodology
- CMS Provider Information (file processed July 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
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