The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Accolade Healthcare of Paxton on Pells
Registered name: ACCOLADE HC OF PAXTON ON PELLS
PAXTON, IL · Medicare-certified · 106 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Accolade Healthcare of Paxton on Pells in Paxton, IL has a 1-star overall rating, with a 1-star health inspection rating, 2-star staffing, and 3-star quality measures. It reports 3.55 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $112,574 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.5453 hrs/resident/day
Quality measures
Last inspection: April 15, 2026Penalties, last 24 months: $112,574recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5453.
Staffing detail
- Registered nurses
- 0.62
- Licensed practical nurses
- 0.82
- Nurse aides
- 2.11
- Weekend nursing
- 3.43
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 29%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
14.6%12%Improving
Residents with a fall causing major injury
3.7%0%Improving
Residents with pressure ulcers (bedsores)
9%5.5%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%7.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.7%7.1%Improving
Residents whose ability to walk got worse
—37.2%—
Long-stay residents on antianxiety or sleep medication
14.1%7%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
9%29.2%Worsening
Residents with depressive symptoms
36.7%67.6%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.8%—
Long-stay residents given the pneumonia vaccine
98.8%97.5%Worsening
Short-stay residents given the seasonal flu vaccine
—94.1%—
Short-stay residents given the pneumonia vaccine
95.4%74.7%Worsening
What the inspectors found
The home failed to provide care or services that were trauma-informed and culturally competent. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 699 — 42 CFR §483.25 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $41,990 was recorded.
- PENALTY
A federal fine of $35,669 was recorded.
- PENALTY
A federal fine of $20,865 was recorded.
- PENALTY
A federal fine of $14,050 was recorded.
Penalties & enforcement
On record with Medicare: 7 fines · $153,560 in total fines.
- $41,990
Federal fine
Aug 27, 2025
- $35,669
Federal fine
Jan 16, 2025
- $20,865
Federal fine
Oct 10, 2024
- $14,050
Federal fine
Jul 1, 2024
- $23,751
Federal fine
Mar 10, 2024
- $12,048
Federal fine
Mar 10, 2024
- $5,187
Federal fine
Oct 24, 2023
Operator & ownership
Recent ownership change · Oct 17, 2018
Now operated by Accolade Healthcare of Paxton on Pells, previously Heartland Health Care Center-paxton.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ACCOLADE HEALTHCARE · 7 homes · 2.6 stars avg
- Occupancy
- 94.3 residents on an average day (89% of 106 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.