The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Accolade Healthcare of Waterloo
WATERLOO, IL · Medicare-certified · 144 beds
In good standing
Government-runChain member
4 of 5 overall
Accolade Healthcare of Waterloo has an overall rating of 4 out of 5 stars, with 4-star health inspection and quality measures ratings and a 3-star staffing rating. It reports 3.66 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, with $0 in fines in the last 24 months; recent inspection citations included treatment and care, accident hazards/supervision, and infection prevention and control.
Facility ratings
Health inspections
Staffing
3.6564 hrs/resident/day
Quality measures
Last inspection: July 25, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6564.
Staffing detail
- Registered nurses
- 0.82
- Licensed practical nurses
- 0.71
- Nurse aides
- 2.13
- Weekend nursing
- 3.30
Hours per resident per day.
Total staff turnover: 71%
Registered nurse turnover: 65%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
9%Worsening
Residents with a fall causing major injury
2.2%Steady
Residents with pressure ulcers (bedsores)
0.9%Improving
Residents with a urinary tract infection
4.5%Improving
Residents who lost too much weight
6.9%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
42.8%Worsening
Residents whose ability to walk got worse
31.1%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
11.2%Improving
Short-stay residents newly given an antipsychotic
0.7%Worsening
Residents with a long-term catheter
2.6%Improving
Residents with new or worsening incontinence
27.9%Worsening
Residents with depressive symptoms
1.4%Worsening
Long-stay residents given the seasonal flu vaccine
97.6%Steady
Long-stay residents given the pneumonia vaccine
92.4%Worsening
Short-stay residents given the seasonal flu vaccine
79.3%Steady
Short-stay residents given the pneumonia vaccine
88.7%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: F
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Government - County
- Chain
- Part of ACCOLADE HEALTHCARE · 7 homes · 2.6 stars avg
- Occupancy
- 134.6 residents on an average day (93% of 144 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 44 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.