Columbia · 62236
Nexus at Columbia
253 Bradington Drive
Columbia, IL 62236
Accolade Healthcare of Waterloo
Top Rated for Short-Term Rehab, 2026Is this your home? Get your free badge →
⌖ Waterloo, IL · Monroe County
No photos yet
Medicare overall rating 4 of 5 stars
Certified beds144
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (county)
About Accolade Healthcare of Waterloo
Accolade Healthcare of Waterloo is a 144-bed government-run nursing home in Waterloo, IL. Medicare rates it 4 out of 5 stars overall (above average); the average in Illinois is 2.5. At its last full inspection (Jul 2025), inspectors found 3 problems, fewer than the Illinois average of 12.6. 1 citation in its recent inspections was for residents being harmed or put in immediate danger. Nurses and aides spend about 3 hr 46 min a day with each resident, about the same as the Illinois average of 3 hr 27 min. About 81% of its nursing staff left in the past year. It has had no federal fines in the last three years. Its quality ratings are stronger for short-term rehab than for long-term care.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameAccolade Healthcare Of Waterloo
LocationMonroe County, Illinois
Phone(618) 939-3488
Address623 Hamacher Street, Waterloo, IL 62298 · Monroe County
CMS provider number145445
Ownership typeGovernment (county)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceApril 19, 1982 (44 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
3 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home.
Strengths
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection3 (Jul 2025)Illinois average: 12.6. Most citations are minor and corrected within weeks.Strength
- Registered nurse time per resident50 min a dayIllinois average: 43 minStrength
About average
- Nurse staffing per resident3 hr 46 min a dayIllinois average: 3 hr 27 minAbout average
Things to ask about
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- Serious health citations1 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in Jul 2025 (about 1 year ago). All 1 were later corrected.Ask about this
- Nursing staff turnover81% a yearIllinois average: 44%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Illinois average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital24.8%State average: 26.1%About average
- Needed an emergency room visit7.6%State average: 13.9%Better than average
- Newly given antipsychotic drugs1.4%State average: 2.2%Better than average
Physical therapist time: about 2 minutes per resident a day. That is less than the state average of 3 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury1.9%State average: 3.1%Better than average
- Pressure sores (bedsores)0.7%State average: 4.8%Better than average
- Given antipsychotic drugs10.4%State average: 21.7%Better than average
- Hospital stays per 1,000 resident days2.2State average: 2.0About average
Source: Medicare (CMS) quality measures, compared with the Illinois average. Lower is better for every rate shown.
Who pays, and how full it is
Many residents here pay privately or through insurance. In Illinois, Medicaid pays for 62% of resident days at a typical home.
- 38% Medicaid
- 4% Medicare
- 58% Private pay, insurance and other
Beds in use, on average91%Illinois typical: 73%
Cost of care per resident day$370Illinois typical: $320
Shares of resident days, from the home’s Medicare cost report for the year ending November 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 4 stars now, down from 5 stars in January 2019. It has ranged from 4 to 5 stars and changed 9 times.
Overall rating4★
Health inspections4★
Staffing2★
Quality of care3★
Nurse hours per resident per day3.8
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 3 | 4 | 5 | 3.5 |
| Jan 2020 | 5 | 4 | 4 | 5 | 3.1 |
| Jan 2021 | 4 | 4 | – | 4 | 3.2 |
| Jan 2022 | 5 | 4 | 3 | 5 | 2.9 |
| Jan 2023 | 5 | 4 | 4 | 5 | 3.4 |
| Jan 2024 | 5 | 5 | 4 | 5 | 3.9 |
| Feb 2025 | 5 | 4 | 3 | 5 | 4.0 |
| Feb 2026 | 4 | 4 | 3 | 4 | 4.1 |
| Sep 2026 | 4 | 4 | 2 | 3 | 3.8 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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