Accolade Healthcare of Waterloo
Strong Medicare quality ratings; families often praise dedicated nursing and rehab staff. Still worth an in-person visit.
based on 32 Google reviews

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What this means for your family
The facility has recently seen a surge in positive feedback regarding clinical care and rehab services, suggesting an improvement under new management. However, families should be prepared for potential administrative hurdles; ensure you have a direct point of contact in admissions and clarify all billing procedures in writing before admission.
Google Reviews
Google Reviews
32 reviews on Google“Accolade Healthcare of Waterloo presents a polarized experience, with recent reviews showing a sharp divide between high praise for clinical care and severe frustration regarding administrative communication. While many families commend the nursing and rehab staff for their dedication and the facility's cleanliness, others report significant issues with unresponsive management, billing transparency, and difficulty navigating the admissions process.”
Quality Themes
Tap a score for detailsStrengths
- Dedicated nursing and rehab staff
- Clean and well-maintained facility
- Effective rehabilitation programs
- Warm and professional care environment
Concerns
- Poor administrative communication and unresponsive management (mentioned by 5 reviewers)
- Issues with billing transparency and accounting department (mentioned by 3 reviewers)
- Reliance on contract nursing staff (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 36 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed that your team is active in responding to feedback online; how do you use that input to improve the daily experience for residents?
- 2With your focus on rehabilitation, what does a typical day look like for a resident balancing therapy sessions with social activities?
- 3Since you have a large capacity of 144 residents, how do you ensure that families stay well-informed and connected with the administrative team regarding their loved one's care?
- 4I understand you utilize some contract nursing staff; what steps do you take to ensure those team members are fully integrated into your facility's specific culture and care standards?
- 5Could you walk me through your billing process and how you ensure transparency so that families feel confident about the financial side of their loved one's stay?
- 6Given your 4-star health inspection rating, what specific protocols do you have in place to maintain that level of cleanliness and safety on a daily basis?
Personalized based on this facility's data
Key Review Excerpts
“The Therapy really helped my 84 yo parents return to their home quickly. The rooms were nice, food was good! I was really impressed, as were my parents.”
“Chelsea in admissions is amazing however amy in Accounting and Susan her boss treat you like a child and when you ask for copies of your bill or an itemized bill get very upset with you.”
“All we wanted was to move our loved one closer to home, (its been well over 2 months now) Calls & emails not returned!! I have been ignored on all questions, not informed of availability.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
6
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose walking got worse
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning patterns with families filing complaints about abuse reporting procedures, and recurring issues with accident prevention appearing across all three surveys despite corrections. The most frequent problems involve accident prevention and safety hazards, fire safety systems, and medication management. While all deficiencies show correction dates, the repeated accident prevention violations suggest ongoing challenges with resident safety supervision that families should discuss during visits.
Jul 25, 2025Routine4
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
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.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 23, 2024Routine6
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper power supply for life support equipment.
Aug 23, 2024Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Oct 27, 2023Routine4
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ownership & Operations
Who Operates This Facility
Accolade Healthcare of Waterloo
government
Chain Affiliation
Accolade Healthcare
7 facilities nationwide
Ownership & Management
Owners
Monroe County
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
32 reviews from families & visitors
Official Website
Visit accoladehc.com
Medicare data downloads
Original nursing home datasets
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