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Nursing HomeMedicaid

Accolade Healthcare of Waterloo

Strong Medicare quality ratings; families often praise dedicated nursing and rehab staff. Still worth an in-person visit.

623 Hamacher Street, Waterloo, IL 62298144 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 32 Google reviews

5
4
3
2
1
Accolade Healthcare of Waterloo Nursing Home in Waterloo, IL — Street View
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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 details
Food8.0Staff6.0Clean7.0Activities8.0MedsN/AMemoryN/AComms2.0Value3.0

Strengths

  • 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

234'14(1)'17(2)'20(1)'23(2)'25(2)'26(15)

Distribution · 36 analyzed

5
24
4
0
3
0
2
2
1
10

How They Respond to Reviews

63%response rate

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.

Rehab patient's family member · 2026★★★★★

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.

Long-term resident's family · 2024☆☆☆☆

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.

Prospective resident's family · 2025☆☆☆☆
Source: 32 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.82hrs
OK
Registered nurses for medical care
Total Nursing
3.66hrs
89%
All nurses + aides combined
Staff Turnover
71%
Lower is better (< 30% = good)
RN Turnover
65%
Lower is better (< 30% = good)

Total 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

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

6

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.4%
Better than Avg
Here
1.4%
US
12.1%
IL
52.5%
Monroe
9.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility42.8%
Worse than Avg
Here
42.8%
US
14.4%
IL
14.2%
Monroe
16.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility31.1%
Worse than Avg
Here
31.1%
US
15.3%
IL
15.9%
Monroe
16.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.0%
Better than Avg
Here
9.0%
US
15.4%
IL
21.8%
Monroe
16.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility27.9%
Worse than Avg
Here
27.9%
US
19.4%
IL
21.1%
Monroe
23.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.2%
Better than Avg
Here
11.2%
US
19.5%
IL
18.3%
Monroe
15.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility88.7%
Better than Avg
Here
88.7%
US
81.8%
IL
69.0%
Monroe
72.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility79.3%
Mixed vs Avgs
Here
79.3%
US
79.7%
IL
63.1%
Monroe
73.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
IL
2.4%
Monroe
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (12.0)
2 complaint-triggered

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, 2025Routine
4
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0761Potential for harm · PatternCorrected

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.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0689Potential for harm · IsolatedCorrected

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, 2024Routine
6
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0915Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper power supply for life support equipment.

Aug 23, 2024Complaint
2
0609Potential for harm · WidespreadCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · WidespreadCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Oct 27, 2023Routine
4
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0689Potential for harm · IsolatedCorrected

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

Owner / Operator

Accolade Healthcare of Waterloo

Organization Type

government

Chain Affiliation

Chain Name

Accolade Healthcare

Chain Size

7 facilities nationwide

Ownership & Management

Owners

Monroe County

Owner · Organization

100%

Key personnel

Garmer, DouglasManaging Control - Governing BodyGreen, GeorgeManaging Control - Governing BodyKoenigstein, KevinManaging Control - Governing BodyKoerber, VickiManaging Control - Governing BodyMcclean, JonathonManaging Control - Governing Body
Source: Medicare provider data

Contact

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References & Resources

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