Nursing HomeMedicaid Top Rated

Accolade Paxton Senior Living

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

450 Fulton Street, Paxton, IL 60957|75 beds|Licensed & Active

5/5

Medicare

Inspection

Quality

Staffing

Google rating

4.6/5

based on 76 Google reviews

(217) 379-2116 Directions Website

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What this means for your family

This facility is highly regarded for its rehabilitation therapy and active social calendar, making it a strong choice for short-term recovery. However, families should be aware of reports regarding inconsistent response times and staffing levels; we recommend asking management about their current staffing ratios and how they handle call-light response times during peak hours.

Google Reviews

76 reviews on Google

“Accolade Paxton Senior Living is widely praised by families for its dedicated nursing staff, effective rehabilitation programs, and vibrant activity schedule. While the vast majority of reviews are highly positive, a small number of families have raised serious concerns regarding staffing shortages, slow call-light response times, and inconsistent food quality.”

Quality Themes

Tap a score for details

Strengths

Attentive and compassionate nursing staff
Effective physical and occupational therapy programs
Engaging and frequent resident activities
Strong communication with out-of-town families

Concerns

Slow response times to call lights (mentioned by 2 reviewers)
Understaffing issues (mentioned by 2 reviewers)
Poor food quality and temperature (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 80 analyzed

How They Respond to Reviews

88%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1I noticed you are very active in responding to feedback online; how do you use that family input to improve the daily experience for residents?
2With the current staffing levels, what systems do you have in place to ensure that call lights are answered promptly and residents' needs are met quickly?
3We’ve heard great things about your physical and occupational therapy programs; could you walk us through how those are integrated into a resident's routine?
4Since you have such a strong reputation for keeping out-of-town families in the loop, what does your standard communication process look like when a medical change or emergency occurs?
5We understand that dining is a major part of community life; what steps are you taking to ensure that meals are served at the right temperature and meet the residents' quality expectations?
6Given the variety of activities mentioned by families, how do you tailor these programs to ensure residents with different mobility levels remain engaged and active?

Personalized based on this facility's data

Key Review Excerpts

“The staff were kind and also provided many opportunities for activities and socializing. They are the reason mom was able to return to her apartment in a senior community.”

Rehab patient's family · 2025★★★★★

“The entire staff went above and beyond to make him feel comfortable and cared for. Holly, Tammy, and Lane were amazing advocates for him, especially when challenges came up.”

Long-term resident's family · 2025★★★★★

“My mother had to wait sometimes up to 2 hours or longer for a response upon pressing her call button. At times she had no other choice than to...”

Rehab patient's family · 2021★☆☆☆☆

Source: 76 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.76hrs

Registered nurses for medical care

Total Nursing

3.88hrs

95%

All nurses + aides combined

Staff Turnover

48%

Lower is better (< 30% = good)

RN Turnover

40%

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

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility47.3%

Mixed vs Avgs

Here

47.3%

12.1%

52.5%

Ford

16.7%

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

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility6.1%

Better than Avg

Here

6.1%

15.4%

21.8%

Ford

16.8%

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

95.5%

91.8%

Ford

93.4%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility23.1%

Worse than Avg

Here

23.1%

15.3%

15.9%

Ford

19.4%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility23.6%

Worse than Avg

Here

23.6%

19.5%

18.3%

Ford

17.1%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility23.9%

Worse than Avg

Here

23.9%

19.4%

21.1%

Ford

23.8%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility50.3%

Worse than Avg

Here

50.3%

81.8%

69.0%

Ford

70.0%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility66.3%

Mixed vs Avgs

Here

66.3%

79.7%

63.1%

Ford

76.0%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.6%

Mixed vs Avgs

Here

1.6%

2.4%

Ford

0.5%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies

Well below state avg (12.0)

3 complaint-triggered

Clean record — no deficiencies

This facility has recurring safety and care quality concerns, with families filing three complaint-triggered deficiencies over the review period. The most persistent issues involve accident prevention and safety hazards, which appeared in all four surveys, along with problems in respiratory care, wound care, and resident rights. While all deficiencies were reportedly corrected, the pattern of repeated safety violations and multiple family complaints suggests ongoing challenges with maintaining consistent care standards.

Mar 7, 2024Routine7 findings

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0686Potential for harm · IsolatedCorrected