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A
Very Good

Accolade Healthcare of Waterloo

623 HAMACHER STREET · WATERLOO, IL 62298

6189393488 · Government - County

144 beds127.8 residents269 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Accolade Healthcare of Waterloo receives an overall staffing grade of A (Very Good). With 4.1346 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.24 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 11.39% compared to weekdays. The facility relies heavily on temporary agency staff (24.97% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️24.97% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
4.1346hrs/resident/day▲ 0.24
CMS benchmark: 3.48
RN HPRD
0.8858hrs/resident/day▲ 0.20
Recommended: 0.75
Weekend Drop-off
11.39%
4.2721 weekday → 3.7857 weekend
Agency Staff
24.97%
8.7% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.4744hrs/resident/day
Direct care aides
LPN HPRD
0.7646hrs/resident/day
Licensed practical nurses
Consistency
0.2934std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Monroe County Average+0.22 HPRD
3.92
04.13 HPRD
vs. Illinois State Average+0.63 HPRD
3.50
04.13 HPRD
vs. National Average+0.24 HPRD
3.90
04.13 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Accolade Healthcare of Waterloo ★
WATERLOO · This facility
—
A
4.13460.8858★★★★☆
HELIA SOUTHBELT HEALTHCARE
BELLEVILLE
13.5 mi
D
2.9370.3053★☆☆☆☆
FREEBURG CARE CENTER
FREEBURG
13.8 mi
D
3.58830.3003★☆☆☆☆
Nexus Pavilion at Belleville
BELLEVILLE
14.2 mi
D
4.77230.3393★☆☆☆☆
MEMORIAL CARE CENTER
BELLEVILLE
15.3 mi
A
5.74040.9079★★★★★
MASCOUTAH REHAB AND NURSING
MASCOUTAH
20 mi
B
3.49050.6116★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
6
Total Deficiencies
$0
Fines Assessed
Aug 23, 2024Health
4 deficiencies cited· Includes actual harm
▼
Oct 27, 2023Health
1 deficiency cited
▼
Sep 16, 2022Health
1 deficiency cited· Includes actual harm
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.