Accolade Hc of Paxton on Pells
1001 East Pells Street · Paxton, IL · 60957 · 2173794361
106 certified beds For profit - Limited Liability company Chain: Accolade Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $98,524 in fines in the last 24 months.
- 10 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$98,524 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.43 | 0.55–0.75 |
| Weekend hours / resident-day | 3.00 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 7 · $153,560 |
Inspection citations (59 in the current record)
-
Potential for harm · D April 15, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 1, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 25, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D September 26, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 22, 2025 · Resident Rights
-
Potential for harm · D September 12, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 13, 2025 · Quality of Life and Care
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Actual harm · G August 27, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 28, 2025 · Quality of Life and Care
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Actual harm · G August 27, 2025 · found via complaint
Provide care or services that was trauma informed and/or culturally competent.
Corrected August 28, 2025 · Quality of Life and Care
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Actual harm · G January 16, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 21, 2025 · Quality of Life and Care
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Potential for harm · D January 16, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 21, 2025 · Resident Rights
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Potential for harm · E January 16, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected January 21, 2025 · Resident Rights
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Potential for harm · D January 16, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected January 21, 2025 · Quality of Life and Care
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Potential for harm · D January 16, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 21, 2025 · Quality of Life and Care
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Potential for harm · D January 16, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 21, 2025 · Quality of Life and Care
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Potential for harm · D January 16, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected January 21, 2025 · Pharmacy Service
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Potential for harm · F January 16, 2025
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected January 21, 2025 · Nutrition and Dietary
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Potential for harm · F January 16, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected January 21, 2025 · Nutrition and Dietary
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Potential for harm · F January 16, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 21, 2025 · Nutrition and Dietary
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Potential for harm · F January 16, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected January 21, 2025 · Infection Control
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Potential for harm · D January 16, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 21, 2025 · Quality of Life and Care
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Potential for harm · D January 16, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected January 21, 2025 · Quality of Life and Care
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Potential for harm · F January 16, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 21, 2025 · Infection Control
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Actual harm · G October 10, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 25, 2024 · Quality of Life and Care
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Potential for harm · D September 5, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G July 1, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 19, 2024 · Quality of Life and Care
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Potential for harm · D May 6, 2024 · found via complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected May 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 6, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 22, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 27, 2025 | Fine | $41,990 |
| January 16, 2025 | Fine | $35,669 |
| October 10, 2024 | Fine | $20,865 |
| July 1, 2024 | Fine | $14,050 |
| March 10, 2024 | Fine | $12,048 |
| March 10, 2024 | Fine | $23,751 |
| October 24, 2023 | Fine | $5,187 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145603 · certified since December 28, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.