Peoria, IL

Accolade Healthcare Of Peoria

4-star overall rating with 4-star inspections with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

5600 Glen Elm Drive, Peoria, IL

(309) 693-8777

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

138

Certified beds

Average residents

125

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Accolade Healthcare

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.59

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.87

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.10

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.56

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.46

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

3.24

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.39

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.44

CMS adjusted RN staffing hours

Adjusted total hours

2.66

CMS adjusted total nurse staffing hours

Case-mix index

1.83

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

45%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,576

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

48.98

Composite VBP score used to determine payment impact.

Payment multiplier

1.0028

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.28

Baseline 23.88% · Performance 19.23% · Measure score 6.28 · Achievement 4.75 · Improvement 6.28

Healthcare-associated infections

7.36

Baseline 8.42% · Performance 5.73% · Measure score 7.36 · Achievement 7.05 · Improvement 7.36

Total nurse turnover

5.03

Baseline 48.54% · Performance 43.10% · Measure score 5.03 · Achievement 5.03 · Improvement 1.80

Adjusted total nurse staffing

0.92

Baseline 2.46 hours · Performance 2.94 hours · Measure score 0.92 · Achievement 0 · Improvement 0.92

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	14.12%	10.72% 3.4 pts worse	Worse than the National Rate · Eligible stays 218 · Observed rate 17.89% · Lower 95% interval 10.84%
Discharge to community	53.74%	50.57% 3.2 pts better	No Different than the National Rate · Eligible stays 210 · Observed rate 46.19% · Lower 95% interval 47.4%
Medicare spending per beneficiary	0.83	1.02 0.2 pts better
Drug regimen review with follow-up	99.29%	95.27% 4 pts better	Numerator 139 · Denominator 140
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 140
Discharge self-care score	52.69%	53.69% 1 pts worse	Numerator 49 · Denominator 93
Discharge mobility score	32.26%	50.94% 18.7 pts worse	Numerator 30 · Denominator 93
Pressure ulcers or injuries, new or worsened	3.57%	2.29% 1.3 pts worse	Numerator 5 · Denominator 140 · Adjusted rate 2.82%
Healthcare-associated infections requiring hospitalization	5.73%	7.12% 1.4 pts better	No Different than the National Rate · Eligible stays 131 · Observed rate 3.82% · Lower 95% interval 3.45%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 123
Staff flu vaccination coverage	9.6%	42% 32.4 pts worse	Numerator 24 · Denominator 250
Discharge function score	45.16%	56.45% 11.3 pts worse	Numerator 42 · Denominator 93
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 38 · Denominator 38
Transfer of health information to patient	95%	96.28% 1.3 pts worse	Numerator 57 · Denominator 60
Resident COVID-19 vaccinations up to date	12.99%	25.2% 12.2 pts worse	Numerator 10 · Denominator 77

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	2.0 0.2 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 3.3 · Expected 2.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	2.3 0.9 pts better	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.8 · Expected 2.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	93.9%	89.6% 4.3 pts better	93.4% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 89.2% · Q2 96.2% · Q3 97.0% · Q4 93.2% · 4Q avg 93.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	93.9%	91.6% 2.3 pts better	95.5% 1.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 93.9%
Percentage of long-stay residents experiencing one or more falls with major injury	2.7%	3.3% 0.6 pts better	3.3% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.9% · Q3 2.0% · Q4 4.9% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	42.8%	50.3% 7.5 pts better	11.4% 31.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 21.7% · Q3 53.8% · Q4 74.2% · 4Q avg 42.8%
Percentage of long-stay residents who lose too much weight	8.0%	6.5% 1.5 pts worse	5.4% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 14.5% · Q3 7.5% · Q4 3.8% · 4Q avg 8.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.1%	18.5% 2.4 pts better	19.6% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 14.1% · Q3 18.3% · Q4 16.9% · 4Q avg 16.1%
Percentage of long-stay residents who received an antipsychotic medication	8.3%	22.8% 14.5 pts better	16.7% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 11.9% · Q3 8.1% · Q4 6.2% · 4Q avg 8.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	18.9%	17.2% 1.7 pts worse	16.3% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 35.0% · Q4 4.2% · 4Q avg 18.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	15.5%	15.0% 0.5 pts worse	14.9% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 20.0% · Q3 12.2% · Q4 12.2% · 4Q avg 15.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.1% 1.1 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.7% 1.7 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	30.3%	21.3% 9 pts worse	19.8% 10.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.7% · Q2 31.3% · Q3 24.1% · Q4 36.4% · 4Q avg 30.3%
Percentage of long-stay residents with pressure ulcers	4.9%	5.2% 0.3 pts better	5.1% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.7% · Q3 5.4% · Q4 4.7% · 4Q avg 4.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	63.0%	68.8% 5.8 pts worse	81.7% 18.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 60.9% · Q2 60.9% · Q3 63.2% · Q4 66.9% · 4Q avg 63.0%
Percentage of short-stay residents who had an outpatient emergency department visit	16.8%	14.0% 2.8 pts worse	12.0% 4.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 16.8% · Observed 19.1% · Expected 12.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.3%	2.3% About the same	1.6% 0.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.8% · Q3 1.8% · Q4 2.8% · 4Q avg 2.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	50.0%	63.0% 13 pts worse	79.7% 29.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 50.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	28.5%	26.2% 2.3 pts worse	23.9% 4.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.5% · Observed 33.1% · Expected 27.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-06 · Fire 2024-09-06

7 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-10-13 · Fire 2023-10-13

18 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-09-09 · Fire 2022-09-09

8 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-09-06

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-09-30

E · Potential for more than minimal harm 2024-09-06

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-09-10

E · Potential for more than minimal harm 2024-09-06

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-09-10

E · Potential for more than minimal harm 2024-09-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-10

E · Potential for more than minimal harm 2024-09-06

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-09-27

E · Potential for more than minimal harm 2023-10-13

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-10-16

E · Potential for more than minimal harm 2023-10-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-10-12

E · Potential for more than minimal harm 2023-10-13

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-10-20

F · Potential for more than minimal harm 2022-09-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-10-13

E · Potential for more than minimal harm 2022-09-09

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-10-13

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-01-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-04

F · Potential for more than minimal harm 2024-09-06

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-09-27

E · Potential for more than minimal harm 2024-09-06

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-09-27

E · Potential for more than minimal harm 2024-09-06

F758 · Pharmacy Service Deficiencies

Health

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 2024-09-27

D · Potential for more than minimal harm 2024-09-06

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-09-06

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-09-06

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-09-06

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-05-08

F550 · Resident Rights Deficiencies

Health

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

Corrected 2024-05-28

D · Potential for more than minimal harm 2024-05-08

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-05-28

D · Potential for more than minimal harm 2024-05-08

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-28

D · Potential for more than minimal harm 2024-05-08

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-05-28

D · Potential for more than minimal harm 2024-05-08

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-05-28

D · Potential for more than minimal harm 2024-04-13

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-05-01

E · Potential for more than minimal harm 2023-10-13

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2023-11-06