Accolade Paxton Senior Living

450 Fulton Street · Paxton, IL · 60957 · 2173792116

75 certified beds For profit - Limited Liability company Chain: Accolade Healthcare

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 69
Serious harm & abuse 20% 94
Staffing 20% 76
Federal penalties 15% 100
Trend 10% 90
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 5 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.883.48 min · 4.1 strong
RN hours / resident-day0.760.55–0.75
Weekend hours / resident-day3.49≈ weekday level
Nursing turnover / year48%median 45%
Fines (3-yr window)none

Inspection citations (17 in the current record)

  • Potential for harm · E April 8, 2026 · found via complaint

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

    Corrected April 17, 2026 · Resident Rights

  • Potential for harm · D April 8, 2026 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected April 17, 2026 · Quality of Life and Care

  • Potential for harm · D March 7, 2024

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

    Corrected March 19, 2024 · Resident Rights

  • Potential for harm · D March 7, 2024

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

    Corrected March 19, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 7, 2024

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

    Corrected March 19, 2024 · Quality of Life and Care

  • Potential for harm · D March 7, 2024

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

    Corrected March 19, 2024 · Quality of Life and Care

  • Potential for harm · D March 7, 2024

    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 March 19, 2024 · Quality of Life and Care

  • Potential for harm · D March 7, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 19, 2024 · Quality of Life and Care

  • Potential for harm · F March 7, 2024

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

    Corrected March 19, 2024 · Nutrition and Dietary

  • Actual harm · G August 17, 2023 · found via complaint

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

    Corrected September 4, 2023 · Quality of Life and Care

  • Potential for harm · D August 17, 2023 · found via complaint

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

    Corrected September 1, 2023 · Quality of Life and Care

  • Potential for harm · D June 21, 2023 · found via complaint

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

    Corrected July 5, 2023 · Quality of Life and Care

  • Potential for harm · D April 14, 2023

    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 May 3, 2023 · Resident Rights

  • Potential for harm · D April 14, 2023

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

    Corrected May 3, 2023 · Quality of Life and Care

  • Potential for harm · D April 14, 2023

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

    Corrected May 3, 2023 · Quality of Life and Care

  • Potential for harm · E April 14, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 3, 2023 · Quality of Life and Care

  • Potential for harm · D April 14, 2023

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 3, 2023 · Resident Assessment and Care Planning

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

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 145449 · certified since August 1, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.