Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Accolade Paxton Senior Living during CMS and state inspections, most recent first.
Multiple residents reported waiting up to or over an hour for call lights to be answered, especially at night, despite a facility policy requiring timely and courteous responses. Surveyors observed that the call light system lacked an audible alarm and lights above room doors, relying only on visual banners and a computer panel that were not consistently monitored by staff. Cognitively intact residents who required staff assistance for toileting described frequent delays that led to wet bedding and the need for linen changes. In addition, residents reported that CNAs, including agency staff, spoke to them in a rude or dismissive manner, told a resident to go to the bathroom independently despite documented need for substantial assistance, and stated that a resident would have to wait for help while they attended to another call light. Resident council minutes and grievance forms reflected ongoing concerns about delayed call light response and disrespectful attitudes from agency staff.
A resident admitted after treatment for severe shoulder pain had a hospital discharge order for Methocarbamol 500 mg PO every six hours for a set number of doses, but the admission RN entered the medication on the MAR as PRN instead of scheduled, with no documentation of an authorized change. The MAR showed only one dose given and recorded ongoing pain scores, while the care plan called for administering pain medication as ordered and documenting effectiveness. The resident did not recall requesting any change to the order, and the DON later identified the discrepancy as a transcription error, with no supporting documentation in the medical record.
Failure to Respond Timely to Call Lights and Maintain Resident Dignity
Penalty
Summary
The deficiency involves the facility’s failure to ensure residents’ call lights were answered within a reasonable time frame and that residents were treated with dignity and respect. Facility policy required call lights to be answered in a reasonable time and courteously, yet multiple residents reported waiting up to or over an hour for assistance, particularly at night. Resident council minutes over several months documented ongoing concerns about delayed call light response times, and a grievance form recorded residents’ feelings that they did not receive enough support on nights. Observations by surveyors showed that the call light system had no audible alarm or lights above resident doors, with alerts only displayed on a scrolling banner at the end of hallways and on a computer screen at the nurses’ station. At several observed times, the banner showed active call lights for multiple residents while no staff were present monitoring the panel. Several cognitively intact residents who required staff assistance for toileting or hygiene reported long waits for help after activating their call lights. One resident’s representative stated the resident had to wait an hour for a CNA to answer the call light to use the bathroom. Two other residents stated they sometimes waited over an hour for call lights to be answered, more often at night, and another resident reported that it could take an hour for staff to respond when needing to use the bathroom. One resident, who needed substantial/maximal assistance for toileting hygiene and was documented as always continent of bladder, reported calling for assistance with a urinal in the early morning hours and often waiting over an hour, resulting in wet bedding and the need for linen changes. Staff interviews confirmed that the call light alerts were difficult to see, there was no sound component, and there were no lights above resident doors, which contributed to staff not consistently noticing active call lights. The facility also failed to ensure residents were consistently treated with dignity and respect in their interactions with staff. One cognitively intact resident reported that a CNA, identified as working that resident’s hallway, responded in a rude and “smart” manner when questioned about delayed assistance and told the resident he should be going to the bathroom independently, despite documentation that the resident required substantial/maximal assistance for toileting hygiene and had arthritis in his hands affecting his ability to hold a urinal. Another cognitively intact resident and that resident’s roommate reported that a night-shift agency CNA spoke rudely, talked down to the resident, and told the resident they would have to wait for assistance because the CNA was there to answer the roommate’s call light, which led to an argument. Resident council minutes and grievance forms documented prior concerns about agency staff having “mouthy” attitudes and not always identifying themselves, and identified the same agency CNA as having been assigned to the hallway where the reported rude interaction occurred.
Transcription Error in Pain Medication Order Leading to Inadequate Implementation
Penalty
Summary
The deficiency involves a failure to accurately transcribe and implement a hospital discharge order for pain management medication for one resident. The resident was admitted from the hospital after treatment for severe left shoulder pain and reported that the pain returned, leading to rehospitalization five days after admission. The hospital discharge orders dated 3/9/26 directed Methocarbamol 500 mg by mouth every six hours for 15 doses. However, the March 2026 MAR listed Methocarbamol 500 mg by mouth every six hours as needed (PRN) from 3/9/26–3/16/26, with only one dose administered, and did not include the scheduled order for every six hours for 15 doses. The MAR documented the resident’s pain scores as 3, 8, and 5 on subsequent days, and the active care plan identified actual/potential pain with an intervention to give medication as ordered and document effectiveness. The resident stated he did not recall taking Methocarbamol or requesting that the order be changed from scheduled to PRN. The medical record contained no documentation explaining any change to the Methocarbamol order. The admissions RN, who reviews and enters admission orders with the NP or physician, confirmed on review of the hospital discharge orders that Methocarbamol was ordered every six hours, but acknowledged entering it as PRN instead of scheduled and was unsure why this occurred. The DON stated that the Methocarbamol order discrepancy was a transcription error, and there was no documentation in the record to support an authorized change in the order.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 44 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Paxton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Accolade Hc Of Paxton On Pells | 0.7 mi | ★★★★★ | 6 | 0 |
| Country Health | 10.7 mi | ★★★★★ | 23 | 0 |
| Goldwater Care Gibson City | 14.4 mi | ★★★★★ | 12 | 0 |
| Gibson Community Hsp Annex | 14.6 mi | ★★★★★ | 0 | 0 |
| Gilman Healthcare Center | 21 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Accolade Paxton Senior Living.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.