Oak Hill
Oak Hill – Medicare Certified Since 1982
Oak Hill is a Medicare and Medicaid certified skilled nursing facility located in Waterloo, Illinois. This facility has been serving the community for 44 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.
This facility has 144 certified beds with a current occupancy rate of 89% (averaging 128 residents per day), which is high. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.
Staffing Levels: Based on CMS payroll data, this facility provides approximately 4.1 hours of total nursing care per resident per day (2.45 hours from CNAs, 0.86 hours from LPNs, 0.79 hours from RNs). Physical therapy staffing is 0.03 hours per resident per day. This staffing level meets research-recommended quality thresholds.
Medicare Quality Ratings: According to CMS, Oak Hill has an overall quality rating of 5 out of 5 stars, which is much above average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 4 stars, staffing: 3 stars, quality measures: 5 stars.
Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.
Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.
Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.
Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.
Local Comparison Snapshot
How Oak Hill compares to 177 facilities in St. Louis, MO-IL
Click a measure name to jump to details • Hover over ⓘ for definitions
Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 177 facilities in St. Louis, MO-IL.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.
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Medicare Star Ratings
Official CMS ratings based on health inspections, staffing, and quality measures
Data as of December 2025
Star Ratings History
Quarterly performance from 2013-2026
How Does This Facility Compare?
Compared to 177 other nursing homes in St. Louis, MO-IL
Based on CMS Medicare star ratings. Higher ratings indicate better performance.
Staffing Hours per Resident Day
Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.
Staff Turnover Rate
Lower turnover rates generally indicate a more stable workforce and better continuity of care.
Agency/Contract Staff Usage
Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.
Agency Staff Trends
Historical agency/contract staff usage by role
Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.
Direct Care Staffing
Average minutes of direct nursing care per resident per day
Data as of December 2025
Staffing Trends
Direct care minutes per resident per day
Occupancy Rate History
Average daily residents as a percentage of certified beds
Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.
Staff Turnover History
Annual percentage of nursing staff who left the facility
Data as of December 2025
Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.
Average Daily Rate
Average daily charge for care at this facility
Based on CMS Cost Report data (inpatient revenue ÷ total patient days)
Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.
Financial Health
Comprehensive financial indicators from CMS Cost Reports
Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.
Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.
Who Stays Here
Breakdown of residents by payment type
Based on fiscal year 2023 cost report data
Average Length of Stay
How long residents typically stay at this facility
Based on fiscal year 2023 cost report data
Services
Comprehensive skilled nursing services, rehabilitation programs, and medical care in WATERLOO
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Reviews
All we wanted was to move our loved one closer to home, (its been well over 2 months now) Calls & emails not returned!! I have been ignored on all questions, not informed of availability, when you do get an answer the one to talk to is never there and/or on Vacation, admissions is horrible in returning calls and info.!!!
Chelsea in admissions is amazing however amy in Accounting and Susan her boss treat you like a child and when you ask for copies of your bill or an itemized bill get very upset with you. The rooms are very not clean regularly we have to clean every time we go there and for $325 a day. It seems a little ridiculous. The Director and assistant Director will not return your messages or calls if you have any concerns like we have a credit and have received no information on the $3000 credit. We have attempted to contact them several times. When we decided to move our grandmother home. one of the nurses even told her we didn’t want her with us. Chelsea is the only good thing about this place… The only staff member that seems to care.
They didn’t give the care my Dad needed. Something happened to upset him and it was a bad night. They’re not giving Dad another chance, even in a different area of the facility. I think they need to seriously examine their staff to be sure they’re right for the job. The should have cameras to monitor not only patients but staff. How are they really treating their patients. I suspect a problem that administration should investigate. I don’t recommend this facility to anyone. I don’t know how they got a five star rating. I think that’s a farce. They don’t deserve it. You have to give a star to get your comments posted. I give them black holes, not stars.
The nurses here are excellent and take wonderful care of their patients. They talk to them, bring them out of their rooms and let patients watch tv and socialize with other facility residents. My grandmother suffered a stroke and the staff spends enough time with her that she knows all of their names by the sound of their voices. The facility is in excellent shape and offers lots of natural light and windows to see out of. We moved my grandmother from another facility to this one so she would be closer to home and family members and we are very glad we did. We love Oak Hill and suggest it to anyone who is facing the decision to put their loved one in a skilled nursing facility. This is a good one!
Never returned my voicemail. Finally someone answered the phone and said the person I was trying to contact was on vacation. Referred me to a third person and I left a voicemail. She didn’t return it either.
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