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MAGNOLIA TERRACE
NPI 1457500621
Assisted Living Facility in Waterloo, IL

Active since September 12, 2008CLIA 14D2221330 · Waiver
5/5
Overall Rating
623 HAMACHER STREET, WATERLOO, IL 62298(618) 939-0500(618) 939-4906 Get Directions Write a Review

NPPES record last updated: June 25, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Magnolia Terrace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA TERRACE (NPI 1457500621) is a healthcare organization registered as an assisted living facility in Waterloo, Illinois and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Kim Lee Keckritz, Administrator, as its authorized official.

NPPES Registry Identity

NPI1457500621
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMONROE COUNTY
Location Address623 HAMACHER STREETWaterloo, IL 62298-1598
Mailing Address623 Hamacher StreetWaterloo, IL 62298-1598 · (618) 939-0500 · Fax (618) 939-4906
Phone(618) 939-0500
Fax(618) 939-4906
Organization SubpartYes
Authorized OfficialKim Lee KeckritzAdministrator · (618) 939-3488
Enumeration DateSeptember 12, 2008
Last NPPES UpdateJune 25, 2015
✔ NPI 1457500621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
623 HAMACHER STREET, Waterloo, IL 62298
Open in Google Maps ↗

Other Names 1

Doing Business AsMagnolia Terrace

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2221330

Magnolia Terrace · Waterloo, IL
Active · expires Apr 19, 2027
CLIA Number14D2221330
Laboratory TypeSupportive Living Fac
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorSusan R. Luttman
Laboratory Phone(618) 939-0500
Laboratory LocationMagnolia Terrace623 Hamacher, Waterloo, IL 62298
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Oak Hill (CMS certification number 145445), from CMS Care Compare.

Oak Hill

Nursing home · Waterloo, IL
5/5 CMS Overall Rating
OwnershipGovernment - County
CMS Certification Number145445
Certified Beds144 beds130 residents per day on average
Medicare & Medicaid Participant SinceApril 19, 1982
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
42.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.35 · LPN 0.91 · RN 0.74
4 hrs per resident per day
Weekend Nurse Staffing
3.52 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
92.5%
Registered Nurse Turnover
96%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
1 totaling $8,190.00
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONROE COUNTY
Skilled Nursing Facility
623 HAMACHER STREET
WATERLOO, IL 62298
Monroe County (618) 939-3488

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monroe County's NPI number?

The NPI number for Monroe County is 1457500621. It was assigned to this organization in the NPPES registry on September 12, 2008. The provider is doing business as Magnolia Terrace.

Where is Monroe County located?

Monroe County is located at 623 Hamacher Street, Waterloo, IL 62298. The listed phone number is (618) 939-0500.

What is Monroe County's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Monroe County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2221330) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Monroe County a Medicare-certified nursing home?

Yes. Oak Hill is a Medicare-certified nursing home with 144 certified beds.

What quality rating does Monroe County have?

CMS rates Oak Hill 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Monroe County was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.