37 Best Medicaid Nursing Homes in Illinois

Nurse hours

4.87 /day

Staff turnover

27%

Serious cites

0

Wesley Village sits in Macomb as a church-affiliated nonprofit with 73 certified beds, and the numbers back up the mission. Nurses provide 4.87 hours per resident day, about 26% more than the national average, and weekend staffing dips only 17% below its own weekday level, a modest gap compared to many homes. Staff turnover is 27%, well under the 45.8% national figure, which suggests people stay. The current record shows 9 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in December 2025. Quality measures earn a middle-of-the-road 3 out of 5, so clinical outcomes aren't quite as strong as the staffing and inspection results.

Nurse hours

3.91 /day

Staff turnover

21%

Serious cites

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Apostolic Christian Home runs on unusually steady ground. Its nurse staffing sits a hair above the national average, and while weekends get quieter, about 16% below its own weekday coverage, the bigger story is retention: 21.2% turnover against a national 45.8% means aides and nurses tend to stay, so residents see familiar faces. The inspection record backs that up. Fifteen deficiencies on file, but none at the harm level and nothing abuse-related, with the most recent state visit in April 2026. For a 60-bed church-affiliated nonprofit in Woodford County, the numbers show a home that's compliant and consistent rather than stretched thin.

Nurse hours

4.01 /day

Staff turnover

29%

Serious cites

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Apostolic Christian Restmor runs about 62 beds in Morton under nonprofit ownership, and its nurse staffing sits modestly above the national average at roughly 4.01 hours per resident day, with weekends dipping about 5% below weekday coverage. Staff turnover is the standout: 28.9% against a national average near 46%, meaning caregivers here tend to stay. The current inspection record shows 10 deficiencies, four serious enough to reach harm or jeopardy level, including one tied to abuse, with two fines totaling $24,723 and a survey completed in April 2025. Strong staffing and stable retention are real strengths, but those harm-level findings are the part worth asking about directly.

Nurse hours

5.08 /day

Staff turnover

60%

Serious cites

0

Evenglow Lodge runs a tight ship on the clinical side. The last inspection was in December 2025, and the record shows 21 deficiencies with none at the harm or jeopardy level and nothing abuse-related, that's a clean pattern for a 48-bed nonprofit home. Nurse staffing sits at 5.08 hours per resident day, roughly a third above the national average, which is why the staffing stars hold at 4/5 even with weekends running about 11% lighter than weekdays. The real soft spot is turnover: 60% annually against a national 45.8%, meaning nearly two-thirds of the care team cycles through each year. Families should ask how that affects consistency on evenings and weekends.

Nurse hours

5.21 /day

Staff turnover

31%

Serious cites

0

Avondale Estates Of Elgin runs on 5.21 nurse hours per resident day, roughly a third more than the national average, and its staff tends to stay, turnover sits at 31.3% against a national 45.8%. Weekend coverage dips only about 7% below weekday levels, so the place doesn't hollow out on Saturdays. The trade-off is a longer deficiency record: 11 findings on the current file, one serious enough to involve harm or jeopardy, though none tied to abuse. State inspectors were last in on June 27, 2025, and the health inspection rating came back at the top of the scale. For a for-profit, individually owned home of 120 beds, the staffing and retention numbers are doing most of the work here.

Nurse hours

4.77 /day

Staff turnover

39%

Serious cites

0

Dekalb County Rehab & Nursing runs on county government ownership, and the staffing numbers show it: 4.77 nurse hours per resident day, roughly a quarter above the national average, with a five-star staffing rating to match. Turnover sits at 38.6%, better than the 45.8% national figure, though weekend coverage drops about 12% below the home's own weekday level. The current inspection record carries 22 deficiencies, three of them serious enough to involve harm or jeopardy, along with two fines totaling $140,423. That's the tension here, strong day-to-day staffing paired with a citation record that keeps the health inspection rating at three stars. The most recent survey was April 3, 2025.

Nurse hours

4.91 /day

Staff turnover

37%

Serious cites

0

Snyder Village runs on more nursing hours than most places, 4.91 per resident day against a national average of 3.86, and that staffing holds up on weekends better than at many homes, though it still dips about 10% below weekday levels. Turnover sits at 36.9%, noticeably under the national 45.8%, which matters because consistent caregivers tend to know residents' routines. The inspection record is clean where it counts: five deficiencies, none causing harm or jeopardy and none tied to abuse, with the most recent state visit in March 2025. Woodford County's nonprofit ownership rounds out a picture of a home that is, by the numbers, steady rather than spectacular.

Nurse hours

4.97 /day

Staff turnover

19%

Serious cites

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Addolorata Villa sits in Wheeling with 86 certified beds and a church-affiliated nonprofit owner. Staffing is the standout number: 4.97 nurse hours per resident day, roughly 29% above the national average, with weekend coverage dipping only about 10% below weekdays and turnover at 19% against a national 45.8%. That kind of retention usually means consistent caregivers who know the residents. The inspection record is where it gets harder to read. Twenty-five deficiencies are on file, including eight at the harm or jeopardy level and six tied to abuse, plus five fines totaling $161,411. The most recent inspection was January 2026. Strong staffing, real quality marks, but a citation history a family should ask about directly.

Nurse hours

5.01 /day

Staff turnover

44%

Serious cites

0

Good Samaritan Home in Quincy runs 203 certified beds as a nonprofit, and its nurse staffing sits at 5.01 hours per resident day, roughly 30% above the national average of 3.86. That's the strongest thing in its file, and weekends dip only about 8% below its own weekday levels. Turnover is 44.4%, a hair under the national 45.8%. Against that, the current record shows 16 deficiencies, three at harm or jeopardy level and three abuse-related, plus one fine of $26,640. The last inspection was August 2024. Staffing looks like the reason this home lands where it does; the deficiency history is what a family should ask about directly.

Nurse hours

4.56 /day

Staff turnover

42%

Serious cites

0

Central Baptist Village runs on staffing that most homes don't come close to, 4.56 nurse hours per resident per day, about 18% above the national average, which is why it earns a top CMS staffing rating. Weekend coverage dips roughly 14% below its own weekday level, so ask how that plays out on a Saturday. The 20 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was in August 2025, so the picture is current. Annual turnover of 42% sits slightly better than the 45.8% national average. Church-affiliated nonprofit ownership, 116 beds.

Nurse hours

4.62 /day

Staff turnover

41%

Serious cites

0

Alden Estates Of Skokie runs 4.62 nurse hours per resident day, roughly 20% above the national average, and its 41% turnover sits below the national 45.8%. Those are real strengths. But the record shows three deficiencies, one at the harm or jeopardy level, and staffing drops about 12% on weekends compared with its own weekdays, a pattern families should ask about directly. The most recent inspection was September 2025. For-profit corporate ownership. Ask about the harm-level deficiency and what changed since.

Nurse hours

4.24 /day

Staff turnover

50%

Serious cites

0

Wynscape runs a 209-bed nonprofit home in Wheaton with nurse staffing at 4.24 hours per resident day, roughly 10% above the national average, though weekends dip about 12% below its own weekday levels, so ask how coverage holds up on Saturdays and Sundays. Staff turnover sits at 50%, a bit above the 45.8% national figure. Inspections are recent and strong, but the current record still carries 12 deficiencies, including one at the harm or jeopardy level and one tied to abuse. The high inspection and quality ratings reflect real strengths; the deficiency record is where the risk lives.

Nurse hours

4.74 /day

Staff turnover

28%

Serious cites

0

The county-run home in Macomb runs on 4.74 nurse hours per resident day, roughly a quarter more than the national average, and its 28.4% turnover sits well under the 45.8% typical elsewhere, signs of a stable, well-staffed floor. State inspectors visited in March 2025 and rated the home 5 out of 5, though the record carries 14 deficiencies, one serious enough to involve harm. Quality measures are the soft spot at 2 out of 5, and weekend coverage dips about 12% below weekday levels, so ask how that plays out on Saturdays. No abuse citations appear on the current record.

Nurse hours

6.85 /day

Staff turnover

33%

Serious cites

0

Heritage Square runs about 6.85 nurse hours per resident each day, roughly 78 percent more than the national average, and its staff turnover of 32.6 percent sits well under the 45.8 percent typical elsewhere. Weekend coverage dips about 14 percent below its own weekday level, so ask how that plays out on Saturdays. The 11 deficiencies on record include nothing involving harm or abuse, and a September 2025 inspection found no health problems worth flagging. What stands out is the split: staffing and inspection results look strong, while the quality measure side tells a different story. A small nonprofit home with 27 beds, it leans hard on having enough hands on deck.

Nurse hours

3.93 /day

Staff turnover

53%

Serious cites

0

Henderson County Ret Center runs on a nonprofit model with 58 certified beds, and the nurse staffing number sits at 3.93 hours per resident day, a bit above the national average of 3.86, though weekend coverage drops roughly 13% below what the home staffs on weekdays. Annual turnover is 52.6%, which is higher than the national 45.8%, so you'd want to ask how they hold onto aides and nurses. The inspection record is clean where it matters: five deficiencies total, none at harm or jeopardy level, none abuse-related, and the most recent inspection was April 2, 2025.

Nurse hours

4.90 /day

Staff turnover

45%

Serious cites

0

Concordia Village runs a church-affiliated nonprofit home with 62 beds in Springfield, and the staffing is the strongest part of the picture: 4.90 nurse hours per resident day, roughly 27% above the national average of 3.86. Weekend coverage slips about 6% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Turnover sits at 44.7%, essentially matching the national 45.8%. The inspection record shows 13 deficiencies, including two at the harm or jeopardy level and one abuse-related, plus a single fine of $8,678. The last inspection was August 2024. Quality measures land mid-range while staffing rates high, so the direct-care hours look better than the survey history.

Nurse hours

4.52 /day

Staff turnover

39%

Serious cites

0

Greenfields Of Geneva runs about 4.52 nurse hours per resident per day, roughly 17% above the national average, and its staff turnover of 38.6% sits below the national 45.8%, meaning people tend to stay. The tradeoff shows up in the inspection record: 20 deficiencies, three of them serious enough to reach harm or jeopardy level, plus one fine of $14,203. Weekend staffing drops about 12% from weekday levels, so coverage thins out on Saturdays and Sundays. The most recent inspection was in December 2025.