All 8 Medicare-certified nursing homes in Elgin,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Highland Oaks runs 24 beds in Elgin under church-related nonprofit ownership, and the staffing numbers show it: 5.25 nurse hours per resident day, roughly a third more than the national average. Weekend coverage dips about 11% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 27.5%, well under the 45.8% national figure, which matters for residents who need consistent faces. On record: six deficiencies, none at the harm level, one abuse-related, with the last inspection in August 2024. All three CMS star ratings, health inspections, quality measures, staffing, come in at five.
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.
Aperion Care Fox River runs lean on nursing hours, 3.17 per resident day, roughly 18% under the national average, and weekends dip about 12% below its own weekday coverage, which matters most when families visit and when staffing gaps tend to bite. Turnover sits at 39.7%, better than the national 45.8%, so the people who are there tend to stay. The clinical and inspection record is the strong part: top marks on health inspections and quality measures, with 10 deficiencies on file, none at harm or jeopardy level and none abuse-related, and the most recent inspection came in March 2025. For-profit corporate ownership, 94 beds. The tradeoff here is clear, a clean record and stable staff, but thin daily coverage.
The Pearl of Elgin runs on 3.18 nurse hours per resident day, about 18 percent under the national average, and weekends drop roughly 13 percent below its own weekday numbers. That thin coverage is the main reason its staffing rating sits at 2 out of 5, even though resident outcomes look strong on paper with a 5 out of 5 quality measure score. Turnover of 40.2 percent is actually better than the national 45.8 percent, so the issue isn't retention so much as how many hands are scheduled at once. The inspection record shows 36 deficiencies, including one at harm level and two tied to abuse, with the last state visit in August 2024.
Aperion Care Elgin runs about 2.7 nurse hours per resident per day, roughly 29% under the national average, and weekend coverage drops further below its own weekday level. Staff turnover sits at 49.1%, above the national figure. The health inspection history shows 35 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with $56,661 in fines across three cases; the most recent inspection was in April 2025. Resident outcome measures score well, but those numbers depend on the staffing underneath them. With 101 beds under individual for-profit ownership, the staffing shortfall is the concern a family should weigh first.
The Pearl of Fox River Valley runs about 10% leaner on nurse staffing than the national average, and weekends dip roughly 7% below its own weekday levels, the stretch when families typically visit and problems surface. Turnover sits at 48.5%, a few points above the national rate, so the people caring for your relative are often new to the building. Its record shows 30 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with two fines totaling $142,448. The last inspection was in September 2025, so the picture is current.
River View Rehab Center runs on 1.97 nurse staffing hours per resident day, roughly half the national average of 3.86, and weekends drop another 13% below its own weekday level. Inspectors have cited 46 deficiencies on the current record, six of them at harm or jeopardy level and 18 abuse-related, with four fines totaling $452,802. Turnover sits at 33.3%, better than the national 45.8%, but that's the one number here working in the building's favor. The last inspection was September 2025, and the health inspection rating landed at 2 out of 5 stars. With this few staff on hand and this many serious citations, you'd want to ask hard questions before moving anyone in.
Crescent Care of Elgin runs 88 certified beds under for-profit LLC ownership, and its staffing sits at 3.46 nurse hours per resident day, about 10% under the national average of 3.86, with weekends dipping roughly 17% below its own weekday coverage. Turnover runs 41.3%, a bit better than the 45.8% national figure, though the current inspection record carries 27 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus six fines totaling $44,709. Inspections are recent, dated December 2025, and health inspection scores land at 4 of 5 stars against 2 of 5 for staffing, meaning the building's compliance history reads stronger than the day-to-day coverage behind it.