186 of the 667 Medicare-certified nursing homes in Illinois (28%) are independently owned, and all are listed below. They average 3.85 nursing hours per resident per day, 0.4 hours above the 3.45 for every home in Illinois. 37 of the 186 graded homes earn an A and 30 earn a D or F. Highland Oaks in Elgin grades highest at A (99 out of 100).
How independently owned homes in Illinois compare
This group set against every nursing home in Illinois, from the current CMS release.
Nursing hours per resident per day
3.85
All homes in Illinois: 3.45
Better than the local average
Nurse staff turnover
43.4%
All homes in Illinois: 44.5%
Better than the local average
Average ElderGrade score
70.3/100
All homes in Illinois: 64.8/100
Better than the local average
Grade spread
A
B
C
D
37 grade A, 49 grade B, 70 grade C, 29 grade D, 1 grade F
The best-graded independently owned home in Illinois is
Highland Oaks
in Elgin, IL, grade A, 99/100.
Every independently owned nursing home in Illinois
Kenwood Vlge Nrsg And Rhb Ctr carries a record that should give any family pause. The home has been cited for 72 deficiencies, including 8 at the harm or jeopardy level and 10 tied to abuse, findings severe enough to trigger three federal fines totaling $236,838. Nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average, and weekend coverage drops another 17% below its own weekday level, meaning care thins out exactly when families often visit. Turnover is near the national norm, so the problem isn't churn, it's depth of coverage and a long, serious inspection history.
El Paso Rehabilitation and Health Care Center carries 73 deficiencies on its current record, including 15 tied to abuse and three serious enough to put residents in immediate harm's way. That record, plus $227,266 in CMS fines and placement in the federal Special Focus Facility program, tells you regulators are watching this building closely. Nurse staffing sits at 2.91 hours per resident day, roughly a quarter below the national average, and weekends drop another 17 percent below the home's own weekday levels. Staff turnover runs 58.2 percent, well above the 45.8 percent national figure, so the people caring for residents keep changing. The most recent inspection was January 10, 2025.
Nexus At Alton runs 181 beds under for-profit LLC ownership, and the staffing picture is stranger than the headline number suggests. Total nurse hours come in around 4.28 per resident day, roughly 11% above the national average, but weekends drop about 20% below the home's own weekday level, so coverage depends heavily on when you visit. Annual turnover sits at 81.5% against a national average near 45.8%, meaning most of the people caring for residents are new to the building. The inspection record is the harder problem: 87 deficiencies on file, 20 at harm or jeopardy level and 14 abuse-related, with five fines totaling $392,111 and a last inspection in May 2024.
Nexus Pavilion At Belleville runs 180 beds under for-profit LLC ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.24 hours per resident day against a national average of 3.86, weekend coverage drops about 15% below its own weekday level, and annual turnover hits 70.4%, well above the 45.8% national figure. That thin, churning workforce shows up in the inspection record: 75 deficiencies, 25 at harm or jeopardy level, 17 abuse-related, and seven fines totaling $821,641. CMS has placed it in the Special Focus Facility program, reserved for the poorest performers. Its last inspection was March 14, 2025.
The Haven On The River runs on thin staffing: 3.07 nurse hours per resident day against a national average of 3.86, with weekends dipping about 7% below its own weekday levels. That matters because turnover sits at 65.9%, well above the national 45.8%, so the people providing care keep changing. The inspection record shows 37 deficiencies, five at harm or jeopardy level and three abuse-related, plus three fines totaling $338,630. The most recent inspection was May 2025, so the picture is current, not old. This is a for-profit limited liability company with 66 certified beds, and the numbers above are what a family should weigh before deciding.
Timbercreek runs on thinner staffing than most homes its size, 3.42 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 15% below what it manages Monday through Friday. That matters over 202 beds, where gaps get covered by whoever's left. Annual turnover sits at 65.9% while the national figure is 45.8%, so the aides and nurses cycling through are often new to the building and to each other. On inspections, the record shows 74 deficiencies, 11 of them at harm or jeopardy level and four tied to abuse, with seven fines totaling $260,624. The last inspection was August 2024. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care.
Frequently asked questions
How many independently owned nursing homes are there in Illinois?
There are 186 independently owned Medicare-certified nursing homes in Illinois, 28% of the 667 nursing homes there.
Are independently owned nursing homes better staffed?
In Illinois they average 3.85 total nursing hours per resident per day, against 3.45 for all nursing homes in Illinois, a difference of +0.4 hours. Staff turnover averages 43.4% against 44.5%.
Which independently owned nursing home grades best in Illinois?