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186 Independent Nursing Homes in Illinois

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

Showing 81 to 100 of 186, best-graded first.

B

72/100

Flanagan Rehabilitation And Health Care Center

Flanagan, IL · Livingston County

CMS 2/543 bedsFor-profitMedicaid
Nurse hours
2.94 /day
Staff turnover
21%
Serious cites
0

Flanagan Rehabilitation runs 43 beds under corporate ownership, and its nurse staffing sits at 2.94 hours per resident day, roughly a quarter below the national average, with weekends dipping about 11% below its own weekday level. That thin coverage matters more when you look at the inspection record: 52 deficiencies, including 8 at harm or jeopardy level and 3 tied to abuse, plus two fines totaling $80,703. The last inspection was May 2024. Staff turnover is 20.8%, well under the national 45.8%, so the people who are there tend to stay. The quality measure rating is 4 out of 5, but that measures clinical outcomes on paper, not whether enough hands are present on a Saturday.

B

71.5/100

Avenues At Quad Cities

Silvis, IL · Rock Island County

CMS 1/563 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Avenues At Quad Cities runs 63 certified beds in Silvis under corporate for-profit ownership, and staffing is where it struggles most, the federal staffing star sits at the lowest tier, meaning direct-care hours per resident fall well below what CMS expects. The inspection record backs that up: 27 deficiencies, four of them serious enough to cause actual harm or put residents in jeopardy, though none involved abuse. Quality measures land mid-range at 3 stars, and the most recent inspection came in September 2024, so the findings are fairly current rather than stale. If you're weighing this one, ask specifically how nurse aide coverage looks on evenings and weekends, since thin staffing is usually where the harm-level citations originate.

B

71/100

North Aurora Living & Rehab Ctr

North Aurora, IL · Kane County

CMS 3/5129 bedsFor-profitMedicaid
Nurse hours
1.94 /day
Staff turnover
25%
Serious cites
0

North Aurora Living & Rehab Center runs on 1.94 nurse hours per resident day, roughly half the national average of 3.86, and weekend staffing doesn't pick up the slack. That thin coverage sits behind a one-star health inspection rating, and the record shows it: 48 deficiencies, including 10 tied to abuse and 8 serious enough to put residents in harm's way. Three fines total $96,800. Staff turnover is 25%, better than the 45.8% national figure, so the problem isn't retention, it's how few hands are scheduled. The quality measure score reads well, but with a for-profit partnership at 129 beds and inspection findings that heavy, ask hard questions about who's actually on the floor on a Saturday night.

B

70/100

Polo Rehabilitation & Hcc

Polo, IL · Ogle County

CMS 3/581 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Polo Rehabilitation & HCC passed its last state inspection in July 2024 with no deficiencies that caused actual harm or put anyone in immediate jeopardy, which is the most important thing a family can hear. The problem sits on the staffing side: CMS rates this home at the bottom of its scale, meaning resident care hours run well below what the federal government considers adequate, and low staffing is where day-to-day problems tend to start. The record also shows 29 deficiencies, four tied to abuse, and the building is owned by a for-profit corporation. Good inspections, thin coverage, worth asking about direct-care hours per resident before you decide.

B

70/100

River Bluff Nursing Home

Rockford, IL · Winnebago County

CMS 2/5304 bedsGovernmentMedicaid
Nurse hours
4.19 /day
Staff turnover
44%
Serious cites
0

River Bluff runs a 304-bed for-profit operation in Rockford, and the staffing numbers are the strongest thing it has going: 4.19 nurse hours per resident day, roughly 8% above the national average, with weekend coverage dipping about 8% below its own weekday levels. Turnover sits at 44.4%, essentially in line with the national figure. The concerns show up elsewhere. Thirty-six deficiencies are on the current record, five of them at harm or jeopardy level and three abuse-related, and the quality measure rating lands at 2 out of 5. A single fine of $10,199 and an inspection from April 2025 round out the picture.

B

70/100

Hillcrest Retirement Village

Round Lake Beach, IL · Lake County

CMS 3/5140 bedsFor-profitMedicaid
Nurse hours
2.82 /day
Staff turnover
15%
Serious cites
0

Hillcrest Retirement Village runs lean on the floor: 2.82 nurse hours per resident day against a national average of 3.86, and weekends drop another 9% below its own weekday staffing. That's a real gap when a resident needs help on a Saturday afternoon. What the home does have is stability, 15.1% turnover versus 45.8% nationally means the aides and nurses who are there tend to stay, which matters for knowing residents' routines. The tradeoff shows in the record: 25 deficiencies, three at harm or jeopardy level and two tied to abuse, plus one fine of $18,974. The last inspection was August 2025. Ownership is a for-profit partnership with 140 certified beds.

C

69/100

Alpine Care Of St. Charles Llc

Saint Charles, IL · Kane County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.25 /day
Staff turnover
49%
Serious cites
0

Alpine Care of St. Charles is a 120-bed for-profit home, and the numbers show a building running thin on nursing hours. At 3.25 hours per resident day, staffing sits about 16% under the national average, and weekend coverage doesn't improve, it dips slightly below the home's own weekday level. Turnover near 50% means the aides and nurses you'd meet are often new or on their way out. Inspections are the bigger concern: 39 deficiencies on the current record, four serious enough to involve harm or jeopardy, two tied to abuse. Federal fines total $14,015. The most recent inspection was in September 2025, so the picture is current. If you're considering this home, ask specifically how those four harm-level findings were resolved and what weekend coverage actually looks like on the floor.

C

69/100

Balmoral Home

Chicago, IL · Cook County

CMS 2/5213 bedsFor-profitMedicaid
Nurse hours
2.11 /day
Staff turnover
44%
Serious cites
0

Balmoral Home runs on about 2.11 nurse staffing hours per resident per day, roughly 45% under the national average of 3.86, and weekends drop further, about 7% below its own weekday level. That thin coverage sits alongside a clean inspection record, 4 out of 5 stars, most recently surveyed in December 2024, though 27 deficiencies are on file, including two at the harm or jeopardy level and one tied to abuse. Staff turnover lands at 43.7%, slightly better than the national 45.8%, so retention isn't the problem; the raw number of hands on the floor is. A for-profit corporation operates the 213-bed building, and the staffing rating of 1 out of 5 reflects where the strain actually shows.

C

68/100

Buckingham Pavilion

Chicago, IL · Cook County

CMS 4/5235 bedsFor-profitMedicaid
Nurse hours
2.73 /day
Staff turnover
50%
Serious cites
0

Buckingham Pavilion is a 235-bed for-profit home in Chicago, and its inspection record is its strongest card, a recent December 2025 survey, 23 deficiencies on file with none rising to harm or jeopardy, and nothing abuse-related. A 4-out-of-5 inspection rating reflects that. Where it slips is staffing: 2.73 nurse hours per resident day sits roughly 29% under the national average of 3.86, and weekend coverage drops another 5% below its own weekday level. Annual turnover of 50% runs above the 45.8% national figure. Fewer hands and a churning workforce is what pulls the overall picture down, even with clean inspections.

C

68/100

Golden Good Shepherd Home

Golden, IL · Adams County

CMS 2/546 bedsNon-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
36%
Serious cites
0

Golden Good Shepherd Home runs about 3.41 nurse hours per resident day, roughly 12% under the national average, and weekends dip another 7% below its own weekday staffing. That thin coverage shows up in the federal staffing rating and in a record of 17 deficiencies, including one at the harm level and three tied to abuse. The one clear bright spot is turnover: 36.4% against a national 45.8%, meaning aides and nurses tend to stay. With 46 beds and nonprofit ownership, it's a small, stable workforce stretched too thin, the kind of place where you'd want to ask exactly who's on the floor on a Saturday night.

C

68/100

Fairhaven Christian Ret Center

Rockford, IL · Winnebago County

CMS 3/596 bedsNon-profitMedicaid
Nurse hours
5.13 /day
Staff turnover
95%
Serious cites
0

Fairhaven Christian Ret Center runs 5.13 nurse hours per resident day, about a third more than the national average of 3.86, and weekend staffing dips roughly 12% below its own weekday level. That kind of ratio usually reads as a green flag. What undercuts it is turnover: 94.7% of staff leave each year, more than double the national rate, which means the hours are there on paper but often delivered by people still learning the building. On inspections, 21 deficiencies, six serious enough to cause harm, and one $120,225 fine. The most recent survey was February 2026, so the record is current. The staffing hours are real; the consistency behind them is the question.

C

67/100

Norwood Crossing

Chicago, IL · Cook County

CMS 2/5131 bedsNon-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
57%
Serious cites
0

Norwood Crossing is a nonprofit home of 131 beds on Chicago's North Side, and its nurse staffing runs about 8% above the national average, enough for four stars on that measure. Weekends dip roughly 6% below its own weekday coverage, though, and annual turnover sits at 56.7% against a national 45.8%, so the people providing that care keep changing. The inspection record is where the picture darkens: 34 deficiencies, four at harm or jeopardy level, three tied to abuse, and $63,348 in fines across three events. The most recent inspection was in July 2025, so the record is current. Solid staffing numbers, a troubled inspection history, both are true here.

C

67/100

Ahva Care Of Winfield

Winfield, IL · Du Page County

CMS 4/5138 bedsFor-profitMedicaid
Nurse hours
2.77 /day
Staff turnover
44%
Serious cites
0

Ahva Care of Winfield runs on 2.77 nurse hours per resident day, roughly 28 percent under the national average of 3.86, and weekend coverage drops about 11 percent below what the home staffs on weekdays. Staff turnover sits at 43.6 percent, slightly better than the national 45.8 percent, so retention isn't the main worry here, raw staffing levels are. The inspection record shows 18 deficiencies, including one at the harm or jeopardy level and one tied to abuse, though the last survey was recent, from February 2025, and the health inspection rating comes in at 4 out of 5. For-profit individual ownership, 138 beds. Worth asking the administrator how they cover weekends.

C

67/100

Jennings Terrace

Aurora, IL · Kane County

CMS 4/560 bedsNon-profitMedicaid
Nurse hours
2.95 /day
Staff turnover
41%
Serious cites
0

Jennings Terrace runs on 2.95 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 8% below its own weekday levels. That thin coverage shows up in the staffing star rating, which sits at 2 out of 5. Turnover is 40.5%, a bit better than the 45.8% national figure, so the people who stay tend to stay. The inspection record is the brighter side: 22 deficiencies with none at harm or jeopardy level, one abuse-related, and a 4-out-of-5 inspection rating from a visit in November 2024. Quality measures come in at 2 out of 5. It's a nonprofit corporation with 60 beds. Families should ask who covers weekends and how quickly call lights get answered.

C

66.5/100

La Bella Of Sterling

Sterling, IL · Whiteside County

CMS 2/570 bedsFor-profitMedicaid
Nurse hours
2.48 /day
Staff turnover
n/a
Serious cites
0

La Bella Of Sterling runs a 70-bed for-profit operation, and the staffing numbers are the first thing to look at. At 2.48 nurse hours per resident day, it sits roughly 36 percent under the national average of 3.86, and weekends drop about another 10 percent below its own weekday level. That thin coverage shows up in the federal stars: one out of five for staffing. The inspection record carries 19 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Inspectors were last on site in March 2025, and the health and quality ratings land at three stars each. Ownership is a limited liability company, which is worth knowing when you ask who is accountable.

C

66/100

Accolade Healthcare Of Waterloo

Waterloo, IL · Monroe County

CMS 4/5144 bedsGovernmentMedicaid
Nurse hours
3.77 /day
Staff turnover
81%
Serious cites
0

Accolade Healthcare Of Waterloo is county-owned, which usually signals steadier funding than a for-profit chain, and its health inspection record is genuinely solid, four stars, last surveyed in July 2025. The staffing side is where it frays. At 3.77 nurse hours per resident day it sits just under the national average, but that gap widens on weekends, when coverage drops roughly 11% below its own weekday level. Annual turnover of 81.2% is nearly double the national figure, meaning the aides and nurses your family member sees most may not be there next year. Eight deficiencies are on record, two involving harm or jeopardy and two tied to abuse.

C

65.5/100

Stephenson Nursing Center

Freeport, IL · Stephenson County

CMS 3/5148 bedsGovernmentMedicaid
Nurse hours
3.06 /day
Staff turnover
n/a
Serious cites
0

Stephenson Nursing Center is county-run, which often means a public meeting before anything changes, slower fixes, but also a paper trail. The numbers here show a building running lean: 3.06 nursing hours per resident per day against a national average of 3.86, with weekends about 10% thinner than weekdays. State inspectors have logged 37 deficiencies, four serious enough to put a resident in harm's way and nine tied to abuse. One fine of $18,450 is on record, and the last inspection was in February 2025. Ask the administrator how they cover weekend call-offs and what changed after those abuse findings.

C

65.5/100

White County Rehab And Nursing

Carmi, IL · White County

CMS 3/574 bedsFor-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
39%
Serious cites
0

White County Rehab and Nursing runs 4.04 nurse hours per resident day, a bit above the national average, and its staff turnover of 38.5% is better than the typical 45.8%. The catch is weekends: coverage drops roughly a fifth below the weekday level, and a 1-out-of-5 staffing star says the daily numbers don't hold up. Its record shows 39 deficiencies, including 2 at harm level and 10 tied to abuse, with one $142,002 fine. Inspectors last visited in February 2025, so the picture is current. Ownership is a for-profit partnership. Quality measures score 5 out of 5, but good resident outcomes don't cancel out a thin, unstable floor staff.

C

65.5/100

Asbury Gardens Nsg & Rehab

North Aurora, IL · Kane County

CMS 4/575 bedsFor-profitMedicaid
Nurse hours
3.64 /day
Staff turnover
55%
Serious cites
0

Asbury Gardens is a 75-bed for-profit home in North Aurora, and its inspection record is the strongest part of the picture: a 4-out-of-5 health inspection rating, with the most recent survey completed in January 2026. The trouble sits elsewhere. Nurse staffing runs 3.64 hours per resident day, about 6% under the national average, and weekends drop roughly 17% below what the home staffs on weekdays, so the hours get thinnest exactly when families tend to visit. Annual turnover of 55.4% is well above the 45.8% national figure, which means aides and nurses are cycling through steadily. Twenty deficiencies sit on the current record, one serious enough to involve harm or jeopardy, plus $6,350 in fines across two penalties.

C

65/100

Ryze West

Chicago, IL · Cook County

CMS 2/5234 bedsFor-profitMedicaid
Nurse hours
2.28 /day
Staff turnover
47%
Serious cites
0

Ryze West runs 2.28 nurse hours per resident per day, roughly 41% under the national average of 3.86, and weekend coverage dips about 10% below its own weekday level. That thin staffing shows in the federal stars: one out of five for staffing, two for health inspections. The inspection record carries 72 deficiencies, including three at the harm or jeopardy level and five tied to abuse, plus three fines totaling $127,940. Turnover sits at 47.3%, slightly above the national 45.8%. The five-star quality measure rating reflects resident assessments, not the hands available to help. The most recent inspection was May 24, 2024. For-profit corporate ownership, 234 beds.

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?
Highland Oaks in Elgin, IL, grade A, 99 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 186 graded independently owned homes in Illinois, 37 grade A and 30 grade D or F.
Do independently owned nursing homes in Illinois accept Medicaid?
171 of the 186 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Illinois