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
Inverness Rehab runs 142 certified beds under for-profit LLC ownership, and its staffing is the number that stands out. At 3.00 nurse hours per resident per day, it sits about 22% under the national average of 3.86, and weekends dip roughly 10% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover of 48.6% edges past the 45.8% national figure, meaning nearly half the nursing staff turns over each year.
The current record carries 34 deficiencies, six of them at harm or jeopardy level and six abuse-related, plus one fine of $22,679. The last inspection was August 2025. Quality measures score well; staffing does not.
Florence Nursing Home runs on thin staffing. At 3.25 nurse hours per resident day, it sits about 16% under the national average, and weekends dip slightly below its own weekday levels, so the coverage gap isn't just a weekday problem. Annual turnover of 61.3% is well above the 45.8% national figure, meaning a large share of the people caring for residents are still learning the building. What keeps this from being a bigger concern is the inspection record: a 5/5 health inspection rating, nine deficiencies with none at the harm level, and no abuse findings, most recently surveyed in May 2025. The state didn't find dangerous care here, the numbers suggest the risk is more about consistency than safety.
Avenues At Springfield runs 65 certified beds under for-profit limited liability ownership, and the staffing numbers are where the trouble sits. At 1.58 nurse hours per resident day, it's roughly 59% below the national average of 3.86, with weekends running about 13% lighter than weekdays already short of help. Annual turnover of 59.3% against a 45.8% national average means aides and nurses cycle through fast, which matters most for residents who need consistent hands. The inspection record shows 28 deficiencies, four at harm or jeopardy level and one abuse-related, though the most recent inspection was January 2026. Quality measures score well, but that's largely built from documentation, not from people in the building.
Evercare Of Calhoun runs on 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 17% below what the home staffs during the week. That thin coverage sits alongside a 53.2% annual turnover rate, higher than the 45.8% national figure, so the people showing up are often new. The current record carries 29 deficiencies, four of them serious enough to involve harm or jeopardy and one tied to abuse, plus a $25,740 fine. The last inspection was July 2024. Quality measures score well, but staffing and inspection history are what pull the overall picture down.
Ahva Care of Stickney runs 51 certified beds under corporate ownership, and its nurse staffing sits at 3.76 hours per resident day, roughly 3% under the national average, with weekends dipping about 5% below its own weekday levels. That thin margin is the kind of thing that shows up on a 1-out-of-5 staffing star, and the inspection record backs it up: 10 deficiencies, two of them serious enough to reach harm or jeopardy, plus one tied to abuse, and a $41,250 fine. The health inspection rating itself is decent at 4 out of 5, and the most recent survey was May 2024, so the picture isn't old. It's the day-to-day coverage that's the question mark here, not the paperwork.
Clark-Lindsey Village runs a small 25-bed unit, and its nurse staffing is genuinely strong, 6.56 hours per resident day, roughly 70% above the national average, with a weekend dip of only about 8% versus weekdays. The trouble sits elsewhere. Its inspection record shows 32 deficiencies, including four at the harm or jeopardy level and seven tied to abuse, plus three fines totaling $129,850, and its last inspection was February 2025. Staffing can look good on paper while a building still accumulates serious, harm-level citations; here the quality and inspection ratings both sit at 2 out of 5. As a nonprofit, it answers to a board rather than shareholders, but that doesn't erase what those deficiencies describe.
Westminster Village runs a five-star staffing operation, 4.20 nurse hours per resident day, roughly 9% above the national average, and its 36.5% turnover beats the 45.8% national figure, meaning the people caring for residents tend to stick around. Weekends thin out about 14% below weekday levels, a gap worth asking about. The concerns sit elsewhere: 28 deficiencies on the current record, including 2 at harm or jeopardy level and 3 abuse-related, with one fine of $12,149. A 3/5 inspection rating and a last visit in April 2024 round that out. Strong staffing, real compliance problems, that's the tradeoff here.
Hammond-Henry runs a tight ship on staffing, 3.76 nurse hours per resident day, close to the national mark, and turnover at 40% actually beats the typical 45.8%. The catch is weekends, when coverage drops about 11% below weekday levels, and a health inspection record that's harder to defend: eight deficiencies, including two at harm or jeopardy level and two tied to abuse, plus a $75,020 fine. That September 2024 inspection is recent enough to still carry weight. The quality and staffing scores look strong on paper, but the survey history is where the real risk sits. For a 38-bed home, that's a lot of regulatory attention. Ask about weekend coverage and what changed since last fall.
Oregon Living and Rehabilitation Center is a for-profit limited liability operation with 104 certified beds, and its federal staffing rating sits at the bottom of the scale, one out of five stars. That staffing picture matters given the record: 39 deficiencies on file, including one at the harm or jeopardy level and three tied to abuse. The quality measure rating is two stars, and the last inspection was September 11, 2025, so the findings are current rather than stale. If you're weighing this home for someone you care about, the staffing number and the abuse-related deficiencies are the two things worth asking the administrator about directly before making a decision.
Mclean County Nursing Home is county-owned, which usually means slower decision-making but also no private-equity pressure to cut corners. The staffing numbers back that up: 4.07 nurse hours per resident day, about 5% above the national average, though weekends drop roughly 19% below weekday coverage. Turnover sits at 41.1%, a bit better than the 45.8% national figure. What pulls the record down is the inspection side, 31 deficiencies on file, five of them abuse-related, and a 2/5 health inspection rating, even with no harm-level citations. The last full inspection was in August 2025, so the record is current. Good daily staffing, thinner weekends, and a paper trail that needs watching.
Medina Nursing Center sits on the high side for nurse coverage, 4.27 hours per resident per day, roughly 11% above the national average, but that staffing thins out on weekends, dropping about 12% below its own weekday level. Turnover is the bigger concern: 53.1% of staff leave each year, against a national average of 45.8%, so the people providing that care keep changing. The inspection record is where this home really struggles: 31 deficiencies, five serious enough to put residents in harm's way, eight tied to abuse, and four fines totaling $69,289, with the most recent inspection in April 2025. Corporate ownership, and the numbers behind them, warrant a close look.
Winning Wheels runs 88 certified beds in Prophetstown under nonprofit ownership, and the staffing numbers are the first thing to notice: 3.78 nurse hours per resident day, slightly under the national average, with weekends running about 6% thinner than weekdays. That leaner weekend coverage matters because turnover sits at 50.6%, higher than the 45.8% national figure, meaning the aides and nurses at the bedside keep changing.
The inspection record is the heavier concern, 54 deficiencies on file, including 5 at the harm or jeopardy level and 10 tied to abuse. A single fine of $12,258 and a July 2025 inspection round out the picture. Ask about weekend coverage, staff retention, and how those abuse-related findings were resolved.
Montgomery Place sits in Chicago with 40 certified beds and a nonprofit owner, and its nurse staffing comes in at 3.82 hours per resident day, just under the national average of 3.86. Weekend coverage dips about 3% below its own weekday level, so the difference between a Tuesday and a Sunday is real. The inspection record is the harder part: 33 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with two fines totaling $19,752. That health inspection rating lands at 2 out of 5, though quality measures score 5 and staffing scores 4, a split worth asking about directly when you tour.
Smith Village is a nonprofit home on Chicago's South Side with 93 certified beds, and its staffing is genuinely heavy, 5.27 nurse hours per resident day, roughly 36% above the national average, though weekends run about 10% thinner than weekdays. The trouble sits elsewhere: 23 deficiencies on the current record, five of them serious enough to put residents in harm's way and one tied to abuse, plus a $16,350 fine and a November 2025 inspection that landed at two stars for health inspections and two for quality measures. Staff turnover of 57.3% is well above the national 45.8%. Generous staffing only helps if the same caregivers stay long enough to know the residents.
Scott County Nursing Center runs on county money, and its staffing numbers are its strongest card: 3.76 nurse hours per resident day, just under the national average of 3.86, with a 5-star CMS staffing rating. Turnover sits at 40%, better than the 45.8% national figure. But the care record tells a harder story. Nine deficiencies are on file, four at harm or jeopardy level and four tied to abuse, plus a $29,295 fine. The most recent inspection was April 2026, so the findings are current, not stale. Weekend staffing drops about 12% below weekday levels. Adequate hands, but serious quality and safety problems documented recently.
On Chicago's Southwest Side, a 46-bed for-profit home run by a limited liability company sits well under the national staffing benchmark, about 16% below it, and weekends run roughly 12% thinner than its own weekdays. Turnover lands at 39.4%, better than the 45.8% national figure, so the consistent staff largely stay. What stands out more is the record: 58 deficiencies, three at harm or jeopardy level, six tied to abuse, and a $151,119 fine, with the last inspection in October 2024. Federal inspectors rated health inspections 2 out of 5, though quality measures scored 4 out of 5.
Resthave Home in Morrison runs a nonprofit shop with 70 beds, and its staff retention is genuinely better than most, 34.7% turnover against a national average near 46%. That stability matters, but it doesn't cancel out what inspections found: 33 deficiencies on the current record, including one at the harm level and three tied to abuse. The most recent inspection was April 2025. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national figure, and weekends drop roughly 13% below the home's own weekday coverage, worth asking about if your family member needs more help on Saturdays and Sundays. State surveyors rated the health inspection side 2 out of 5.
Asbury Court runs a lean ship on turnover: 29.9% annual staff turnover sits well below the 45.8% national average, and total nurse staffing of 4.94 hours per resident day beats the typical 3.86. That's a real advantage, though weekends dip about 17% below weekday coverage, so care may thin out when families visit most.
The inspection record tells a harder story. Nineteen deficiencies, including three at harm or jeopardy level and four abuse-related, produced a 2/5 health inspection rating and a $9,200 fine. The most recent inspection was May 2025, so the record is current.
For-profit, individually owned, 79 beds. Strong staffing and retention, but the harm-level and abuse citations are the kind of thing worth asking the administrator about directly before deciding.
Winston Manor runs on 1.39 nurse hours per resident per day, about 64 percent below the national average of 3.86, and weekend staffing drops another 7 percent below its own weekday level. That thin coverage sits behind a one-star CMS staffing rating and a two-star inspection record: 36 deficiencies, five of them at the harm or jeopardy level, and eight tied to abuse. The five-star quality measure score looks strong, but those numbers come from resident assessments, not from how many hands are actually on the floor. This is a 180-bed for-profit corporate home in Chicago last inspected in June 2024.
Crestwood Terrace runs lean on the floor: 2.27 nurse hours per resident day against a national average of 3.86, with weekends staffed roughly 14% thinner than weekdays. That gap matters most on Saturdays and Sundays, when questions go unanswered longer. Turnover is the bright spot, 19.6% against a national 45.8% means the aides you meet are more likely to still be there next year. But the inspection record is heavy: 29 deficiencies, 8 involving harm or jeopardy, 6 tied to abuse, and a recent inspection in August 2024. For-profit individual ownership runs the building, and quality scores look strong while staffing and inspection scores sit at 2 out of 5.
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?