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
Joliet Living & Rehab Center runs 2.26 nurse hours per resident day against a national average of 3.86, roughly 42% less hands-on time than the typical home. Weekends dip about another 10% below its own weekday level, so the thinnest coverage lands when families often visit. On paper the quality measure rating is perfect, but the 37 deficiencies on record, eight tied to abuse, and a two-star inspection rating tell a more mixed story. Staff turnover at 24.5% is actually well below the 45.8% national average, meaning the people who are there tend to stay. The last inspection was May 2025.
West Chicago Living and Rehab Center runs on 2.06 nurse staffing hours per resident day, roughly half the national figure of 3.86, and weekends drop another 11% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The inspection record is where the real weight sits: 45 deficiencies, three serious enough to involve harm or jeopardy, ten tied to abuse, and a $143,375 fine, with the most recent inspection in May 2025. Staff turnover of 18.9% is well below the national 45.8%, meaning the people who are there tend to stay, but that stability hasn't translated into a clean survey history.
Big Meadows runs leaner on nursing hours than most homes, about 3.31 per resident per day against a national average near 3.86, with weekends slightly thinner than weekdays. Turnover sits below the national rate, which works in its favor, but the inspection record is where things get harder to explain: 30 deficiencies, six of them serious enough to involve harm or jeopardy, four tied to abuse. Ownership is for-profit corporate, and the most recent inspection was February 2025. A single $4,500 fine doesn't capture the weight of those harm-level citations. If you're considering this home, ask directly how the abuse-related findings were resolved and who is on staff on weekends.
Alpine Care of Evanston runs 124 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86, with weekends about 15% thinner than its own weekdays. The one number that stands out in the other direction is turnover: 15.8% against a national average near 46%, so the staff who are there tend to stay. What pulls the record down is the inspection history: 20 deficiencies, three at harm or jeopardy level and three tied to abuse, plus a $40,258 fine and a December 2025 inspection that leaves the quality measure rating at 2 out of 5.
Waukegan Health and Rehab runs about 3.07 nurse hours per resident per day, roughly a fifth below the national average, and weekends dip another 15% under its own weekday numbers, that's when gaps tend to show up. Turnover sits at 40.8%, a bit better than the national 45.8%, so leadership isn't the main problem here. The bigger concern is the record: 27 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with one fine of $8,328. A recent inspection in May 2025 and a 4-star health inspection rating help, but a 2-star quality measure score and the thin staffing keep this one worth watching closely.
Northbrook Health and Rehab runs lean on nursing hours, 3.05 per resident day against a national average of 3.86, and weekends drop roughly another 18% below its own weekday coverage. That staffing pattern is the main reason a home with a perfect 5-star inspection history lands at a C overall, since its 11 deficiencies include two at the harm level and one tied to abuse, and $10,059 in fines sit on the record. Turnover at 43.2% is slightly better than the national 45.8%. The last inspection was June 26, 2025, so the picture is current. The 2-star quality measure rating suggests the clinical numbers families watch don't match the strong survey history either.
Mcleansboro Rehab & Hlth C Ctr sits in Hamilton County with 43 certified beds and an individual for-profit owner. Inspectors have been in recently, June 2024, and the record shows 11 deficiencies, including two at the harm or jeopardy level and three tied to abuse. That's a heavy citation load for a home this small, and it comes with a $45,123 fine. The staffing picture is the other half of the story: the federal staffing rating is just 1 out of 5, meaning direct care hours fall well short of what CMS expects. A 4-star inspection rating doesn't cancel that out. When a facility is thinly staffed and has documented abuse and harm-level findings, families should ask direct questions about who's on the floor overnight and how complaints get handled.
Decatur Rehab & Health Care Center runs 58 certified beds under corporate ownership, and the federal numbers are rough across the board. Inspectors have logged 89 deficiencies on the current record, including 9 tied to abuse and 5 serious enough to put residents in immediate harm or jeopardy. Staffing levels sit far below what CMS expects, the one-star rating there means fewer caregivers per resident than the national average, which matters most when someone needs help with daily tasks or a quick response. The last full inspection was September 25, 2024, and the home has one fine on record for $25,500. When a building carries this many health and safety citations alongside thin staffing, families should 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.
Evervella Of White Hall runs on 2.86 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop about 11% below what the home staffs on weekdays. Turnover sits at 64%, well above the 45.8% national figure, so the aides and nurses in the building keep changing. The current record shows 30 deficiencies, including one at the harm or jeopardy level and four tied to abuse; the last inspection was in August 2025. Greene County families weighing this one should focus on the staffing number and the inspection history together, because those tell the story the star ratings only hint at.
Miller Health Care Center runs 160 certified beds as a nonprofit corporation, and its staffing sits at 3.77 nurse hours per resident day, just under the national average of 3.86, with weekends about 12% thinner than weekdays. Staff turnover lands at 42%, actually below the 45.8% national figure, so retention isn't the main problem here. The inspection record is: 33 deficiencies, 5 of them at harm or jeopardy level, and $189,285 in fines from two events, with the most recent inspection in July 2024. CMS gives 2 of 5 stars for both health inspections and quality measures, 3 for staffing. Nothing abuse-related appears on the record. The pattern is a home that keeps its people but gets cited often, and sometimes seriously, for how it delivers care.
If you're weighing Newman Rehab & Health Care Ctr, the staffing numbers deserve your attention first. Nurses provide about 3.16 hours of care per resident each day, roughly 18 percent below the national average, and weekends run about 24 percent lighter than weekdays, so the coverage you see on a Tuesday isn't what a Saturday looks like. Annual turnover sits at 73 percent against a national 45.8, meaning most of the people caring for your family member are relatively new. The current record carries 39 deficiencies, including one at the harm level and three tied to abuse, plus a $10,517 fine. The last inspection was September 2024. The five-star quality measure score reflects reported care outcomes; the one-star staffing score reflects what's actually on the floor.
Ryze At The Ridge runs on 2.17 nurse staffing hours per resident day, roughly 44% below the national average of 3.86, a gap that shows up on weekends too, when coverage dips about 4% below its own weekday level. The inspection record is where it gets harder to look past: 50 deficiencies on file, including 6 at the harm or jeopardy level and 8 tied to abuse, plus three fines totaling $301,750. The last inspection was August 23, 2024. Turnover sits near the national figure at 44.2%, so the problem isn't retention so much as how few hands are scheduled in the first place. For-profit, limited liability ownership.
Berkeley Nursing & Rehab Center runs on 2.53 nursing hours per resident per day, roughly a third below the national average, and weekends dip another 10% under its own weekday staffing. For a 72-bed home, that thin margin matters, 35 deficiencies sit on the current record, four of them serious enough to involve harm or jeopardy, plus one tied to abuse, and CMS has issued 25 fines totaling $252,245. The ownership is for-profit and individually held, and turnover at 39.6% actually beats the national rate, so the problem isn't retention so much as how few hands are scheduled. The last inspection was April 2025, and the health inspection rating of 4/5 is genuinely decent, it's the staffing side that drags everything down.
Eastside Health and Rehabilitation Center runs on thinner staffing than most homes its size, 3.09 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below what the building manages on weekdays. That's a real gap for a 92-bed for-profit, and it shows up in a federal staffing rating of 1 out of 5. The inspection history is mixed: a recent visit in June 2025 and a 4-star inspection rating, but 14 deficiencies on record, including two at the harm level and two tied to abuse. Quality measures sit at 2 stars. Ownership is corporate, for-profit.
Shawnee Senior Living runs 159 certified beds in Herrin under for-profit limited liability ownership, and the staffing numbers are the first thing worth noticing: 3.28 nurse hours per resident day, roughly 15% under the national average, with weekends running about 18% below its own weekday level. Turnover of 44.7% sits close to the national 45.8%, so retention isn't the outlier here, it's the thin daily coverage combined with a health inspection rating of 2 out of 5 and 52 deficiencies on the current record, 12 of them at harm or jeopardy level and 10 abuse-related. Two fines totaling $313,508 are on file, and the most recent inspection was June 12, 2025.
Sharon Health Care Pines runs 116 beds in Peoria under corporate for-profit ownership, and its last inspection was September 3, 2025. The record behind it is heavy: 41 deficiencies, nine of them at the level where residents were actually harmed, and 16 tied to abuse. Fines total $235,100 across two penalties. Nurse staffing sits at 2.77 hours per resident day, roughly 28% under the national average of 3.86, and weekends run about 15% thinner than weekdays. Turnover comes in at 39.7%, better than the 45.8% national figure, but that's the one number leaning your way. Federal inspectors rated health inspections and staffing each 1 out of 5 stars, with quality measures at 4.
Meadowbrook Manor runs 298 beds in Bolingbrook, and the numbers show a building stretched thin. Nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average, and weekends drop about 13% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is 52.1%, well above the 45.8% national figure, which means the people at the bedside keep changing.
The inspection record is where it gets serious: 53 deficiencies, including 4 at the harm or jeopardy level and 6 tied to abuse. Three fines total $169,675, and the last inspection was July 31, 2025. Corporate for-profit ownership, and CMS rated staffing and health inspections both 2 out of 5.
Fireside House runs lean on nursing hours, 3.50 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 13% below what the home staffs on weekdays. That gap matters most when families visit Saturday and Sunday and find fewer hands on deck. Staff turnover sits at 43.1%, a touch better than the 45.8% national figure, but the inspection record is where this home gets exposed: 18 deficiencies, four of them at harm or jeopardy level, one tied to abuse, and three fines totaling $71,979. The last state visit was December 2024. A for-profit LLC, 98 beds.
Tower Hill runs on 2.74 nurse hours per resident day, roughly 29 percent below the national average of 3.86, and weekends dip about 10 percent below its own weekday staffing. That thin coverage sits alongside 55 deficiencies on the current record, including 6 at the harm or jeopardy level and 11 abuse-related, plus $57,365 in fines. Turnover at 38.3 percent is actually better than the 45.8 percent national figure, so the problem isn't retention so much as how few hours each resident gets. Inspectors were last in on February 6, 2025. For a 206-bed for-profit partnership, ask specifically who covers the floor on Saturday and Sunday.
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?