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
Pleasant Meadows runs about 18% below the national average on nurse staffing, and weekends drop another 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover sits near 59% against a national 45.8%, meaning the aides and nurses around your relative are likely to keep changing. The inspection record is where it gets hardest to explain away: 89 deficiencies, 14 serious enough to involve harm or jeopardy, and 14 tied to abuse. Five fines total $400,084. The quality star says 4, but that score comes from resident assessments, not from whether the building is adequately staffed or kept in compliance.
Cisne Rehabilitation and Health Care Center runs 35 beds in Wayne County under corporate for-profit ownership, and its inspection record is the main thing to know: 27 deficiencies on file, six of them serious enough to cause harm or jeopardy, three tied to abuse. Three fines add up to $87,202. Staffing hours land at 3.87 per resident day, right on the national average of 3.86, but weekend coverage drops about 11% below the home's own weekday levels, and turnover sits at 45.5%, essentially the same as the national rate. CMS gave all three of its star ratings a 2 out of 5. The most recent inspection was June 6, 2025.
Nexus At Berwyn runs 145 certified beds under corporate ownership, and the numbers that matter most here are the ones families can't easily see. Nurse staffing sits at 3.25 hours per resident day, roughly 16 percent under the national average, and it thins out further on weekends, dropping about 17 percent below the home's own weekday level. Staff turnover is 57 percent, well above the 45.8 percent national figure, so the people providing care keep changing.
The inspection record is where things get serious: 52 deficiencies, including 9 at the harm or jeopardy level and 3 tied to abuse, with five fines totaling $428,544. That's a lot of documented trouble for one building.
Alpine Care Of Zion runs 244 certified beds under for-profit LLC ownership, and its nurse staffing sits at 2.86 hours per resident day, roughly 26 percent under the national average of 3.86. Weekends drop about 17 percent below its own weekday levels, and annual turnover of 48.2 percent runs slightly above the national figure of 45.8 percent, so the aide or nurse your relative sees most often may not be there next year. The current record lists 44 deficiencies, three at harm or jeopardy level and two abuse-related, along with three fines totaling $72,394. The most recent inspection was August 2025, so the picture is current, not stale.
Avenora Elmhurst runs on 1.44 nursing hours per resident day, roughly a third of the national figure and the kind of number that shows up on weekends too, when coverage drops another 5 percent below its own weekday level. The inspection record backs that up: 36 deficiencies, five of them at harm or jeopardy level and four tied to abuse, with $216,044 in fines across four separate penalties. Staff turnover sits at 46.9 percent, right about where the national average is, so this isn't a retention crisis, it's a staffing-level one, in a for-profit building that state inspectors last visited in October 2024 and rated one star.
Fondulac runs on 2.89 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 16% below what the home staffs on weekdays. That thin coverage sits behind a one-star CMS staffing rating and a one-star inspection rating, with 65 deficiencies on the current record, six serious enough to reach harm or jeopardy level, six tied to abuse. Two fines total $146,601, and the most recent inspection was August 2024, so that record reflects where things stood then. Ownership is for-profit corporate, and the quality measure rating of three stars doesn't offset what the inspection and staffing numbers show.
Nexus At Palos runs 207 beds in Palos Hills under for-profit LLC ownership, and its staffing looks fine on paper, 4.13 nurse hours per resident day, about 7% above the national average. But that average hides a lot: weekend staffing drops roughly 21% below its own weekday level, and annual turnover sits at 54.8% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the bigger problem. Eighty-seven deficiencies, 21 of them at harm or jeopardy level, 8 tied to abuse, and nine fines totaling $431,708. The most recent inspection was May 2025.
Silvis Center runs 120 beds under LLC ownership, and the staffing numbers are where the trouble starts: 3.42 nurse hours per resident day against a national average of 3.86, with weekends about 10% thinner than weekdays. The inspection record backs that up, 28 deficiencies logged, four of them serious enough to put residents in harm's way, plus one tied to abuse, and $42,856 in fines across two penalties. Its last inspection was in March 2025, so the picture is current rather than stale. All three CMS ratings, health inspections, quality measures, and staffing, sit at the bottom of the scale. If you're weighing this placement, ask what's changed since that inspection.
La Bella Of Rochelle runs on 2.43 nurse hours per resident day, roughly a third below the national average of 3.86, and weekends dip about 13% under its own weekday level. The inspection record is heavy: 87 deficiencies, 13 of them at harm or jeopardy level, 10 tied to abuse, and eight fines totaling $434,100. The last inspection was March 5, 2025. This is a for-profit corporate home with 74 certified beds, and its federal ratings sit at one star for health inspections, one for staffing, and two for quality measures. When staffing is this thin and the deficiency count this high, the pattern tends to show up in daily care, not just on paper.
Rivaya Care of Des Plaines runs 231 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.34 hours per resident per day, roughly 13 percent under the national average, and weekends drop about 15 percent below what the home itself staffs on weekdays. Turnover is 61.5 percent against a national figure near 46 percent, so more than half the nursing staff leaves within a year.
The inspection history is heavier still: 48 deficiencies on the current record, 12 of them at harm or jeopardy level and 9 tied to abuse, with six fines totaling $297,306. The most recent inspection was December 18, 2025.
If you're considering this home, ask directly how they're fixing staffing and what's changed since that December visit.
Marigold Rehabilitation and Health Care Center runs 3.00 nurse hours per resident per day, about 22% under the national average of 3.86, and weekends dip another 9% below its own weekday levels. Staff turnover sits at 55.6% against a national 45.8%, so the people caring for residents are cycling out faster than usual. The inspection record shows 40 deficiencies, seven at harm or jeopardy level and nine tied to abuse, with $222,740 in fines across three actions; the last inspection was August 2024. Corporate-owned, 172 beds, and a one-star inspection rating alongside a one-star staffing rating, the quality measure score of three stars is the outlier here, not the pattern.
Nexus At Columbia runs 119 beds under for-profit LLC ownership, and the numbers deserve a close look before you consider it. Nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average, and weekends drop about 10% below what the home itself staffs on weekdays, so coverage thins exactly when families tend to visit. Staff turnover is 51.5%, meaning more than half the nursing team leaves in a year, against a national rate near 46%.
The inspection record is the heavier concern: 46 deficiencies, 9 of them serious enough to involve harm or jeopardy, 13 tied to abuse, and seven fines totaling $381,423. The most recent inspection was October 2024.
Nexus At Mascoutah runs 55 certified beds and sits about 5% under the national average for nurse staffing hours per resident day, with weekends dropping roughly 12% below its own weekday numbers. The staffing picture gets harder when you look at turnover: 77.6% annually against a national average near 46%, meaning most of the people caring for your relative were hired within the past year or so. Inspectors have cited 42 deficiencies, including 7 at the harm or jeopardy level and 8 tied to abuse, with four fines totaling $73,886; the last visit was August 2024. Ownership is a for-profit partnership.
Paul House & Health Cr Ctr runs 110 certified beds on Chicago's Near West Side, and the staffing numbers are where the trouble starts. Nurses provide 3.77 hours per resident day, slightly under the 3.86 national average, but weekends drop about 11% below the home's own weekday coverage, so care thins out exactly when families tend to visit. Staff turnover sits at 64.2% against a 45.8% national figure, meaning most of the people caring for residents this year likely won't be there next year. Add 59 deficiencies on the current record, three serious enough to involve harm or jeopardy, plus $107,115 in fines, and the recent June 2025 inspection reads less like a fresh start than a long-running pattern.
Ryze At Homewood runs 259 certified beds out of a for-profit LLC, and the nurse staffing line is where the trouble starts: 2.49 hours per resident day, roughly 36% below the national average of 3.86, with weekends running about 9% thinner than weekdays. Turnover sits at 62.4% against a national 45.8%, so even the hours that exist are often worked by someone new. The inspection record backs that up, 73 deficiencies, 15 at harm or jeopardy level, six abuse-related, and $502,525 in fines across 10 citations, with the last inspection in December 2024. Quality measures score mid-range, but that's the one bright spot in an otherwise thin picture.
Ryze On The Avenue runs 302 beds on Chicago's South Side, and the numbers behind its record are hard to dress up. Nurse staffing sits at 2.64 hours per resident day, roughly a third below the national average, and weekend coverage barely dips from that already thin weekday level, so there's little sign of extra help when families visit. Nearly three in five staff left over the past year, well above the typical rate. Inspectors have cited 86 deficiencies, seven involving harm or jeopardy and a dozen tied to abuse, with nine fines totaling $192,821. The last inspection was September 2024.
Central Nursing Home runs 245 beds on Chicago's West Side, and the numbers behind its federal record are hard to dress up. Nurse staffing sits at 2.24 hours per resident per day, roughly 42% under the national average of 3.86, and weekends run about 8% thinner than weekdays, so the hours when families visit most are the hours with the least coverage. The inspection record shows 45 deficiencies, including 2 at the harm or jeopardy level and 6 tied to abuse, with three fines totaling $85,800 and a last inspection in August 2024. Staff turnover of 46.5% is close to the national rate, meaning the instability here isn't unusual for the industry, but combined with the low staffing and quality scores, it leaves little margin.
Sharon Health Care Elms runs 96 beds in Peoria under corporate ownership, and the numbers behind its federal record aren't kind. Nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average, and it thins out further on weekends, about 12% below the home's own weekday level. Staff turnover is 46.2%, essentially matching the national rate, so continuity isn't the outlier here; the shortfall is hours of care.
The inspection history is the heavier problem: 44 deficiencies on the current record, 7 of them at harm or jeopardy level and 3 abuse-related, with four fines totaling $185,971. CMS scored the home 2 out of 5 on health inspections and 1 out of 5 on both quality measures and staffing, with the most recent inspection in October 2024.
Washington Senior Living runs 122 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing. At 3.42 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 19% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 67.5% is well above the 45.8% national figure, which means the people providing care keep changing. The inspection record backs that up: 64 deficiencies, 18 tied to abuse and 2 serious enough to reach harm or jeopardy, plus a $230,097 fine. The most recent inspection was December 2024.
La Bella Of Aurora runs 2.93 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home, and weekends drop about 13% below its own weekday level. The inspection record is the bigger problem: 36 deficiencies, five of them serious enough to put residents in harm's way, one tied to abuse, and $274,921 in fines across three events. That April 2025 inspection was recent, so this isn't a stale file. It's a 68-bed for-profit LLC, the kind of operation where low staffing and repeated citations tend to reinforce each other rather than resolve.
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?