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451 Medicaid Nursing Homes With a Clean Record in Illinois

451 of the 667 Medicare-certified nursing homes in Illinois (68%) are Medicaid-certified, clean-record, and all are listed below. 37 of the 450 graded homes earn an A and 67 earn a D or F. They average 3.52 nursing hours per resident per day, 0.07 hours above the 3.45 for every home in Illinois. Highland Oaks in Elgin grades highest at A (99 out of 100).

How Medicaid-certified, clean-record homes in Illinois compare

This group set against every nursing home in Illinois, from the current CMS release.

Nursing hours per resident per day

3.52

All homes in Illinois: 3.45

Better than the local average

Nurse staff turnover

43.6%

All homes in Illinois: 44.5%

Better than the local average

Average ElderGrade score

67.6/100

All homes in Illinois: 64.8/100

Better than the local average

Grade spread

A
B
C
D

37 grade A, 149 grade B, 197 grade C, 67 grade D,

The best-graded Medicaid-certified, clean-record home in Illinois is Highland Oaks in Elgin, IL, grade A, 99/100.

Every Medicaid-certified, clean-record nursing home in Illinois

Showing 181 to 200 of 451, best-graded first.

B

70/100

Aliya Of Evanston

Evanston, IL · Cook County

CMS 4/557 bedsFor-profitMedicaid
Nurse hours
3.32 /day
Staff turnover
53%
Serious cites
0

Aliya of Evanston runs 57 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing you'd want to know about. Total nurse coverage sits at 3.32 hours per resident day, roughly 14% under the national average, and the federal staffing star comes in at 2 out of 5, with annual turnover at 52.8% against a national 45.8%. Inspection history is where it gets more serious: 29 deficiencies on the current record, three of them at harm or jeopardy level and five abuse-related, plus a $52,199 fine. Quality measures score well and weekend staffing holds near weekday levels, but a recent November 2025 inspection found enough problems to matter.

B

70/100

Manor Court Of Peoria

Peoria, IL · Peoria County

CMS 3/550 bedsNon-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
61%
Serious cites
0

Manor Court of Peoria runs a nonprofit operation with 50 beds, and the daily nurse staffing of 4.65 hours per resident sits about 20 percent above the national average. That's a real cushion, though weekends dip roughly 11 percent below weekdays, so coverage isn't perfectly even. The concerning part is the inspection record: 43 deficiencies, including five at the harm or jeopardy level and one tied to abuse, plus a $140,847 fine and 60.7 percent annual turnover that runs well past the 45.8 percent national figure. Staffing helps, but frequent turnover can undercut consistent care, and that recent May 2024 inspection with those harm-level findings is what a family should ask about directly.

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.

B

70/100

Saline Care Nursing & Rehab

Harrisburg, IL · Saline County

CMS 3/5142 bedsFor-profitMedicaid
Nurse hours
2.97 /day
Staff turnover
32%
Serious cites
0

Saline Care runs 142 beds under for-profit LLC ownership, and its staffing sits well under what most homes provide: 2.97 nurse hours per resident day against a national average of 3.86. Weekends are thinner still, about 9% below the home's own weekday coverage. The inspection history is the strong point, a recent April 2025 survey and a five-star health inspection rating, though the current record still carries 12 deficiencies, including one at the harm level and one tied to abuse. Quality measures score 1 out of 5. Turnover at 32% is better than the 45.8% national figure, which matters for consistency of care, but it doesn't offset thin daily coverage.

B

70/100

Spring Creek

Joliet, IL · Will County

CMS 4/5168 bedsFor-profitMedicaid
Nurse hours
2.67 /day
Staff turnover
18%
Serious cites
0

Spring Creek runs lean on nursing hours, 2.67 per resident per day against a national average of 3.86, roughly a third less direct care than typical. Weekends dip further, about 14% below the home's own weekday staffing, which is when gaps tend to matter most. The trade-off isn't turnover: at 18.2%, it's well under the national 45.8%. What pulls the record down is the inspection side, 35 deficiencies, three at harm or jeopardy level and two tied to abuse, plus a $19,135 fine. Ownership is for-profit corporate, 168 beds, rated 2 of 5 on staffing and 3 on both inspections and quality measures. The last survey was December 2025, recent enough to reflect current conditions. Ask about weekend coverage and the abuse findings before deciding.

B

70/100

Alden Estates Cts Of Huntley

Huntley, IL · Mc Henry County

CMS 2/5170 bedsFor-profitMedicaid
Nurse hours
3.61 /day
Staff turnover
43%
Serious cites
0

Alden Estates Cts Of Huntley runs 170 beds under corporate ownership, and its nurses provide 3.61 hours of care per resident each day, about 6% under the national average of 3.86, with weekend coverage dropping roughly 10% below its own weekday level. The inspection history is the bigger concern: 27 deficiencies on the current record, six of them serious enough to involve harm or jeopardy, plus three fines totaling $183,372. Turnover at 43% sits slightly better than the 45.8% national figure, and the most recent inspection is recent enough to be current. What stands out is the gap between decent quality scores and a citation record that has repeatedly found real harm.

C

69.5/100

Arc At Kankakee

Kankakee, IL · Kankakee County

CMS 3/551 bedsFor-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
n/a
Serious cites
0

The Arc At Kankakee runs 4.32 nurse hours per resident day, roughly 12 percent above the national average, and weekend staffing holds within about 3 percent of weekday levels, so the raw coverage looks adequate. What sits underneath is harder: 13 deficiencies on the current record, three of them at harm or jeopardy level and two tied to abuse, plus a single $86,813 fine. This is a for-profit limited liability company with 51 beds, and its last inspection was May 9, 2025. A family weighing this home should ask specifically how those abuse-related findings were resolved and whether the same direct-care staff are consistently on the floor.

C

69/100

Warren Barr Oak Lawn

Oak Lawn, IL · Cook County

CMS 4/5122 bedsFor-profitMedicaid
Nurse hours
3.52 /day
Staff turnover
53%
Serious cites
0

Warren Barr Oak Lawn runs on thinner staffing than most homes nationally, 3.52 nurse hours per resident day against a 3.86 average, and weekends dip further below its own weekday level. Annual turnover sits at 52.5%, well above the 45.8% national figure, which matters for how well anyone knows your mother's routines. The inspection record shows 22 deficiencies, four serious enough to involve harm or jeopardy, though none tied to abuse, and the most recent visit was January 31, 2025, so the picture is current. The 4-star health inspection rating is genuinely good; the 2-star staffing rating is the counterweight, and it's the number I'd ask about directly.

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

Elevate Care Waukegan

Waukegan, IL · Lake County

CMS 2/5265 bedsFor-profitMedicaid
Nurse hours
2.96 /day
Staff turnover
25%
Serious cites
0

Elevate Care Waukegan runs 265 beds under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 2.96 nurse hours per resident day, roughly a quarter below the national average of 3.86, with weekends dipping about 15% below its own weekday levels. That thin coverage shows up in the inspection record, 62 deficiencies, seven at harm or jeopardy level, eight tied to abuse, and five fines totaling $65,554, with the most recent inspection in March 2026. The one bright spot is turnover at 24.6%, well under the 45.8% national figure. Still, staffing and inspection ratings both sit at two out of five stars.

C

69/100

Aperion Care Elgin

Elgin, IL · Kane County

CMS 3/5101 bedsFor-profitMedicaid
Nurse hours
2.72 /day
Staff turnover
49%
Serious cites
0

Aperion Care Elgin runs about 2.7 nurse hours per resident per day, roughly 29% under the national average, and weekend coverage drops further below its own weekday level. Staff turnover sits at 49.1%, above the national figure. The health inspection history shows 35 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with $56,661 in fines across three cases; the most recent inspection was in April 2025. Resident outcome measures score well, but those numbers depend on the staffing underneath them. With 101 beds under individual for-profit ownership, the staffing shortfall is the concern a family should weigh first.

C

69/100

Allure Of Mt Carroll

Mount Carroll, IL · Carroll County

CMS 4/572 bedsFor-profitMedicaid
Nurse hours
3.66 /day
Staff turnover
38%
Serious cites
0

Allure Of Mt Carroll runs 3.66 nurse hours per resident day, about five percent under the national average, and weekend coverage drops roughly nine percent below its own weekday level. Staff turnover sits at 37.5 percent, which is actually better than the 45.8 percent national figure. The trouble is the record: 12 deficiencies, one at the harm or jeopardy level and three tied to abuse, with the most recent inspection in June 2025. Federal inspectors gave it five stars for health inspections but only one for staffing. A corporation owns the 72-bed home. Strong inspection history, thin staffing, and a serious deficiency on the books is a mixed picture worth weighing carefully.

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

69/100

Integrity Hc Of Cobden

Cobden, IL · Union County

CMS 5/574 bedsFor-profitMedicaid
Nurse hours
2.46 /day
Staff turnover
38%
Serious cites
0

Integrity Hc of Cobden runs 2.46 nurse staffing hours per resident day, roughly 36% under the national average of 3.86, and weekends drop about another 10% below its own weekday levels. The place is clean on inspections, three deficiencies on record, none causing harm, none abuse-related, with a 5/5 health inspection rating and a recent September 2025 survey, but the staffing rating sits at 2/5, and 38% annual turnover means aides cycle through faster than they'd like. A for-profit corporation owns its 74 beds. Families weighing this one should ask how the low hours actually play out on evenings and weekends, since quality measures land mid-range at 3/5.

C

69/100

Accolade Healthcare Of Pontiac

Pontiac, IL · Livingston County

CMS 3/597 bedsFor-profitMedicaid
Nurse hours
3.54 /day
Staff turnover
44%
Serious cites
0

Accolade Healthcare of Pontiac runs 97 beds under corporate ownership, and its staffing sits at 3.54 nurse hours per resident day, roughly 8% under the national average of 3.86. Weekends dip about 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 44.4% is basically average, which cuts against the idea that this is some unusually unstable building. The inspection record is where it gets harder to shrug off: 26 deficiencies, including two at harm or jeopardy level and two tied to abuse. A June 2025 inspection is recent enough to be meaningful. Ask directly what those abuse deficiencies involved before you decide.

C

69/100

Hawthorne Inn Of Danville

Danville, IL · Vermilion County

CMS 4/580 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
43%
Serious cites
0

Hawthorne Inn Of Danville runs 80 certified beds under corporate ownership, and its staffing sits at 3.98 nurse hours per resident day, just above the national average of 3.86. That edge narrows on weekends, when coverage drops roughly 14% below its own weekday level. Annual turnover is 43%, a touch better than the 45.8% national figure, which matters because consistent caregivers know residents. The current record carries 24 deficiencies, including one at the harm or jeopardy level and one abuse-related, and the last inspection was May 2025. CMS gave it 4 stars for health inspections but only 2 for quality measures, so the regulatory picture looks steadier than the clinical one.

C

68.5/100

Pearl Of Naperville, The

Naperville, IL · Du Page County

CMS 3/5115 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
49%
Serious cites
0

Pearl of Naperville runs 115 certified beds under for-profit LLC ownership, and its staffing is the clearest trouble spot: 3.36 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 17% below its own weekday coverage. That thinner weekend floor matters when you consider the inspection history, 42 deficiencies on the current record, including three tied to abuse and one serious enough to reach harm or jeopardy level, even though the last inspection came fairly recently in December 2025. Staff turnover sits at 48.7%, a bit above the 45.8% national figure, which means the people providing that already-light care are cycling out steadily.

C

68.5/100

Farmington Village Nrsg

Farmington, IL · Fulton County

CMS 2/592 bedsFor-profitMedicaid
Nurse hours
3.63 /day
Staff turnover
40%
Serious cites
0

Farmington Village runs a bit leaner than most homes, at 3.63 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 15% below its own weekday coverage, which is when families tend to notice. Turnover sits at 39.7%, better than the 45.8% national figure, so the staff who are there tend to stay. Inspections look solid on paper: a 4/5 health inspection rating, no deficiencies at the harm or jeopardy level, nothing abuse-related, and the most recent visit was May 2025. The catch is the 15 deficiencies and one $73,577 fine on the current record, which is a lot of paperwork for a home this size.

C

68.5/100

Springfield Suites Rehab And Nursing

Springfield, IL · Sangamon County

CMS 3/575 bedsFor-profitMedicaid
Nurse hours
4.94 /day
Staff turnover
57%
Serious cites
0

Springfield Suites Rehab And Nursing runs 4.94 nurse hours per resident day, roughly 28% above the national average, which sounds like a lot until you see that weekends drop about 19% below the home's own weekday level. Staff turnover sits at 57.1% against a national 45.8%, so the people providing that care are cycling through fast. The current record carries 28 deficiencies, three of them serious enough to put a resident in harm's way, and the last inspection was in December 2025. Ownership is a for-profit LLC. High raw staffing numbers can mask a thin, constantly changing crew, here the schedule gap and turnover suggest that's exactly what's happening.

C

68/100

Citadel Care Center-Kankakee

Kankakee, IL · Kankakee County

CMS 4/5107 bedsFor-profitMedicaid
Nurse hours
3.23 /day
Staff turnover
34%
Serious cites
0

Citadel Care Center-Kankakee runs 107 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.23 hours per resident day, roughly 16% under the national average of 3.86. Weekends dip about 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 33.7%, which is better than the national 45.8%, meaning the aides and nurses who are there tend to stay. The current record shows 23 deficiencies, one at harm or jeopardy level and none abuse-related, with the last inspection in November 2024. Federal ratings split sharply here: four stars for health inspections, two for quality measures and two for staffing.

Frequently asked questions

How many Medicaid-certified, clean-record nursing homes are there in Illinois?
There are 451 Medicaid-certified, clean-record Medicare-certified nursing homes in Illinois, 68% of the 667 nursing homes there.
Are Medicaid-certified, clean-record nursing homes better staffed?
In Illinois they average 3.52 total nursing hours per resident per day, against 3.45 for all nursing homes in Illinois, a difference of +0.07 hours. Staff turnover averages 43.6% against 44.5%.
Which Medicaid-certified, clean-record nursing home grades best in Illinois?
Highland Oaks in Elgin, IL, grade A, 99 out of 100.
Does being Medicaid-certified, clean-record mean a nursing home is safe?
No. Of the 450 graded Medicaid-certified, clean-record homes in Illinois, 37 grade A and 67 grade D or F.
Do Medicaid-certified, clean-record nursing homes in Illinois accept Medicaid?
451 of the 451 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Illinois