ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 281 to 300 of 451, best-graded first.

C

63/100

Pearl Of Montclare, The

Chicago, IL · Cook County

CMS 2/596 bedsFor-profitMedicaid
Nurse hours
3.35 /day
Staff turnover
51%
Serious cites
0

Pearl Of Montclare runs 96 certified beds on Chicago's northwest side under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.35 hours per resident day against a national average of 3.86, and weekends drop roughly 11% below what the home schedules on weekdays, that gap matters most when families visit and see fewer aides on the floor. Staff turnover runs 50.5%, above the 45.8% national figure, which means roughly half the caregiver workforce turns over in a year. The current inspection record carries 56 deficiencies, including four at the harm or jeopardy level and four tied to abuse, plus $53,336 in fines across three events. The last inspection was March 2025.

C

63/100

Dixon Rehab & Hcc

Dixon, IL · Lee County

CMS 3/597 bedsFor-profitMedicaid
Nurse hours
3.46 /day
Staff turnover
33%
Serious cites
0

Dixon Rehab & Hcc runs about 3.46 nursing hours per resident per day, roughly 11% under the national average, and weekends drop another 12% below its own weekday staffing. Turnover sits at 33.3%, which is actually better than the 45.8% national figure, so the problem here isn't retention, it's sheer hours on the floor. The inspection record is the bigger concern: 21 deficiencies, six serious enough to involve harm or jeopardy, plus one abuse-related finding, and two fines totaling $34,753. The last inspection was October 2024, so the record is fairly current. Quality and staffing scores both land at 2 out of 5.

C

63/100

Aperion Care Burbank

Burbank, IL · Cook County

CMS 2/556 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
41%
Serious cites
0

Aperion Care Burbank sits right around the national average for total nurse staffing, 3.88 hours per resident day versus 3.86, but that average hides a problem: weekend coverage drops about 6% below what the home staffs on weekdays, and CMS gives the place just 2 of 5 stars for staffing overall. The inspection record is where things get more serious. Twenty-five deficiencies are on file, seven of them serious enough to involve harm or jeopardy, three tied to abuse. Five fines totaling $90,114 have been levied. Turnover at 41.4% is slightly better than the 45.8% national figure, but it's still a lot of churn. Corporate-owned, 56 beds, last inspected August 2024.

C

63/100

Mcleansboro Rehab & Hlth C Ctr

Mcleansboro, IL · Hamilton County

CMS 3/543 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

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.

C

63/100

Silver Foxes Sr Living & Rehab

Mcleansboro, IL · Hamilton County

CMS 4/560 bedsFor-profitMedicaid
Nurse hours
2.53 /day
Staff turnover
63%
Serious cites
0

Silver Foxes runs a 60-bed for-profit home in Mcleansboro with a strong inspection record, six deficiencies on file, none tied to abuse, and its most recent state visit came in November 2024. The staffing side tells a different story. At 2.53 nurse hours per resident day, it sits about a third under the national average of 3.86, and weekends dip slightly below its own weekday level. Annual turnover hits 63% against a national 45.8%, meaning most of the people caring for residents this year won't be there next year. One deficiency rose to the harm level. Good surveys don't staff the floor.

C

63/100

Decatur Rehab & Health Care Ct

Decatur, IL · Macon County

CMS 1/558 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

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.

C

62.5/100

Crescent Care Of Elgin

Elgin, IL · Kane County

CMS 4/588 bedsFor-profitMedicaid
Nurse hours
3.46 /day
Staff turnover
41%
Serious cites
0

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.

C

62.5/100

Cedar Ridge Health & Rehab Ctr

Lebanon, IL · St. Clair County

CMS 3/5116 bedsFor-profitMedicaid
Nurse hours
3.12 /day
Staff turnover
59%
Serious cites
0

Cedar Ridge runs on thin nurse coverage. At 3.12 hours per resident per day it sits about 19% under the national average, and weekends drop roughly another 19% below its own weekday level, so the leanest shifts are the ones families tend to visit. Staff turnover is 59.1% against a national 45.8%, which means the people caring for your relative are often new. Inspections look better: a recent visit, 20 deficiencies with two at harm level, and a $15,483 fine. But the pattern underneath the health rating is a building that has trouble holding onto nurses while asking fewer of them to cover more.

C

62.5/100

Hickory Vlg Nrsg & Rhb

Hickory Hills, IL · Cook County

CMS 3/574 bedsFor-profitMedicaid
Nurse hours
2.67 /day
Staff turnover
28%
Serious cites
0

Hickory Vlg Nrsg & Rhb runs lean on nursing hours, 2.67 per resident per day against a national average of 3.86, and weekends drop roughly another 23% below its own weekday coverage. That thinner weekend floor is where problems tend to surface. The home's current record carries 23 deficiencies, including 4 at the harm or jeopardy level and 7 tied to abuse, with three fines totaling $350,672. Turnover sits at 27.9%, better than the 45.8% national figure, so the same faces are largely staying. Its last inspection was in March 2025, so the record is recent rather than stale. A for-profit LLC with this staffing pattern and that deficiency history is the picture worth weighing.

C

62.5/100

Serenity Estates Of Lena

Lena, IL · Stephenson County

CMS 2/5101 bedsFor-profitMedicaid
Nurse hours
3.19 /day
Staff turnover
n/a
Serious cites
0

Serenity Estates of Lena runs 92 certified beds under individual for-profit ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average, with weekends about 15% thinner than weekdays. That gap is what drives its one-star staffing rating, and the pattern shows up in the inspection record too: 36 deficiencies, including two at the harm or jeopardy level and two tied to abuse. The inspection star of four suggests surveyors found a decent baseline when they last visited in March 2025, and quality measures land at two stars. If you're weighing this one, ask directly how weekends get covered and what changed since those abuse findings.

C

62/100

Alden Park Strathmoor

Rockford, IL · Winnebago County

CMS 1/5189 bedsFor-profitMedicaid
Nurse hours
3.34 /day
Staff turnover
43%
Serious cites
0

Alden Park Strathmoor runs 189 beds in Rockford under for-profit limited liability ownership, and its nurse staffing sits at 3.34 hours per resident day, roughly 14% under the national average of 3.86. Weekends dip about 9% below the home's own weekday levels, so coverage thins exactly when families tend to visit. Turnover of 43.1% is slightly better than the 45.8% national figure, but the inspection record is the heavier problem: 31 deficiencies, five of them at harm or jeopardy level, and two fines totaling $115,265. The most recent inspection was May 2025. Quality measures score well; staffing and inspections do not.

C

62/100

Evervella Of White Hall

White Hall, IL · Greene County

CMS 2/5119 bedsFor-profitMedicaid
Nurse hours
2.86 /day
Staff turnover
64%
Serious cites
0

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.

C

62/100

Hallmark Hc Of Carlinville

Carlinville, IL · Macoupin County

CMS 2/549 bedsGovernmentMedicaid
Nurse hours
3.10 /day
Staff turnover
45%
Serious cites
0

Hallmark Hc Of Carlinville is city-owned, which is unusual, most homes are run by chains or private operators, and it holds 49 beds, so it's small. Where it struggles is staffing: 3.10 nurse hours per resident day sits about 20% under the national average, and weekends drop roughly 12% below what the home itself staffs on weekdays. Turnover lands at 45%, basically level with the national figure, so that's not the problem here. What stands out is the inspection record: 24 deficiencies, three of them serious enough to put residents at risk of harm, plus one fine totaling $25,493. The most recent state visit was February 2025, so the picture is current.

C

62/100

South Elgin Living & Rehab Center

South Elgin, IL · Kane County

CMS 2/590 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
25%
Serious cites
0

South Elgin Living & Rehab Center runs on 3.18 nurse hours per resident day, roughly 18% under the national average, and weekend coverage dips about 12% below its own weekday level, so the thinnest shifts are when families tend to visit. That's the tension here: staff turnover of 24.5% is unusually low against a 45.8% national figure, yet 58 deficiencies sit on the current record, including four at harm or jeopardy level and five tied to abuse, with $230,403 in fines. The last inspection was May 2024. Consistent caregivers matter, but they're working inside a for-profit operation whose inspection history has been the persistent problem.

C

62/100

Miller Health Care Center

Kankakee, IL · Kankakee County

CMS 2/5160 bedsNon-profitMedicaid
Nurse hours
3.77 /day
Staff turnover
42%
Serious cites
0

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.

C

62/100

Harmony Palos

Palos Heights, IL · Cook County

CMS 2/5130 bedsFor-profitMedicaid
Nurse hours
3.08 /day
Staff turnover
64%
Serious cites
0

Harmony Palos runs a 130-bed for-profit home in Palos Heights, and the staffing numbers are the first thing to notice. At 3.08 nurse hours per resident day it sits about 20% under the national average, weekends dip further, and 64.1% annual turnover means many of the aides and nurses your relative sees are still new. The inspection record shows 42 deficiencies, four serious enough to involve harm or jeopardy, three tied to abuse, and two fines totaling $25,874; the most recent state visit was November 2024. Ownership is a limited liability company, which limits who is personally on the hook if something goes wrong.

C

62/100

The Haven Of Bridgeport

Bridgeport, IL · Lawrence County

CMS 2/599 bedsFor-profitMedicaid
Nurse hours
2.59 /day
Staff turnover
49%
Serious cites
0

The Haven of Bridgeport runs about 2.59 nurse hours per resident per day, roughly a third below the national average of 3.86, and staffing drops another 13% on weekends when oversight tends to be thinnest. That thin coverage shows up in the results: a 1-out-of-5 CMS staffing rating, 20 deficiencies on the current record including two at harm or jeopardy level and one tied to abuse, with the last inspection in May 2024. Annual turnover sits at 48.6%, above the 45.8% national figure. For-profit corporate ownership and a 2-out-of-5 quality measure rating round out a picture worth weighing carefully against other homes in the area.

C

62/100

Arcadia Care Kewanee

Kewanee, IL · Henry County

CMS 1/584 bedsFor-profitMedicaid
Nurse hours
3.12 /day
Staff turnover
31%
Serious cites
0

Arcadia Care Kewanee runs on 3.12 nurse hours per resident per day, roughly 19% under the national average, and staffing gets thinner on weekends, about 9% below its own weekday level. That's the pattern behind a one-star CMS staffing rating. The 56 deficiencies on record include four at the harm or jeopardy level and three tied to abuse, plus a single $201,299 fine. Turnover is actually the better number here at 31.1%, well under the national 45.8%, so the problem isn't churn so much as how few hands are scheduled. The last inspection is recent, January 2026, and the quality measure rating sits at three stars.

C

62/100

South Shore Rehabilitation

Chicago, IL · Cook County

CMS 1/5248 bedsFor-profitMedicaid
Nurse hours
3.05 /day
Staff turnover
44%
Serious cites
0

South Shore Rehabilitation runs 248 beds on Chicago's far southeast side, and the staffing numbers are where I'd start. At 3.05 nurse hours per resident day, it sits about 21% under the national average, and weekends drop roughly 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 44.2% is close to the national figure, so that's not the outlier here. What stands out is the inspection record: 55 deficiencies, six at harm or jeopardy level, two tied to abuse, and five fines totaling $478,448. The most recent inspection was August 2025. For-profit, limited liability ownership. Ask about weekend coverage and the plan of correction before you decide.

C

62/100

Aspyre Of Waukegan

Waukegan, IL · Lake County

CMS 1/5115 bedsFor-profitMedicaid
Nurse hours
3.15 /day
Staff turnover
26%
Serious cites
0

Aspyre Of Waukegan runs a lean ship on the floor: 3.15 nurse staffing hours per resident day, roughly 18% under the national average, with weekends dipping about 14% below its own weekday numbers. Turnover, though, sits at 26.4%, well below the 45.8% national figure, so the people who stay tend to stay. The trouble is what's on the record: 37 deficiencies, four at harm or jeopardy level, four tied to abuse, and two fines totaling $135,606, with the most recent inspection in February 2026. For-profit corporate ownership, 115 beds, and a one-star health inspection rating. The staffing math and the citation history are the two things to weigh hardest before deciding.

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