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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 301 to 320 of 451, best-graded first.

C

61.5/100

Newman Rehab & Health Care Ctr

Newman, IL · Douglas County

CMS 3/560 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
73%
Serious cites
0

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.

C

61.5/100

Rock River Health Care

Rockford, IL · Winnebago County

CMS 3/5130 bedsFor-profitMedicaid
Nurse hours
2.69 /day
Staff turnover
31%
Serious cites
0

Rock River Health Care runs on thin nursing coverage, 2.69 hours per resident per day against a national average of 3.86, roughly 30 percent below. Weekends drop another 19 percent under its own weekday level, so the thinnest shifts land when families tend to visit. The 45 deficiencies on record, including five at harm or jeopardy level and two tied to abuse, sit alongside four fines totaling $95,885. Staff turnover at 30.6 percent actually beats the national 45.8 percent, which suggests the problem isn't retention so much as how few nurses are scheduled. Inspectors were last in on December 10, 2025, and all three CMS star ratings, health inspection, quality measures, and staffing, come in at 2 out of 5.

C

61.5/100

Cass County Senior Living & Rehabilitation Llc

Virginia, IL · Cass County

CMS 1/571 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
n/a
Serious cites
0

Nurse staffing here runs about 3.33 hours per resident day, roughly 14 percent under the national average, and weekends drop another 4 percent below the home's own weekday numbers, so the thinnest coverage lands when families tend to visit. The record shows 21 deficiencies, including one at the harm or jeopardy level and one tied to abuse. A 2/5 health inspection rating and a 2/5 quality measure rating sit behind the staffing figure. Ownership is a for-profit limited liability company. The last inspection was March 3, 2026. If you're weighing this one, ask specifically how the abuse deficiency was resolved and what nurse coverage looks like on Saturday and Sunday.

C

61.5/100

Moweaqua Rehab & Hcc

Moweaqua, IL · Shelby County

CMS 1/570 bedsNon-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Moweaqua Rehab & Hcc carries 76 deficiencies on its current record, and 8 of those rose to the level of actual harm or jeopardy, 4 tied to abuse. That's a lot of serious findings for a 70-bed home, and it's why the health inspection rating sits at 1 out of 5 stars. The single fine on file runs $146,900, which tells you regulators treated at least one problem as significant. Staffing is also rated 1 star, so the people caring for residents are stretched thin relative to what CMS expects. Quality measures land at 3 stars, but that's the one bright spot in an otherwise rough picture. The last inspection was November 2024, so this record is recent, not stale.

C

61/100

Alden Lincoln Rehab & H C Ctr

Chicago, IL · Cook County

CMS 3/596 bedsFor-profitMedicaid
Nurse hours
2.98 /day
Staff turnover
41%
Serious cites
0

Alden Lincoln runs 96 beds on Chicago's North Side, and the numbers that stand out first are the ones about people. Nurse staffing sits at 2.98 hours per resident per day, about a quarter below the national average, and weekends dip roughly 14% below what the home itself provides Monday through Friday. That's the stretch when families often visit and when coverage thins. The inspection record carries 36 deficiencies, four of them serious enough to put a resident in harm's way and two tied to abuse. The most recent state visit was July 2024, so the picture is current, and one fine totaling $8,512 has been levied. Staff turnover of 41.3% is slightly better than the 45.8% national figure, not a strong point, but not the worst of it either.

C

61/100

Lakeland Rehab & Healthcare Center

Effingham, IL · Effingham County

CMS 4/5154 bedsFor-profitMedicaid
Nurse hours
3.39 /day
Staff turnover
39%
Serious cites
0

Lakeland Rehab runs 154 beds in Effingham under corporate ownership, and its staffing is the weak spot: 3.39 nurse hours per resident day, roughly 12% under the national average, with weekends about 12% thinner than weekdays. The inspection history is the real concern, 27 deficiencies on record, including 4 at the harm or jeopardy level and 7 tied to abuse, plus three fines totaling $86,553. Turnover at 38.6% is actually better than the national 45.8%, and the 4-star health inspection and July 2025 visit are recent positives. But thin daily staffing against that deficiency record is what pulls this home's overall picture down.

C

61/100

Accolade Hc Of Paxton On Pells

Paxton, IL · Ford County

CMS 3/5106 bedsFor-profitMedicaid
Nurse hours
3.55 /day
Staff turnover
48%
Serious cites
0

Accolade Hc Of Paxton On Pells carries a for-profit, limited-liability ownership and a record that should give any family pause before signing. The home has 59 deficiencies on file, including 10 at the harm or jeopardy level and 6 tied to abuse, plus seven fines totaling $153,560, and its most recent health inspection earned a single star out of five. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, with weekends about 3% leaner than weekdays. Annual turnover of 48% tops the national 45.8% figure, meaning the people caring for your relative are likely to keep changing. Ask hard questions about that abuse history and what's changed since January 2025.

C

61/100

Pearl Of Elk Grove, The

Elk Grove Village, IL · Cook County

CMS 1/5190 bedsFor-profitMedicaid
Nurse hours
3.20 /day
Staff turnover
47%
Serious cites
0

Pearl of Elk Grove runs 190 beds under corporate ownership, and its nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record is where the real weight sits: 56 deficiencies, 10 of them at harm or jeopardy level and 7 tied to abuse, plus five fines totaling $144,133. Staff turnover of 47.3% runs slightly above the national 45.8%. The most recent inspection was December 19, 2025. Quality measures score well; staffing and inspections do not.

C

61/100

St Clara's Rehab & Senior Care

Lincoln, IL · Logan County

CMS 2/599 bedsNon-profitMedicaid
Nurse hours
2.95 /day
Staff turnover
35%
Serious cites
0

St. Clara's runs leaner than most homes on the floor: 2.95 nurse hours per resident day, roughly a quarter below the national average, and weekends dip further below its own weekday numbers. That thin coverage is the core issue behind its low staffing rating, and it's worth asking how the home handles a Saturday night. Turnover is better than average at 34.6%, and there are no abuse deficiencies, which matters. But 19 deficiencies with two at harm level, two fines totaling nearly $71,000, and a February 2025 inspection point to real compliance problems. The nonprofit owner doesn't change what the numbers show.

C

61/100

Grove Of Northbrook,The

Northbrook, IL · Cook County

CMS 4/5134 bedsFor-profitMedicaid
Nurse hours
2.20 /day
Staff turnover
19%
Serious cites
0

The Grove of Northbrook runs lean on nurses, 2.20 hours per resident day against a national average of 3.86, roughly 43% below. Weekend coverage barely dips from its own weekday level, so the thinness is consistent rather than a weekend problem. What stands out in the other direction is turnover: 18.8% against a national 45.8%, meaning the staff who are there tend to stay. Inspections, though, are where this home gets exposed. Nineteen deficiencies on the current record, four of them at harm or jeopardy level and two tied to abuse, plus three fines totaling $83,860. The most recent inspection was June 2024, so that record is current.

C

61/100

Ryze At The Ridge

Chicago, IL · Cook County

CMS 1/5136 bedsFor-profitMedicaid
Nurse hours
2.17 /day
Staff turnover
44%
Serious cites
0

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.

C

61/100

Pearl Of Hillside,The

Hillside, IL · Cook County

CMS 1/5198 bedsFor-profitMedicaid
Nurse hours
3.15 /day
Staff turnover
41%
Serious cites
0

Pearl of Hillside runs 198 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 19% under the national average of 3.86. Weekends drop another 12% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection record is where the real weight sits: 52 deficiencies, six of them at harm or jeopardy level and two tied to abuse, plus three fines totaling $131,810. Turnover at 41.1% is slightly better than the 45.8% national figure, but that's the one number working in its favor. The most recent inspection was March 2025.

C

61/100

Alden Estates Of Orland Park

Orland Park, IL · Cook County

CMS 2/5200 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
50%
Serious cites
0

Alden Estates of Orland Park runs 200 beds under corporate ownership, and the staffing numbers are the first thing worth noticing. At 3.65 nurse hours per resident day it sits about 5% under the national average, and weekends drop roughly 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 50.3% runs above the 45.8% national figure, which means the aides and nurses caring for residents are often new to the building. The inspection record backs that up: 53 deficiencies, seven serious enough to reach harm or jeopardy level, one tied to abuse, and five fines totaling $87,510.

C

61/100

Elevate Care Country Club Hill

Country Club Hills, IL · Cook County

CMS 2/5200 bedsFor-profitMedicaid
Nurse hours
3.28 /day
Staff turnover
45%
Serious cites
0

Elevate Care Country Club Hill runs 200 certified beds in Cook County under corporate ownership, and its nurse staffing sits at 3.28 hours per resident day, roughly 15% 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. The inspection record is the bigger concern: 54 deficiencies, 14 of them serious enough to put residents at harm or jeopardy, six tied to abuse, and seven fines totaling $436,375. Turnover, at 45.1%, is basically average. Quality measures score well, but staffing and inspections don't.

C

61/100

Elevate Care Windsor Park

Chicago, IL · Cook County

CMS 1/5240 bedsFor-profitMedicaid
Nurse hours
2.97 /day
Staff turnover
42%
Serious cites
0

Elevate Care Windsor Park is a 240-bed for-profit home on Chicago's southwest side, and the number that stands out is nurse staffing: 2.97 hours per resident day, roughly 23% under the national average of 3.86. Weekends run about 14% thinner than weekdays, so coverage gets lightest exactly when families tend to visit. Turnover sits at 42.1%, a bit better than the national 45.8%, but that's cold comfort next to 72 deficiencies on the current record, 8 at harm or jeopardy level and 3 abuse-related, plus four fines totaling $84,764. The last inspection was April 3, 2026, and the health inspection rating is 2 out of 5. Ask about weekday-to-weekend staffing and how abuse-related issues were resolved.

C

61/100

Berkeley Nursing & Rehab Center

Oak Park, IL · Cook County

CMS 4/572 bedsFor-profitMedicaid
Nurse hours
2.53 /day
Staff turnover
40%
Serious cites
0

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.

C

61/100

Monmouth Rehab And Nursing

Monmouth, IL · Warren County

CMS 1/558 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
46%
Serious cites
0

Monmouth Rehab and Nursing is a 58-bed for-profit home in Warren County, and the numbers that matter most here are the inspection ones. Its current record carries 48 deficiencies, including 7 at the harm or jeopardy level and 6 tied to abuse, a pattern serious enough that CMS has issued 4 fines totaling $233,350, with the most recent inspection dated March 20, 2026. Staffing sits at 3.33 nurse hours per resident day, roughly 14 percent under the national average, and weekends run about 9 percent thinner than weekdays. Annual turnover, at 45.5 percent, is essentially the national rate.

C

61/100

Pinckneyville Nursing & Rehab

Pinckneyville, IL · Perry County

CMS 3/560 bedsFor-profitMedicaid
Nurse hours
3.43 /day
Staff turnover
50%
Serious cites
0

Pinckneyville Nursing & Rehab is a for-profit, LLC-owned home with 60 certified beds in Perry County. Nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average, and weekends run about 13% thinner than weekdays, so coverage tends to dip right when families are most likely to visit. Annual turnover hits 50%, above the 45.8% national figure. Inspectors last visited in April 2025 and cited 19 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with $100,864 in fines on record. The 4/5 inspection rating doesn't carry the rest: the 1/5 quality measure score is the deeper concern.

C

60.5/100

Aperion Care Wesley

Chicago, IL · Cook County

CMS 1/5108 bedsFor-profitMedicaid
Nurse hours
3.74 /day
Staff turnover
57%
Serious cites
0

Aperion Care Wesley runs 108 beds on Chicago's South Side under corporate for-profit ownership, and the numbers show a building stretched thin on the people side. Nurse staffing sits at 3.74 hours per resident day, slightly under the national average, but the bigger issue is consistency: weekends run about 16% leaner than weekdays, and annual turnover hits 56.7% against a national 45.8%. Inspectors have logged 48 deficiencies, three serious enough to put residents in harm's way, with $63,832 in fines and a January 2025 inspection. The quality measure score looks strong, but that reflects charted care, not the staffing that delivers it.

C

60.5/100

Axiom Healthcare Of Flora

Flora, IL · Clay County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
44%
Serious cites
0

Axiom Healthcare of Flora runs 99 certified beds under corporate ownership, and its nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86. Weekends thin out further, dropping about 21% below the home's own weekday levels, and staff turnover lands near 43.6%, slightly better than the 45.8% national figure. What stands out more is the inspection record: 23 deficiencies on file, including two at the harm or jeopardy level and five tied to abuse, plus $9,110 in fines. The last inspection came in October 2024, and the quality measure rating sits at 1 out of 5. A 4-star health inspection rating looks decent on its own, but it doesn't erase that deficiency list.

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