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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 361 to 380 of 451, best-graded first.

C

58/100

Timber Point Healthcare Center

Camp Point, IL · Adams County

CMS 1/5110 bedsFor-profitMedicaid
Nurse hours
2.70 /day
Staff turnover
52%
Serious cites
0

Timber Point runs on 2.70 nurse hours per resident day, roughly 30 percent under the national average of 3.86, and weekend coverage drops about 13 percent below its own weekday level. That thin bench shows up in the numbers: 51.7 percent annual turnover against a national 45.8 percent, a 1-out-of-5 staffing rating from CMS, and a chain of 35 deficiencies, five serious enough to reach harm or jeopardy, three tied to abuse. Two fines totaling $131,617 sit on the record, and the most recent inspection, in June 2025, is recent enough to assume it reflects how things run now. With a 2-out-of-5 inspection rating and corporate for-profit ownership, the pattern is consistent rather than a single bad month.

C

58/100

Aperion Care Dolton

Dolton, IL · Cook County

CMS 3/588 bedsFor-profitMedicaid
Nurse hours
3.14 /day
Staff turnover
32%
Serious cites
0

Aperion Care Dolton runs 88 certified beds under corporate for-profit ownership, and its staffing sits at 3.14 nurse hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 13% below the home's own weekday coverage, which matters when needs don't pause on Saturdays. Turnover at 31.9% is actually better than the 45.8% national figure, so retention isn't the main problem here; the raw hours and inspection record are. The March 2024 inspection left 32 deficiencies on the current record, including four at the harm or jeopardy level and three tied to abuse. Four fines total $168,629. With staffing star at 1 out of 5 and inspection at 2, the numbers point to thin coverage and repeated serious findings rather than one bad survey.

C

58/100

Countryside Care Center

Macomb, IL · Mc Donough County

CMS 2/562 bedsFor-profitMedicaid
Nurse hours
2.90 /day
Staff turnover
63%
Serious cites
0

Countryside Care Center runs on 2.90 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops another 10% beneath its own weekday level. More than six in ten staff left over the past year, 62.5% turnover against a national 45.8%, so the people showing up are often new. Its inspection history is the harder problem: 61 deficiencies on the current record, seven serious enough to put residents in harm's way, five tied to abuse, and $317,916 in fines across seven penalties. The five-star quality measure score reflects charted care, not whether enough hands are there to deliver it.

C

57.5/100

Sunset Rehabilitation And Health Care

Canton, IL · Fulton County

CMS 1/5115 bedsFor-profitMedicaid
Nurse hours
3.73 /day
Staff turnover
n/a
Serious cites
0

Sunset Rehabilitation and Health Care is a 115-bed for-profit in Canton, and the numbers that stand out most aren't the quality scores, they're the inspection record. Fifty deficiencies on file, eight of them serious enough to put residents in harm's way, eight tied to abuse. Add three fines totaling more than $518,000, and a one-star inspection rating, and you've got a paper trail regulators have clearly been working. Nurse staffing sits just under the national average at 3.73 hours per resident day, and it drops about 11% on weekends, which is when families often visit and notice things. The four-star quality measure score reflects what the home reports about resident outcomes, but that's a narrower view than the inspection history, which covers the last visit in November 2024.

C

57.5/100

Heartland Senior Living

Neoga, IL · Cumberland County

CMS 3/571 bedsFor-profitMedicaid
Nurse hours
3.23 /day
Staff turnover
40%
Serious cites
0

Heartland Senior Living runs 71 certified beds in Neoga under for-profit LLC ownership, and the staffing numbers are the main thing to know. At 3.23 nurse hours per resident day, it sits about 16 percent under the national average of 3.86, and weekends drop roughly another 16 percent below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 40 percent is actually a bit better than the 45.8 percent national figure, but that's the one bright spot. The inspection record shows 27 deficiencies, including 8 at harm or jeopardy level and 3 abuse-related, with four fines totaling $152,711.

C

57.5/100

Benton Rehabilitation And Health Care Center

Benton, IL · Franklin County

CMS 1/567 bedsFor-profitMedicaid
Nurse hours
3.02 /day
Staff turnover
n/a
Serious cites
0

Benton Rehabilitation runs 3.02 nurse hours per resident day, roughly 22 percent under the national average, and weekends dip about 9 percent below its own weekday staffing. The inspection record shows 42 deficiencies, including 2 at harm or jeopardy level and 6 tied to abuse, with one fine of $17,512; the most recent inspection was April 2025, so the record is current. Quality measures and staffing each score 1 out of 5 from CMS, while inspections land at 3. Corporate-owned and certified for 67 beds, this is a home where the daily staffing numbers and the deficiency history tell the same story.

C

57/100

The Pearl Of Downers Grove

Downers Grove, IL · Du Page County

CMS 1/5145 bedsFor-profitMedicaid
Nurse hours
3.60 /day
Staff turnover
65%
Serious cites
0

The Pearl of Downers Grove runs on thin staffing: 3.60 nurse hours per resident day, about 7% under the national average, and weekends drop roughly 8% below its own weekday levels. Turnover sits at 64.9% against a national 45.8%, meaning most of the people caring for your relative likely weren't there a year ago. The current record carries 58 deficiencies, three of them at harm or jeopardy level and two tied to abuse, plus a $30,794 fine. The last inspection was April 14, 2025. For-profit corporate ownership, 145 beds. The pattern here is understaffing, instability, and a documented history of serious problems.

C

57/100

La Bella Of Morrison

Morrison, IL · Whiteside County

CMS 1/574 bedsFor-profitMedicaid
Nurse hours
3.04 /day
Staff turnover
100%
Serious cites
0

La Bella Of Morrison runs on a nurse staffing level of 3.04 hours per resident day, roughly 21% under the national average, and weekends dip about 7% below what the home already provides on weekdays. The bigger red flag is turnover: 100% of nursing staff left over the past year, against a national rate near 46%. On the inspection side, the record shows 47 deficiencies, including 5 at the harm or jeopardy level and 5 tied to abuse, plus three fines totaling $65,860. The most recent inspection was March 5, 2025. Ownership is a for-profit limited liability company, and the staffing star rating sits at 1 out of 5.

C

57/100

The Haven Of Tuscola

Tuscola, IL · Douglas County

CMS 1/571 bedsFor-profitMedicaid
Nurse hours
2.94 /day
Staff turnover
47%
Serious cites
0

The Haven of Tuscola runs on 2.94 nursing hours per resident day, roughly a quarter below the national average, and weekends dip about 14% under its own weekday level. That thin coverage shows up in the inspection record: 87 deficiencies, five at harm or jeopardy level and five abuse-related, with three fines totaling $68,631. Staff turnover sits at 46.7%, slightly above the national rate. Federal ratings give this for-profit LLC one star each for health inspections and staffing, two for quality measures, and the most recent inspection was January 28, 2025. When a building carries that many citations alongside that few staff hours, families should ask hard questions before admitting anyone.

C

56.5/100

Piatt County Nursing Home

Monticello, IL · Piatt County

CMS 3/5100 bedsGovernmentMedicaid
Nurse hours
4.15 /day
Staff turnover
56%
Serious cites
0

Piatt County Nursing Home is county-owned, and its 4.15 nurse hours per resident day sit about 7% above the national average, but that average hides a weekend drop of roughly 17%, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Turnover runs 56.1% against a national 45.8%, and the record carries 32 deficiencies, six of them at harm or jeopardy level and four tied to abuse, plus three fines totaling $182,948. The last inspection was June 2025. Staffing and quality measures both score low, and the inspection history is where the real weight sits.

C

56.5/100

Nature Trail Health And Rehab

Mount Vernon, IL · Jefferson County

CMS 4/574 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
49%
Serious cites
0

Nature Trail Health And Rehab runs about 3.33 nursing hours per resident day, roughly 14% under the national average, and weekends drop another 17% below its own weekday staffing. That thin coverage sits behind 28 deficiencies on the current record, including three at the harm or jeopardy level and two tied to abuse, along with one fine of $28,620. Inspectors were last in the building in December 2025, and the health inspection rating came back at 4 out of 5, so the state's most recent look wasn't the problem. Staff turnover is 49.2%, above the national 45.8%, which matters in a building this size.

C

55.5/100

Evercare Of Granite City

Granite City, IL · Madison County

CMS 3/586 bedsFor-profitMedicaid
Nurse hours
2.45 /day
Staff turnover
78%
Serious cites
0

Evercare Of Granite City looks decent on paper in two places: its health inspection and quality measure ratings each sit at four out of five stars, and the last inspection was recent, September 2025. But the staffing number is the one that should worry you. At 2.45 nurse hours per resident per day, this home runs about 37 percent below the national average, weekends dip another 18 percent below its own weekday level, and annual turnover hits 78.3 percent against a national 45.8, meaning most of the people caring for your relative are new, and there are fewer of them on Saturdays and Sundays. Add 21 deficiencies, four of them harm-level and three abuse-related, plus $32,523 in fines, and the inspection stars stop telling the whole story.

C

55.5/100

Aspyre Of Bronzeville

Chicago, IL · Cook County

CMS 1/5204 bedsFor-profitMedicaid
Nurse hours
2.58 /day
Staff turnover
25%
Serious cites
0

Aspyre Of Bronzeville runs 204 beds on Chicago's South Side under corporate ownership, and its nurse staffing sits at 2.58 hours per resident day, roughly a third below the national average of 3.86. Weekends drop about 18% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the part that would worry me most: 59 deficiencies, including 5 at the harm or jeopardy level and 4 tied to abuse. Three fines totaling $107,000, and the last inspection was August 2024. Turnover at 25% is actually better than the 45.8% national average, which matters, but it doesn't offset a 2/5 staffing rating and 2/5 inspection rating. Ask about weekend coverage and the abuse-related citations specifically.

C

55/100

Allure Of Pinecrest

Mount Morris, IL · Ogle County

CMS 2/5125 bedsFor-profitMedicaid
Nurse hours
3.52 /day
Staff turnover
37%
Serious cites
0

Allure of Pinecrest runs 125 certified beds, and its nurse staffing sits at 3.52 hours per resident per day, about 9% under the national average of 3.86. Weekends run roughly 9% thinner than weekdays, so the coverage gaps aren't evenly spread. The inspection record is the bigger concern: 38 deficiencies, eight of them at harm or jeopardy level, four tied to abuse, and $188,633 in fines across four penalties. Staff turnover of 37.4% is actually below the national 45.8%, which suggests the problem isn't retention so much as how the place is run. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 2 out of 5, and the most recent inspection was April 30, 2025.

C

55/100

Pearl Pointe Nursing Rehab & Care

Freeport, IL · Stephenson County

CMS 1/5109 bedsFor-profitMedicaid
Nurse hours
2.76 /day
Staff turnover
44%
Serious cites
0

Pearl Pointe runs on 2.76 nursing hours per resident per day, roughly 28% under the national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thin coverage sits alongside 67 deficiencies on the current record, including 7 at the harm or jeopardy level and 6 tied to abuse, plus three fines totaling $168,767. Staff turnover, at 43.8%, is actually slightly better than the national 45.8%, so the problem here isn't retention, it's how few hands are on the floor and what inspectors keep finding. The most recent inspection was November 19, 2025.

C

55/100

Arcadia Care Morton

Morton, IL · Tazewell County

CMS 1/5106 bedsFor-profitMedicaid
Nurse hours
2.81 /day
Staff turnover
54%
Serious cites
0

Arcadia Care Morton runs a 106-bed for-profit home where nurse staffing sits at 2.81 hours per resident day, roughly 27% below the national average of 3.86, and weekend coverage dips about 4% below its own weekday level. The inspection record is the harder problem: 57 deficiencies, seven of them serious enough to put residents in harm's way and seven flagged as abuse-related, plus seven fines totaling $366,357. Annual turnover of 54% means more than half the staff leaves every year, against a national 45.8%. The most recent inspection was February 2025, so the picture isn't stale. Ask about direct-care staffing on weekends and how the abuse-related findings were resolved.

C

55/100

The Sapphire At Northwoods

Belvidere, IL · Boone County

CMS 1/5113 bedsFor-profitMedicaid
Nurse hours
2.97 /day
Staff turnover
63%
Serious cites
0

Symphony Northwoods runs 2.97 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends drop about 12% below what the building already provides on weekdays. That thin coverage shows up in the workforce itself: 63% annual turnover against a national 45.8%, with a CMS staffing rating of 1 out of 5. The inspection record carries 37 deficiencies, eight of them at harm or jeopardy level and two abuse-related, plus four fines totaling $126,193; the most recent inspection was January 7, 2026. Quality measures score well at 4 out of 5, but a for-profit corporate owner with this staffing pattern and this deficiency history is the fuller picture.

C

55/100

Randolph County Care Center

Sparta, IL · Randolph County

CMS 1/5100 bedsGovernmentMedicaid
Nurse hours
3.83 /day
Staff turnover
60%
Serious cites
0

Randolph County Care Center runs on thin margins where it counts. Nurse staffing sits just under the national average, and weekends drop roughly 9% below what the home staffs on weekdays, so the coverage your family sees Monday may not be there Saturday. Turnover tells a bigger story: 60% of staff leave each year, well above the 45.8% national figure, which means unfamiliar faces at the bedside. On inspections, the record shows 21 deficiencies, four serious enough to involve harm or jeopardy and five tied to abuse, with two fines totaling $172,932. The last full inspection was April 2024. County-run and 100 beds, but the numbers carry real weight.

C

55/100

Three Springs Sr Living & Rhab

Chester, IL · Randolph County

CMS 2/583 bedsFor-profitMedicaid
Nurse hours
2.91 /day
Staff turnover
65%
Serious cites
0

Three Springs Sr Living & Rhab runs about 2.91 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 7% below its own weekday level. Staff turnover sits at 65.1% against a national average of 45.8%, so a lot of the people caring for residents are still new to the building. The current record shows 21 deficiencies, one serious enough to reach harm or jeopardy, though none abuse-related, and the last inspection was September 2025. It's a for-profit limited liability company, 83 beds, with a 1-out-of-5 staffing rating and 2-out-of-5 on quality measures.

C

55/100

The Citadel At Saint Joseph Village

Freeport, IL · Stephenson County

CMS 1/5124 bedsFor-profitMedicaid
Nurse hours
3.26 /day
Staff turnover
65%
Serious cites
0

The Citadel at Saint Joseph Village runs a 124-bed nonprofit home in Freeport, and the staffing numbers are where I'd start. At 3.26 nurse hours per resident day, it sits about 16% under the national average, weekends drop roughly 11% below its own weekday level, and turnover is 64.9% against a national 45.8%. Inspections back that up: 48 deficiencies on record, seven at harm or jeopardy level, two abuse-related, and six fines totaling $125,824. The last inspection was December 2024, so the record is current rather than stale. Quality measures score well, but that's a narrower slice than staffing and inspection history.

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