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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 401–420 of 451, best-graded first.

D

53/100

Hillside Rehab & Care Center

Yorkville, IL · Kendall County

CMS 2/5 79 beds For-profit Medicaid
Nurse hours
2.77 /day
Staff turnover
45%
Serious cites
0

Hillside runs lean on nursing hours, 2.77 per resident day against a national average of 3.86, roughly 28% below, and weekends dip even further below its own weekday levels. The inspection record shows 35 deficiencies, three of them at the harm or jeopardy level and three tied to abuse, with $158,570 in fines across three penalties; the last inspection was in May 2026. Ownership is for-profit through a limited liability company, and staff turnover sits at 44.7%, essentially matching the national rate rather than improving on it. Quality measure and staffing ratings both land at the low end, and the health inspection rating is middling at best.

D

53/100

Mount Vernon Countryside Manor

Mount Vernon, IL · Jefferson County

CMS 2/5 91 beds For-profit Medicaid
Nurse hours
2.92 /day
Staff turnover
49%
Serious cites
0

Mount Vernon Countryside Manor runs on 2.92 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip even lower than its own weekday levels. The staffing star rating sits at 1 out of 5, and turnover runs 49.4% against a national 45.8%, nearly half the nursing staff cycling out in a year. On inspections, the record shows 22 deficiencies, four at harm or jeopardy level and three tied to abuse, with $126,387 in fines across four penalties. The most recent inspection was January 2025. For-profit corporate ownership. If you're weighing this one, ask hard questions about weekend coverage and how they've corrected the abuse-related findings.

D

53/100

Bria Of River Oaks

Burnham, IL · Cook County

CMS 1/5 309 beds For-profit Medicaid
Nurse hours
2.86 /day
Staff turnover
36%
Serious cites
0

Bria Of River Oaks runs 309 beds in Burnham, and the number that should give you pause is 2.86 nursing hours per resident per day, roughly a quarter below the national average, with weekends thinner still. Turnover sits at 35.6%, which is actually better than average, so the problem isn't a churning workforce; it's that there don't appear to be enough hands scheduled. The inspection record is heavy: 38 deficiencies, 13 of them at harm or jeopardy level, seven tied to abuse, and eight fines totaling $270,248. Its last inspection was July 2024. For-profit corporate ownership. Ask about weekend coverage and the abuse plan before you tour.

D

53/100

Vandalia Healthcare & Senior Living

Vandalia, IL · Fayette County

CMS 1/5 116 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
60%
Serious cites
0

Vandalia Healthcare & Senior Living runs 116 certified beds under for-profit LLC ownership, and its staffing is the number to sit with first: 3.06 nurse hours per resident day against a national average of 3.86, roughly a fifth below, with weekends about 8% thinner than weekdays. Turnover sits at 59.5%, well above the 45.8% national figure, so the aides and nurses in the building keep changing. The inspection record backs that up: 35 deficiencies, two at harm or jeopardy level, no abuse findings, and one fine of $14,720, with the most recent survey dated November 20, 2025. Quality and staffing each scored one star out of five; health inspections scored three. Families should ask how the home covers weekends and how long its current staff have actually been there.

D

52.5/100

Nexus At Palos

Palos Hills, IL · Cook County

CMS 1/5 207 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
55%
Serious cites
0

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.

D

52.5/100

Silvis Center For Nursing Rehab & Care

Silvis, IL · Rock Island County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
—
Serious cites
0

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.

D

52/100

Rivaya Care Of Des Plaines

Des Plaines, IL · Cook County

CMS 1/5 231 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
62%
Serious cites
0

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.

D

52/100

Rose Garden Of Pana

Pana, IL · Christian County

CMS 1/5 105 beds For-profit Medicaid
Nurse hours
2.71 /day
Staff turnover
45%
Serious cites
0

Rose Garden Of Pana runs 105 beds as a for-profit, individually owned home, and the staffing numbers are the first thing I'd flag: 2.71 nurse hours per resident day, about 30% under the national average of 3.86. Weekends drop roughly another 12% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The record shows 29 deficiencies, including 3 at harm or jeopardy level and 3 tied to abuse, plus two fines totaling $120,442. Turnover sits at 45%, essentially matching the national rate. The last inspection was February 2026. With a 1/5 staffing rating and 1/5 quality measures against a 3/5 inspection score, the pattern is consistent: this home has real problems, and staffing is where they start.

D

52/100

Jerseyville Nsg & Rehab Center

Jerseyville, IL · Jersey County

CMS 1/5 111 beds For-profit Medicaid
Nurse hours
2.65 /day
Staff turnover
65%
Serious cites
0

Jerseyville Nsg & Rehab Center runs on 2.65 nursing hours per resident per day, roughly a third below the national average of 3.86, and weekend coverage drops about 9% below its own weekday level. Annual turnover sits at 64.9% against a national 45.8%, so the people caring for residents are frequently new. The inspection record is where things get serious: 49 deficiencies, 13 of them at harm or jeopardy level, 7 tied to abuse, and seven fines totaling $413,648. Ownership is for-profit, through a limited liability company. Staffing and health inspection scores each land at 1 out of 5 stars, despite a 3 out of 5 on quality measures. If you're considering this home, ask directly how they're addressing the harm-level findings and what weekend coverage actually looks like.

D

52/100

Effingham Healthcare & Senior Living

Effingham, IL · Effingham County

CMS 1/5 62 beds For-profit Medicaid
Nurse hours
2.92 /day
Staff turnover
39%
Serious cites
0

Nurse staffing at Effingham Healthcare runs 2.92 hours per resident day against a national average of 3.86, roughly a quarter less time with a caregiver than the typical home. Weekends are thinner still, about 14% below what the building itself staffs on weekdays. Turnover sits at 39.4%, a bit better than the 45.8% national figure, and it's the only number here that reads favorably. The inspection record is the harder part: 46 deficiencies, seven serious enough to involve harm or jeopardy, five tied to abuse, and three fines totaling $132,532. The last inspection was September 2024, so that record is recent. For-profit corporate ownership, 62 beds.

D

52/100

Bria Of Cahokia

Cahokia, IL · St. Clair County

CMS 1/5 133 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
51%
Serious cites
0

If you're considering Bria of Cahokia for a family member, the numbers tell a hard story. Nurse staffing sits at 3.25 hours per resident day, about 16 percent under the national average, and drops further on weekends. Staff turnover runs 51 percent, above the national rate, which means the people caring for your relative are likely to keep changing. The inspection record is the part that worries me most: 89 deficiencies, 23 of them serious enough to put residents in harm's way, and 20 tied to abuse. Seven fines totaling just under $687,000 have piled up, with the most recent inspection in April 2025. For-profit, limited liability ownership.

D

52/100

Arcadia Care Morris

Morris, IL · Grundy County

CMS 1/5 123 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
50%
Serious cites
0

Arcadia Care Morris runs leaner than most homes, and the numbers show it. Nurse staffing sits at 3.42 hours per resident day against a national average of 3.86, and weekends drop another 5% below its own weekday level, so the thinnest coverage lands when families tend to visit. Half the staff turned over in a year, above the 45.8% national figure, which matters because unfamiliar aides miss changes in a resident's condition. Its inspection record carries 37 deficiencies, six serious enough to involve harm or jeopardy, plus $96,340 in fines; the last full inspection was October 2024. A for-profit limited liability company owns the 123-bed building.

D

52/100

Nexus At Columbia

Columbia, IL · Monroe County

CMS 1/5 119 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
52%
Serious cites
0

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.

D

52/100

La Bella Of Edwardsville

Edwardsville, IL · Madison County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
2.91 /day
Staff turnover
72%
Serious cites
0

La Bella Of Edwardsville runs on 2.91 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage drops about 13% below its own weekday level. That thin staffing shows in the numbers: 71.7% annual turnover, against 45.8% nationally, and 1 out of 5 stars from CMS on staffing. The inspection record carries 40 deficiencies, eight at harm or jeopardy level and five tied to abuse, with $138,697 in fines across five penalties; the last inspection was May 2024. Ownership is for-profit, a limited liability company. The 4-star quality measure rating reflects resident assessment data, not the hands available to deliver care.

D

51/100

Mason City Area Nursing Home

Mason City, IL · Mason County

CMS 1/5 97 beds Non-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
48%
Serious cites
0

Mason City Area Nursing Home runs on 3.18 nurse hours per resident per day, roughly 18% under the national average, with weekends about 9% thinner than its own weekdays. Staff turnover sits at 47.7%, slightly worse than the 45.8% national figure. The inspection record shows 17 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus a $157,310 fine, all on a nonprofit's watch. CMS rates staffing and quality measures 1 out of 5 stars each, with inspections at 3. The most recent survey was December 4, 2024. Families weighing this home should ask how weekend coverage and recent turnover affect daily care.

D

51/100

Bria Of Godfrey

Godfrey, IL · Madison County

CMS 2/5 68 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
77%
Serious cites
0

Bria Of Godfrey runs on 3.25 nurse hours per resident per day, about 16 percent under the national average, and weekends drop another 13 percent below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and fewer hands are on the floor. Annual turnover sits at 77.4 percent against a national 45.8 percent, so the aides and nurses caring for residents are, more often than not, new to the building. The inspection record backs that up: 44 deficiencies, 13 serious enough to cause harm or jeopardy, three tied to abuse, and five fines totaling $209,961. The last inspection was August 2024, recent enough to reflect current conditions.

D

51/100

Fairview Rehab & Healthcare

Du Quoin, IL · Perry County

CMS 3/5 76 beds For-profit Medicaid
Nurse hours
2.80 /day
Staff turnover
55%
Serious cites
0

Fairview Rehab runs 2.80 nurse hours per resident day, well under the national average of 3.86, roughly a quarter less hands-on time than the typical home. Weekend coverage dips about 4% below its own weekday levels, and more than half the nursing staff turns over each year, above the national rate. Inspectors have cited six deficiencies, two of them serious enough to put a resident in harm's way, with fines reaching $30,972. The most recent inspection was in May 2024. A for-profit limited liability company operates the 76-bed building.

D

50.5/100

Forest City Rehab & Nrsg Ctr

Rockford, IL · Winnebago County

CMS 1/5 213 beds For-profit Medicaid
Nurse hours
2.39 /day
Staff turnover
41%
Serious cites
0

Forest City Rehab has 213 beds and a for-profit LLC owner, and the numbers behind its record are hard to read as anything but trouble. Nurse staffing sits at 2.39 hours per resident day, roughly 38% under the national average, and weekends drop about 16% below its own weekday level, so the thinnest coverage happens when families tend to visit. Inspectors have cited 65 deficiencies, including 10 at harm or jeopardy level and 11 tied to abuse, with four fines totaling $192,920. Staff turnover at 41% is actually a touch better than the 45.8% national figure, but that's the lone bright spot in an otherwise rough record, and the most recent inspection closed in November 2025.

D

50.5/100

Fairfield Senior Living & Rehabilitation Llc

Fairfield, IL · Wayne County

CMS 1/5 104 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
—
Serious cites
0

Fairfield Senior Living & Rehabilitation runs 104 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 3.05 nurse hours per resident day, it's about a fifth below the national average of 3.86, and weekend coverage dips even further below its own weekday level. The inspection record is heavier than that gap alone suggests: 45 deficiencies, eight of them serious enough to put residents at harm or jeopardy, four tied to abuse, and eight fines totaling $126,045. The most recent inspection was July 2025, so this is current, not stale. When resident care measures and staffing both sit at the low end, the pattern usually reflects how the building is run day to day.

D

50/100

Avantara Evergreen Park

Evergreen Park, IL · Cook County

CMS 1/5 242 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
61%
Serious cites
0

Avantara Evergreen Park runs 242 certified beds under for-profit LLC ownership, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average, and weekends drop about 8% below what the home itself provides on weekdays, so coverage is thinnest exactly when families tend to visit. Annual turnover of 61.4% against a 45.8% national average means most of the people caring for residents are relatively new. On inspections, CMS rates the home 2 out of 5, with 58 deficiencies on the current record, 10 at harm or jeopardy level and 4 abuse-related, plus eight fines totaling $292,244 and a May 2025 inspection.

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