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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 441–451 of 451, best-graded first.

D

45/100

La Bella Of Mascoutah

Mascoutah, IL · St. Clair County

CMS 1/5 76 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
79%
Serious cites
0

Nurse staffing at La Bella of Mascoutah runs about 3.65 hours per resident per day, roughly 5% under the national average, and it thins out further on weekends, about 14% below its own weekday level. The bigger issue is who stays: annual turnover hits 78.8% against a national average of 45.8%, meaning most of the aides and nurses caring for your relative this year likely won't be there next year. That churn shows up in the inspection record: 36 deficiencies, five serious enough to put residents in harm's way, four tied to abuse, and three fines totaling $128,006. The most recent inspection was December 2025.

D

45/100

La Bella Of Caseyville

Caseyville, IL · St. Clair County

CMS 1/5 150 beds For-profit Medicaid
Nurse hours
3.03 /day
Staff turnover
55%
Serious cites
0

La Bella Of Caseyville runs on 3.03 nursing hours per resident day, roughly a fifth below the national average, and weekends dip even lower than its own weekdays. That thin coverage shows up in the numbers: a one-star staffing rating, a one-star quality measure rating, and 55.3% annual turnover, meaning more than half the nursing staff leaves each year. The inspection record is heavier than that staffing picture alone would suggest, 40 deficiencies, 7 serious enough to put residents in harm's way, 6 tied to abuse, and $222,663 in fines across three actions, with the most recent inspection in June 2025. This is a for-profit LLC with 150 beds, and families should ask directly how the home covers weekends and what changed since those abuse findings.

D

45/100

Evervella Of Swansea

Swansea, IL · St. Clair County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.03 /day
Staff turnover
74%
Serious cites
0

Evervella Of Swansea runs on 3.03 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage dips even further below its own weekday pace. That thin margin shows up in the workforce itself: nearly three-quarters of staff turned over in a year, against a national rate closer to 46%. The inspection record carries 32 deficiencies, including three at the harm or jeopardy level and one tied to abuse, plus 23 fines totaling $155,317. The last inspection was recent, in September 2025, and quality measures sit at 2 out of 5 stars. If you're weighing this one, ask directly how they hold weekend staffing and what's changed since that abuse finding.

D

45/100

Integrity Hc Of Anna

Anna, IL · Union County

CMS 1/5 70 beds For-profit Medicaid
Nurse hours
2.63 /day
Staff turnover
68%
Serious cites
0

Integrity Hc Of Anna runs about 2.63 nurse hours per resident day against a national average of 3.86, roughly a third less hands-on care than typical, with weekends running about 13% leaner than weekdays. Turnover sits at 67.7% against a national 45.8%, meaning most of the staff you'd meet likely weren't there a year ago. The inspection record is heavy: 53 deficiencies, 10 of them at harm or jeopardy level and two tied to abuse, plus five fines totaling $352,749. The most recent inspection was August 2025, so the record is current rather than stale. For a 70-bed for-profit home, the numbers point to thin coverage and repeated compliance failures rather than isolated bad luck.

D

45/100

Regency Care

Springfield, IL · Sangamon County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
57%
Serious cites
0

Regency Care runs 99 beds in Springfield under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 2.96 nurse hours per resident per day, roughly a quarter below the national average, with weekends dropping another 12% below its own weekday staffing. Turnover sits at 57.3% against a national 45.8%, which means the aides and nurses your family member sees are cycling through constantly. The inspection record backs this up, 38 deficiencies, six at harm or jeopardy level, three tied to abuse, and $210,507 in fines across four events. The most recent inspection was March 2025, so the record is current. CMS rates it 1 out of 5 on both staffing and quality measures.

D

43/100

Lakeside Health & Rehab Center

Carlinville, IL · Macoupin County

CMS 1/5 95 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
61%
Serious cites
0

Lakeside runs 3.12 nurse hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekends are thinner still, about 13% below its own weekday coverage, and 60.6% of staff turned over in a year versus 45.8% nationally, so the people providing that care keep changing. The inspection record shows 38 deficiencies, 11 serious enough to cause harm or jeopardy, 2 tied to abuse, and $199,461 in fines across three penalties. The most recent inspection was March 2025, so the picture is current. A for-profit corporation owns the 95-bed building. Staffing, quality measures, and inspection results each land at the low end of CMS's scale.

D

43/100

Arc At Sangamon Valley

Springfield, IL · Sangamon County

CMS 1/5 171 beds Non-profit Medicaid
Nurse hours
2.91 /day
Staff turnover
73%
Serious cites
0

Nurse staffing at Arc at Sangamon Valley runs about 25% under the national average, 2.91 hours per resident day against 3.86, and weekends dip roughly 8% below what the home itself provides on weekdays. When aides and nurses leave at a 72.6% annual rate, well above the 45.8% national figure, that thin coverage gets harder to hold steady. The inspection record carries 82 deficiencies, 14 of them at harm or jeopardy level and 13 tied to abuse; federal fines total $583,051 across five penalties, and the most recent inspection was September 2024. Nonprofit ownership hasn't translated into stronger numbers here.

D

43/100

Serenity Estates Of Lincolnshire

Lincolnshire, IL · Lake County

CMS 1/5 144 beds For-profit Medicaid
Nurse hours
2.97 /day
Staff turnover
99%
Serious cites
0

Serenity Estates of Lincolnshire runs on 2.97 nurse hours per resident per day, roughly a quarter below the national figure, and it thins out further on weekends. That staffing picture is hard to separate from a 99% annual turnover rate, meaning the aides and nurses in the building are largely new to it, more than double the churn seen at the typical U.S. home. The inspection record is heavier still: 61 deficiencies, ten serious enough to involve harm or jeopardy, six tied to abuse, and $343,139 in fines across eight penalties. The most recent state visit was April 2025. A for-profit limited liability company operates the 144-bed home.

D

42/100

Renwick Nursing And Rehab

Joliet, IL · Will County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
68%
Serious cites
0

Renwick Nursing and Rehab runs on 3.22 nursing hours per resident day, roughly 17 percent under the national average, and weekends drop about 12 percent below its own weekday staffing. Turnover sits at 67.7 percent against a national 45.8, so the aides and nurses who remain are likely covering for a constantly changing crew. The current record carries 52 deficiencies, seven of them serious enough to involve harm or jeopardy, two tied to abuse, and six fines totaling $202,040. All three CMS ratings come in at one star, with the last inspection logged in October 2024. For a 120-bed for-profit limited liability company, those numbers describe a home where short staffing, high churn, and repeated citations reinforce each other.

D

40.5/100

Prairie Village Healthcare Ctr

Jacksonville, IL · Morgan County

CMS 1/5 126 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
65%
Serious cites
0

Prairie Village runs 126 beds under corporate ownership, and the numbers that stand out most are about people, not beds. Nurse staffing sits at 3.84 hours per resident day, just under the national average, but weekends drop roughly 24% below what the home staffs on weekdays, so the coverage your family member gets depends heavily on which day they need it. Annual turnover of 65.2% means most of the aide staff you'd meet this year won't be there next year, against a national rate near 46%. The inspection history carries 22 deficiencies, two serious enough to involve harm or jeopardy, and one fine of $131,684. The last full inspection was April 2024.

–

Not graded

Axiom Gardens Of Mount Vernon

Mount Vernon, IL · Jefferson County

106 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Axiom Gardens Of Mount Vernon carries 18 deficiencies on its current record, and three of those are abuse-related, a category families should ask about directly. Two more were serious enough to be cited at the harm or jeopardy level, meaning an inspector determined residents were actually endangered, not just at risk. The 106-bed home is run by a for-profit corporation, inspected last on March 17, 2025, and it's been fined three times for a combined $37,500. That pattern of repeat fines alongside abuse citations suggests problems that inspections have flagged before and that the home hasn't fully corrected. When you tour, ask what changed after those abuse findings and who supervises residents with behavioral needs.

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