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 81 to 100 of 451, best-graded first.

B

78.5/100

Fair Oaks Health Care Center

Crystal Lake, IL · Mc Henry County

CMS 3/551 bedsNon-profitMedicaid
Nurse hours
5.35 /day
Staff turnover
51%
Serious cites
0

Fair Oaks runs a nonprofit home of 51 beds in Crystal Lake, and its strongest number is nurse staffing: 5.35 hours per resident day, roughly 39% above the national average. That's real coverage, though weekends drop about 17% below the home's own weekday level, so care thins out when families tend to visit. The tradeoff shows up elsewhere. Staff turnover sits at 50.7%, above the 45.8% national average, and the record carries 29 deficiencies, including two at the harm level and one abuse-related, plus $31,230 in fines. The last inspection was June 2024. Strong daily staffing, but a compliance history worth asking about directly.

B

78.5/100

Iroquois Resident Home, The

Watseka, IL · Iroquois County

CMS 4/535 bedsNon-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
n/a
Serious cites
0

The Iroquois Resident Home runs a nonprofit operation with 35 certified beds in Watseka, and its health inspection record is the strongest part of the picture, a recent June 2024 survey and 26 deficiencies with none rising to harm or jeopardy level, though three are abuse-related and worth asking about directly. Staffing is where the story splits: total nurse hours come in at 4.03 per resident day, slightly above the national average, but weekends run about 11% leaner than weekdays, and the federal staffing rating sits at just 2 out of 5 stars. For a small home, that weekend dip is the number I'd press on, ask who's actually on the floor on a Sunday.

B

78/100

Lakefront Nursing & Rehab Ctr

Chicago, IL · Cook County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
2.45 /day
Staff turnover
8%
Serious cites
0

Lakefront runs lean on direct care: 2.45 nurse hours per resident per day, roughly a third below the national average, and weekends dip a bit lower still. What stands out is the workforce stability, 7.7% turnover against a national average near 46% means the people showing up are largely the same ones staying, which matters more than the raw hours when you're thinking about who actually knows your mother's routine. The tradeoff shows up in the record: 30 deficiencies, including 3 at harm level and 4 tied to abuse, though the last inspection was recent and the health and quality ratings both land at 4 of 5.

B

78/100

Alden Poplar Creek Rehab & Hcc

Hoffman Estates, IL · Cook County

CMS 5/5217 bedsFor-profitMedicaid
Nurse hours
2.82 /day
Staff turnover
28%
Serious cites
0

Alden Poplar Creek runs 217 beds in Hoffman Estates under corporate for-profit ownership, and its strongest numbers are on the clinical side, a five-star quality measure rating and four stars on health inspections, with the most recent visit in December 2025. Where it gives ground is staffing: 2.82 nurse hours per resident day sits about 27% under the national average of 3.86, and weekends run roughly 11% thinner than weekdays. Turnover at 27.5% is well below the national 45.8%, so the people who are there tend to stay. The record isn't clean, though, 29 deficiencies, one at harm or jeopardy level and five tied to abuse, plus $8,281 in fines.

B

78/100

Astoria Place Living & Rehab

Chicago, IL · Cook County

CMS 4/5164 bedsFor-profitMedicaid
Nurse hours
3.09 /day
Staff turnover
38%
Serious cites
0

Astoria Place runs about 3.09 nurse hours per resident day, roughly a fifth below the national average, and weekends dip slightly below its own weekday coverage. Staff turnover sits at 38.4%, better than the 45.8% national figure, so the people who are there tend to stay. The tradeoff shows up in the inspection record: 32 deficiencies, including two at the harm level and two tied to abuse, though the state has fined the home only once for $4,784 and last inspected in November 2024. Quality measure scores are strong across the board, while staffing and health inspection ratings are middling. For a 164-bed for-profit home, the pattern is decent care metrics riding on thin coverage.

B

78/100

Avantara Lake Zurich

Lake Zurich, IL · Lake County

CMS 5/5203 bedsFor-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
37%
Serious cites
0

Avantara Lake Zurich runs 203 beds under corporate ownership, and its nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average of 3.86, with weekends running about 3% thinner than weekdays. Turnover is where it looks better than most: 36.5% against a national 45.8%, meaning fewer aides and nurses walking out the door than typical. The trade-off shows up in its record: 30 deficiencies, including two at the harm level and two tied to abuse, plus one fine of $14,901, though the most recent inspection came in January 2025 and the health inspection rating landed at 4 out of 5. Staffing is the weakest of its three federal ratings.

B

78/100

Celebrate Senior Living Niles

Niles, IL · Cook County

CMS 4/555 bedsNon-profitMedicaid
Nurse hours
4.80 /day
Staff turnover
39%
Serious cites
0

Celebrate Senior Living Niles runs 4.80 nurse hours per resident day, roughly a quarter more than the national average of 3.86, and its 38.6% turnover sits below the national 45.8%, staff tend to stay longer here than at the typical home. Weekend coverage dips about 9% under weekday levels, which is worth asking about if your family visits Saturdays or Sundays. The record isn't spotless: six deficiencies, two serious enough to involve harm or jeopardy, and two fines totaling $29,754, though none tied to abuse. A 4/5 inspection rating from the most recent survey in October 2024 suggests the problems were addressed rather than ongoing.

B

78/100

Avenues At Litchfield

Litchfield, IL · Montgomery County

CMS 4/565 bedsFor-profitMedicaid
Nurse hours
1.67 /day
Staff turnover
12%
Serious cites
0

Avenues At Litchfield runs on 1.67 nurse hours per resident per day, roughly 57% below the national average of 3.86, and the weekend gap is real too, about 12% thinner than its own weekdays. Staff turnover, though, sits at 12% against a national 45.8%, so the people who are there tend to stay, and inspections look solid: 15 deficiencies on record, none at harm or jeopardy level, with a 4/5 inspection rating and a 5/5 on quality measures. The catch is two abuse-related citations and a staffing rating of 1/5. Low turnover doesn't offset thin coverage on nights and weekends, so ask specifically how many nurses are on the floor then.

B

77.5/100

West Suburban Medical Ctr

Oak Park, IL · Cook County

CMS 4/550 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

West Suburban Medical Center runs a small 50-bed unit in Oak Park, and its inspection record is its strongest suit, a four-star health inspection score and a clean abuse history, with the most recent survey completed in October 2024. But the staffing score tells a different story. One star means this home sits well below what CMS considers adequate on direct care hours, and that gap matters more than anything else here. Fourteen deficiencies on record, one serious enough to reach harm or jeopardy level, suggest the problems are more about day-to-day care capacity than outright neglect. Quality measures look strong at five stars, though those are largely self-reported. For-profit corporate ownership is worth noting when weighing where the money goes.

B

77.5/100

Pearl At The Tillers

Oswego, IL · Kendall County

CMS 5/5105 bedsFor-profitMedicaid
Nurse hours
3.59 /day
Staff turnover
42%
Serious cites
0

Pearl At The Tillers runs lean on nursing hours, 3.59 per resident day against a national average of 3.86, and weekends drop roughly 15% below what the home staffs during the week. That pattern matters because it shapes how quickly call lights get answered on a Saturday, when families tend to visit. Turnover sits at 42.4%, a touch better than the 45.8% national figure, so the crew is relatively stable even if it's small. Inspections are current, from March 2025, and the 27 deficiencies on record include two tied to abuse, though none reached harm or jeopardy level. Quality measures scored well; staffing is where the home lags.

B

77/100

Arc At Streator

Streator, IL · La Salle County

CMS 3/5130 bedsFor-profitMedicaid
Nurse hours
2.81 /day
Staff turnover
21%
Serious cites
0

The Arc At Streator runs lean on nursing hours, 2.81 per resident day against a national average of 3.86, with weekends dipping another 6% below its own weekday levels. That's the kind of gap families notice at 2 a.m. when call lights go unanswered. The inspection record shows 22 deficiencies, three of them serious enough to cause harm, and two abuse-related citations; the last state visit was April 2025. Staff turnover sits at 21%, well below the 45.8% national figure, so the people who are there tend to stay. This for-profit LLC home performs better on quality measures than on staffing or inspections, which tells you the clinical care is decent when someone's available to deliver it. Ask about evening and weekend coverage before you decide.

B

77/100

Dobson Plaza

Evanston, IL · Cook County

CMS 5/597 bedsFor-profitMedicaid
Nurse hours
2.96 /day
Staff turnover
32%
Serious cites
0

Dobson Plaza runs lean on bedside staffing: 2.96 nurse hours per resident per day, roughly 23 percent under the national average of 3.86. Weekends dip a bit further, about 4 percent below the home's own weekday levels. The trade-off shows up elsewhere. Staff turnover sits at 31.7 percent, better than the national 45.8 percent, so the aides and nurses who are there tend to stay. State inspectors gave the home five stars, and its last visit was recent, in August 2025. Ten deficiencies are on the current record, none at the harm level, though three involve abuse. That mix, strong retention and inspections, thin daily coverage, is what a B reflects here.

B

77/100

Heartland Nursing & Rehab

Casey, IL · Clark County

CMS 3/581 bedsFor-profitMedicaid
Nurse hours
3.43 /day
Staff turnover
40%
Serious cites
0

Heartland Nursing & Rehab in Casey runs 81 certified beds under corporate ownership, and its nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 9% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover, at 40.4%, is actually better than the 45.8% national figure, which matters for continuity. What pulls the record down is the inspection side: 37 deficiencies on file, one tied to abuse, with the most recent inspection dated December 13, 2024. No deficiency reached harm or jeopardy level, but the 2/5 health inspection and quality ratings show a pattern worth asking about directly.

B

77/100

Henry Rehab And Nursing

Henry, IL · Marshall County

CMS 5/581 bedsFor-profitMedicaid
Nurse hours
3.59 /day
Staff turnover
39%
Serious cites
0

Henry Rehab And Nursing runs about 3.59 nurse hours per resident per day, roughly 7% under the national average, and weekends drop another 14% below its own weekday staffing. That thin coverage is the weak spot in an otherwise strong record: 12 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with a recent April 2025 inspection. Turnover of 38.5% actually beats the national 45.8%, so the problem looks more like how many staff are scheduled than whether they stay. For families weighing a corporate-owned, 81-bed home, the practical question is what weekday and weekend coverage looks like on the shifts you'll actually visit.

B

77/100

Elevate Care Abington

Glenview, IL · Cook County

CMS 4/5192 bedsFor-profitMedicaid
Nurse hours
3.73 /day
Staff turnover
24%
Serious cites
0

Elevate Care Abington runs 192 certified beds in Glenview under for-profit LLC ownership, and its last health inspection came in April 2025, recent enough that the record reflects current conditions. The 19 deficiencies on file include three at the harm or jeopardy level and one tied to abuse, which matters more than the total count. Nurse staffing sits at 3.73 hours per resident day, a bit under the national average of 3.86, and weekends run about 13% thinner than weekdays. Staff turnover at 24.1% is roughly half the national rate of 45.8%, so the crew stays put. One fine of $10,033 is on record.

B

77/100

Lutheran Home For The Aged

Arlington Hts, IL · Cook County

CMS 5/5354 bedsNon-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
33%
Serious cites
0

Lutheran Home For The Aged runs 354 beds in Arlington Heights under nonprofit ownership, and its staff numbers tell a mixed story. Nurses provide 3.56 hours per resident day, roughly 8% under the national average, and weekends dip about 6% below the home's own weekday coverage. Turnover, though, sits at 33.2%, better than the 45.8% national figure. The inspection record is where the concerns pile up: 37 deficiencies, 8 serious enough to involve harm or jeopardy, 3 tied to abuse, and six fines totaling $144,945. The most recent inspection was January 22, 2026. Strong quality-measure scores don't erase that citation history, so ask direct questions about staffing on weekends and how the abuse-related findings were resolved.

B

77/100

Citadel Of Glenview,The

Glenview, IL · Cook County

CMS 4/5135 bedsFor-profitMedicaid
Nurse hours
3.38 /day
Staff turnover
28%
Serious cites
0

Nurse staffing at this Glenview home runs about 12 percent under the national average, and weekends dip roughly 13 percent below its own weekday coverage, a gap families often feel when they visit on Saturdays and Sundays. Turnover tells the opposite story: 28 percent against a national average near 46 percent, so the aides and nurses who are there tend to stay. Inspections back that up. The state surveyed the building in July 2025 and found 23 deficiencies, none at the harm or jeopardy level, though one was abuse-related, which is worth asking about directly. For a for-profit LLC with 135 beds, the record is steady but thinly staffed.

B

77/100

Avantara Long Grove

Long Grove, IL · Lake County

CMS 4/5195 bedsFor-profitMedicaid
Nurse hours
3.11 /day
Staff turnover
35%
Serious cites
0

Avantara Long Grove runs a 195-bed for-profit operation in Lake County, and the numbers tell two different stories. The clinical side looks solid: a 4/5 on health inspections, a 4/5 on quality measures, and 25 deficiencies on record with none at the harm level and none tied to abuse. Staffing is the weak spot. At 3.11 nurse hours per resident day, this home sits about 19% under the national average of 3.86, and weekends dip roughly 5% below its own weekday levels, so the gaps families notice are real, not imagined. Turnover of 34.6% is better than the 45.8% national figure, which helps continuity. Inspectors last visited in August 2024.

B

77/100

Galena Stauss Nursing Home

Galena, IL · Jo Daviess County

CMS 3/557 bedsNon-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
33%
Serious cites
0

Galena Stauss runs a tight ship on staffing: 4.04 nurse hours per resident day beats the national average, and the 33.3% turnover rate is well below the typical 45.8%. That stability shows in the CMS staffing rating, which comes in at the top mark. The health inspection side is solid too, with a 4 out of 5 and a recent survey from October 2024. Where the picture gets shakier is the quality measures, which sit at the bottom of the scale. And 27 deficiencies on record, including 2 at harm or jeopardy level and 4 tied to abuse, is worth asking about directly before you decide anything.

B

76/100

Macomb Post Acute Care Center

Macomb, IL · Mc Donough County

CMS 2/580 bedsFor-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
35%
Serious cites
0

Macomb Post Acute Care Center runs 80 certified beds under for-profit LLC ownership. Its 3.81 nurse hours per resident day sit just under the national average of 3.86, and weekend staffing drops roughly 28% below its own weekday level, a gap families notice when they visit on Saturdays. Staff turnover of 34.5% is actually better than the 45.8% national figure, and the 4/5 inspection rating with no abuse deficiencies counts in its favor. But 30 total deficiencies, including 2 at the harm or jeopardy level, weigh against that. A recent April 2025 inspection means the record reflects current conditions rather than old ones.

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