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Illinois Best Medicaid Nursing Homes 2026

645 of Illinois's 667 nursing homes are certified to accept Medicaid and 627 of them also accept Medicare.

Medicaid homes against the rest of Illinois

22 Illinois homes are not certified for Medicaid. 0 of the 645 certified homes carry a harm-level citation on their current record, and 37 grade A while 152 grade D or F. The most certified homes sit in Chicago (74), Rockford (11) and Peoria (8).

Nursing hours per resident per day

3.39

Homes not certified: 5.21

Nurse staff turnover

44.8%

Homes not certified: 34.4%

Average ElderGrade score

64.2/100

Homes not certified: 84.2/100

Best-graded Medicaid homes in Illinois

#1
A

99/100

Highland Oaks

Elgin, IL · Kane County

CMS 5/524 bedsNon-profitMedicaid
Nurse hours
5.25 /day
Staff turnover
28%
Serious cites
0

Highland Oaks runs 24 beds in Elgin under church-related nonprofit ownership, and the staffing numbers show it: 5.25 nurse hours per resident day, roughly a third more than the national average. Weekend coverage dips about 11% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 27.5%, well under the 45.8% national figure, which matters for residents who need consistent faces. On record: six deficiencies, none at the harm level, one abuse-related, with the last inspection in August 2024. All three CMS star ratings, health inspections, quality measures, staffing, come in at five.

#2
A

96/100

Little Sisters Of The Poor Of Palatine

Palatine, IL · Cook County

CMS 5/549 bedsNon-profitMedicaid
Nurse hours
5.74 /day
Staff turnover
18%
Serious cites
0

Little Sisters of the Poor of Palatine runs 49 certified beds on Palatine's north side, and the numbers behind its record are unusually steady for a home this size. Nurse staffing sits at 5.74 hours per resident day, roughly half again the national average of 3.86, and weekend coverage dips only about 10% below its own weekday level, which matters because weekend gaps are where a lot of homes quietly slip. Staff turnover of 18.2% is well under the 45.8% national figure, so the people caring for residents tend to stay. Five deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in November 2024.

#3
A

96/100

Springs At Monarch Landing, The

Naperville, IL · Du Page County

CMS 5/596 bedsFor-profitMedicaid
Nurse hours
5.15 /day
Staff turnover
37%
Serious cites
0

The Springs at Monarch Landing is a for-profit LLC home in Naperville with 96 certified beds, and its numbers hold up under scrutiny. Nurse staffing runs 5.15 hours per resident day, roughly a third above the national average, and weekend coverage dips only about 10% below its own weekday level, so care doesn't fall off a cliff on Saturdays and Sundays. Staff turnover sits at 36.8%, meaningfully better than the 45.8% national figure. On the inspection side, 11 deficiencies appear on the current record, but none at the harm or jeopardy level and none abuse-related, with the most recent inspection completed in July 2024. All three CMS star ratings land at 5 out of 5.

#4
A

96/100

Selfhelp Home Of Chicago

Chicago, IL · Cook County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
4.85 /day
Staff turnover
24%
Serious cites
0

Nurse staffing at Selfhelp Home of Chicago runs 4.85 hours per resident day, roughly a quarter above the national average, and weekends dip only about 9% below weekdays, a modest drop compared with what many homes see. Annual turnover sits at 24.4%, well under the national 45.8%. The tradeoff is on the inspection side: 21 deficiencies on the current record, including one at the harm level and one abuse-related, with the last inspection in August 2024. The nonprofit's quality and staffing measure ratings are both top-tier, so the care numbers look strong; the open question is how that one serious deficiency fits with everything else.

#5
A

96/100

Moorings Of Arlington Heights

Arlington Hts, IL · Cook County

CMS 5/592 bedsNon-profitMedicaid
Nurse hours
5.12 /day
Staff turnover
12%
Serious cites
0

Moorings of Arlington Heights runs on a nonprofit model with 92 certified beds, and its staffing tells a real story: 5.12 nurse hours per resident day against a national average of 3.86. That's roughly a third more hands-on care than most homes provide, and the people delivering it tend to stay, turnover sits at 12.1% while the national figure is closer to 46%. Weekend coverage does dip about 11% below its own weekday level, worth knowing if you'll be visiting Saturdays and Sundays. The health inspection record shows 10 deficiencies, including one at the harm level and two tied to abuse, so ask directly how those were resolved when you tour.

#6
A

96/100

Apostolic Christian Home Of Eureka

Eureka, IL · Woodford County

CMS 5/5100 bedsNon-profitMedicaid
Nurse hours
4.68 /day
Staff turnover
25%
Serious cites
0

The numbers here are unusually steady. Nurses provide 4.68 hours of care per resident each day, about a fifth more than the national average, and the staff actually stays, turnover of 25.4% is roughly half the national rate of 45.8%. Weekend coverage dips about 9% below the home's own weekday level, so ask how that plays out on a Sunday. Four deficiencies sit on the current record, none involving harm or abuse, and the last inspection was in late 2024. Church-affiliated nonprofit ownership with 100 certified beds. Five stars on both inspections and staffing, four on quality measures. Nothing here looks like a facility coasting on reputation.

#7
A

96/100

Westminster Place

Evanston, IL · Cook County

CMS 5/5105 bedsNon-profitMedicaid
Nurse hours
5.23 /day
Staff turnover
23%
Serious cites
0

Westminster Place runs on 5.23 nurse hours per resident day, about a third more than the national average, and its staff tends to stay, turnover of 23.1% is roughly half the national rate. Weekend coverage dips about 9% below its own weekday level, which is worth asking about if your family member needs more help on Saturdays and Sundays. The inspection record shows seven deficiencies, none at the harm level and none abuse-related, with the most recent visit in October 2024 and top marks from CMS for both inspections and staffing. As a nonprofit, it isn't answering to shareholders, and the numbers reflect that stability.

#8
A

94.5/100

Tabor Hills Health Care Fac

Naperville, IL · Du Page County

CMS 5/596 bedsNon-profitMedicaid
Nurse hours
4.91 /day
Staff turnover
32%
Serious cites
0

Tabor Hills is a nonprofit home in Naperville with 96 beds, and the numbers here are unusually steady. Nurse staffing runs 4.91 hours per resident day, roughly 27% above the national average, though weekends dip about 16% below its own weekday levels, so ask how that gap gets covered. Staff turnover sits at 31.5% against a national 45.8%, which means caregivers are more likely to still be there next year. The current record shows 14 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in May 2024. For a family weighing consistency of care, that combination is what stands out.

#9
A

94.5/100

Fairview Haven

Fairbury, IL · Livingston County

CMS 5/552 bedsNon-profitMedicaid
Nurse hours
4.78 /day
Staff turnover
30%
Serious cites
0

Fairview Haven is a 52-bed church-affiliated nonprofit in Fairbury, and the numbers suggest it runs like a place that knows its residents. Nurse staffing sits at 4.78 hours per resident day, roughly a quarter above the national average, and weekend coverage dips only about 16 percent below its own weekday level, a real drop, but smaller than what many homes show. Staff turnover is 30.4 percent against a national average near 46 percent, which matters for continuity of care. Fourteen deficiencies on record sounds like a lot until you see none reached harm or jeopardy and none involved abuse; the last inspection was September 2024. Small, stable, and inspected recently.

#10
A

94/100

Meridian Village Care Center

Glen Carbon, IL · Madison County

CMS 5/570 bedsNon-profitMedicaid
Nurse hours
4.66 /day
Staff turnover
28%
Serious cites
0

Meridian Village Care Center runs on church-affiliated nonprofit ownership in Glen Carbon, and the numbers back up what that structure often buys: time with residents. Nurse staffing sits at 4.66 hours per resident day, roughly a fifth above the national average, and weekends dip only about 5% below weekdays, a small gap compared with what many homes show. Staff turnover is 28%, well under the national 45.8%, which matters because consistent caregivers know the residents. The current record carries seven deficiencies, none at the harm level, though one is abuse-related and worth asking about directly. A 5/5 inspection rating and a November 2024 survey round out a record that looks stable rather than lucky.

#11
A

94/100

Gottlieb Memorial Hospital

Melrose Park, IL · Cook County

CMS 5/532 bedsNon-profitMedicaid
Nurse hours
5.56 /day
Staff turnover
39%
Serious cites
0

Gottlieb Memorial is small, 32 certified beds, and it's run by a nonprofit corporation, which tends to mean the money goes back into the building rather than out to shareholders. The staffing numbers are the real story here: 5.56 nurse hours per resident per day against a national average of 3.86. That's roughly 44% more hands-on time than a typical home, and weekend coverage barely drops off from weekdays, so your family member isn't getting a skeleton crew on Sundays. Turnover sits at 38.6%, better than the 45.8% national figure, though not low enough to call it settled. Six deficiencies on record, none at the level that suggests actual harm, but two tied to abuse, worth asking about specifically.

#12
A

93/100

Mercy Harvard Hospital Care Center

Harvard, IL · Mc Henry County

CMS 5/534 bedsNon-profitMedicaid
Nurse hours
6.76 /day
Staff turnover
36%
Serious cites
0

Mercy Harvard runs 34 beds as a nonprofit, and the staffing numbers are the story here: 6.76 nurse hours per resident day, roughly 75% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, but that's a narrow gap and staff turnover sits at 35.5%, well under the 45.8% national figure. The current record shows 9 deficiencies, none at the harm or jeopardy level, though one is abuse-related. A 5/5 inspection rating with a February 2026 survey means the state looked recently and found nothing serious. Small homes live or die on consistency, and this one has it.

#13
A

93/100

Apostolic Christian Skylines

Peoria, IL · Peoria County

CMS 5/562 bedsNon-profitMedicaid
Nurse hours
4.92 /day
Staff turnover
42%
Serious cites
0

Apostolic Christian Skylines runs on 4.92 nurse hours per resident per day, roughly a quarter more staffing than the typical American nursing home. Weekends dip about 12% below its own weekday levels, so ask how that plays out on a Sunday afternoon. The 42.2% turnover is a touch better than the national 45.8%, meaning most caregivers who start here tend to stay a while. State inspectors visited in October 2024 and found nine deficiencies, one serious enough to involve harm or jeopardy, and none tied to abuse. Five stars on both inspections and staffing, four on quality measures, the weaker numbers sit in care outcomes, not in who's on the floor.

#14
A

93/100

Renaissance Care Center

Canton, IL · Fulton County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
7.80 /day
Staff turnover
26%
Serious cites
0

Renaissance Care Center runs 7.80 nurse hours per resident day, roughly double the national average, and that staffing shows up in a lower turnover rate too, 26.1% against a national 45.8%. Weekend coverage dips about 8% below weekdays, which is a normal pattern but worth knowing if your visits fall on Saturdays. The tradeoff sits on the inspection side: 28 deficiencies on record, including 3 at the harm or jeopardy level and 4 tied to abuse. State surveyors were last in on January 9, 2025, so the findings are recent. Corporate-owned and Medicare-certified at 120 beds, this is a home with real bedside hours and a compliance record that needs a closer look before you decide.

#15
A

92/100

Little Sisters Of The Poor

Chicago, IL · Cook County

CMS 5/576 bedsNon-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
32%
Serious cites
0

Little Sisters Of The Poor runs 76 certified beds on the North Side, and the staffing numbers are the first thing worth noticing: 4.30 nurse hours per resident day, roughly 11% above the national average of 3.86. That coverage thins on weekends, dropping about 13% below the home's own weekday level, so ask how that plays out on a Saturday. Staff turnover sits at 31.5%, well under the 45.8% national figure, which matters for residents who need consistent caregivers. The tradeoff is in the inspection record: 22 deficiencies, including 2 at the harm level and 2 tied to abuse, plus one fine of $9,272. The most recent inspection was March 2025, so the picture is current.