Nursing homes across Cook County, Illinois, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Landmark of Cicero runs 485 certified beds on 1.90 nurse hours per resident day, roughly half the national figure of 3.86. Weekend staffing drops another 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover sits at 31.7%, actually better than the 45.8% national average, which makes the low staffing hours look more like a budget decision than a retention problem. The record shows 74 deficiencies, nine at harm or jeopardy level and nine abuse-related, plus a $52,195 fine. CMS placed it in the Special Focus Facility program, and the most recent inspection, on January 8, 2026, is recent enough that the findings reflect current conditions.
Little Village runs on 2.37 nurse hours per resident day, roughly 39% under the national average, and weekends drop about 27% below what the home itself staffs on weekdays. That thin coverage sits behind a record of 51 deficiencies, nine of them at harm or jeopardy level and 11 tied to abuse, plus a $54,464 fine and a December 2024 inspection. Turnover, at 33.3%, is actually better than the 45.8% national figure, so the problem here isn't retention, it's how few hands are scheduled against a for-profit, limited-liability operation where federal ratings land at 2/5 for inspections and 1/5 for both quality measures and staffing.
Nexus At Berwyn runs 145 certified beds under corporate ownership, and the numbers that matter most here are the ones families can't easily see. Nurse staffing sits at 3.25 hours per resident day, roughly 16 percent under the national average, and it thins out further on weekends, dropping about 17 percent below the home's own weekday level. Staff turnover is 57 percent, well above the 45.8 percent national figure, so the people providing care keep changing.
The inspection record is where things get serious: 52 deficiencies, including 9 at the harm or jeopardy level and 3 tied to abuse, with five fines totaling $428,544. That's a lot of documented trouble for one building.
Aperion Care Oak Lawn runs on thin staffing, about 3.08 nurse hours per resident each day, roughly a fifth below the national average, and weekends drop even further below its own weekday levels. That's a problem when you consider the inspection record: 62 deficiencies, seven of them serious enough to put residents at risk of harm, and 13 tied to abuse. More than half the nursing staff turns over in a year, well above the national rate of 45.8%, which makes consistent care hard to sustain. Federal fines total just over $52,000 across four penalties, and the most recent inspection was in January 2026. For-profit ownership under a limited liability company rounds out a picture where the numbers consistently point the same direction.
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.
Austin Oasis is a 216-bed for-profit home in Chicago, and the federal numbers on it are grim. Staffing earns one star out of five, meaning residents here get fewer caregiving hours than the national average, and that gap is where falls, sores, and missed medications tend to happen. The inspection record shows 68 deficiencies, including 8 that put residents in immediate harm and 13 tied to abuse. Seven fines totaling $607,298 have piled up, with the most recent inspection in March 2025. Low staffing plus a harm-level deficiency pattern is the combination families should weigh hardest. If you're considering this one, ask to see the current plan of correction and how the home is fixing its staffing shortfall.
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.
Prairie Oasis runs 3.26 nurse hours per resident per day, roughly 16% under the national average, and weekends drop about 18% below its own weekday staffing. The inspection record backs that up: 67 deficiencies, 12 of them at harm or jeopardy level, 13 abuse-related, and six fines totaling $302,164. Turnover sits at 44.1%, marginally better than the 45.8% national figure but hardly a bright spot given everything else. All three CMS star ratings, health inspections, quality measures, staffing, come in at 1 out of 5, and the last inspection was September 12, 2025. This is a for-profit, individually owned home where the numbers point the same direction.
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.
Aperion Care International runs 218 beds on the South Side, and the staffing numbers are where the trouble starts: 3.14 nurse hours per resident day, roughly 19% under the national average, with weekends about 12% thinner than weekdays. A 48.1% annual turnover rate sits slightly above the national figure of 45.8%, which means the people providing that already-lean care are frequently new. The inspection record is heavy, 71 deficiencies, eight at harm or jeopardy level, seven tied to abuse, and five fines totaling $106,504. State inspectors last visited in May 2024. With a for-profit limited liability company at the helm, the pattern suggests a building where corners get trimmed at the bedside.
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.
Paul House & Health Cr Ctr runs 110 certified beds on Chicago's Near West Side, and the staffing numbers are where the trouble starts. Nurses provide 3.77 hours per resident day, slightly under the 3.86 national average, but weekends drop about 11% below the home's own weekday coverage, so care thins out exactly when families tend to visit. Staff turnover sits at 64.2% against a 45.8% national figure, meaning most of the people caring for residents this year likely won't be there next year. Add 59 deficiencies on the current record, three serious enough to involve harm or jeopardy, plus $107,115 in fines, and the recent June 2025 inspection reads less like a fresh start than a long-running pattern.
Ryze At Homewood runs 259 certified beds out of a for-profit LLC, and the nurse staffing line is where the trouble starts: 2.49 hours per resident day, roughly 36% below the national average of 3.86, with weekends running about 9% thinner than weekdays. Turnover sits at 62.4% against a national 45.8%, so even the hours that exist are often worked by someone new. The inspection record backs that up, 73 deficiencies, 15 at harm or jeopardy level, six abuse-related, and $502,525 in fines across 10 citations, with the last inspection in December 2024. Quality measures score mid-range, but that's the one bright spot in an otherwise thin picture.
Ryze On The Avenue runs 302 beds on Chicago's South Side, and the numbers behind its record are hard to dress up. Nurse staffing sits at 2.64 hours per resident day, roughly a third below the national average, and weekend coverage barely dips from that already thin weekday level, so there's little sign of extra help when families visit. Nearly three in five staff left over the past year, well above the typical rate. Inspectors have cited 86 deficiencies, seven involving harm or jeopardy and a dozen tied to abuse, with nine fines totaling $192,821. The last inspection was September 2024.
Warren Barr South Loop runs 210 beds under for-profit LLC ownership, and its staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average, with weekends running about 3% thinner than its own weekdays. That thinness shows up in turnover: 61.5% of staff leave each year, well above the 45.8% national figure. The inspection record carries 65 deficiencies, including 6 at harm or jeopardy level and 3 tied to abuse, plus four fines totaling $240,888. Its last inspection was February 2025, so the record is current, and federal ratings put staffing at 1 out of 5. If you're considering this building, ask specifically who is on the floor on weekends and how they're fixing that turnover.
Central Nursing Home runs 245 beds on Chicago's West Side, and the numbers behind its federal record are hard to dress up. Nurse staffing sits at 2.24 hours per resident per day, roughly 42% under the national average of 3.86, and weekends run about 8% thinner than weekdays, so the hours when families visit most are the hours with the least coverage. The inspection record shows 45 deficiencies, including 2 at the harm or jeopardy level and 6 tied to abuse, with three fines totaling $85,800 and a last inspection in August 2024. Staff turnover of 46.5% is close to the national rate, meaning the instability here isn't unusual for the industry, but combined with the low staffing and quality scores, it leaves little margin.
Aliya Of Crestwood runs about 2.99 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips another 6% below its own weekdays. Staff turnover sits at 65.3%, well above the 45.8% national figure, which means the people caring for residents are often new to the building. Its current record carries 41 deficiencies, five of them at harm or jeopardy level and one abuse-related, plus two fines totaling $80,372; the last inspection was February 2025. The 3-star inspection and quality ratings look passable on their own, but the staffing number is where this one falls apart.
Bria of Elmwood Park carries one of the heaviest regulatory loads in Cook County. Its record shows 100 deficiencies, including 26 that put residents in immediate harm or jeopardy and 16 tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for the small share of homes with a pattern of persistent problems. Fines total $616,979 across 10 penalties. Nurse staffing sits slightly under the national average, and weekends run about 16% thinner than weekdays, with 48.5% annual turnover. All three CMS star ratings, inspections, quality measures, staffing, sit at the lowest tier, and the most recent inspection was February 2025.
Chicago Ridge SNF runs 231 beds on 2.26 nurse hours per resident day, roughly 41 percent under the national average of 3.86, and weekends drop about 17 percent below its own weekday coverage. The inspection record is heavy: 119 deficiencies, 24 of them at harm or jeopardy level and 19 abuse-related, plus five fines totaling $883,180. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. Staff turnover sits at 46.8 percent, slightly above the 45.8 percent national figure, and its last inspection was September 27, 2024. It's a for-profit limited liability company, and all three CMS star ratings, health inspections, quality measures, and staffing, come in at 1 out of 5.
Kenwood Vlge Nrsg And Rhb Ctr carries a record that should give any family pause. The home has been cited for 72 deficiencies, including 8 at the harm or jeopardy level and 10 tied to abuse, findings severe enough to trigger three federal fines totaling $236,838. Nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average, and weekend coverage drops another 17% below its own weekday level, meaning care thins out exactly when families often visit. Turnover is near the national norm, so the problem isn't churn, it's depth of coverage and a long, serious inspection history.