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.
Montgomery Place sits in Chicago with 40 certified beds and a nonprofit owner, and its nurse staffing comes in at 3.82 hours per resident day, just under the national average of 3.86. Weekend coverage dips about 3% below its own weekday level, so the difference between a Tuesday and a Sunday is real. The inspection record is the harder part: 33 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with two fines totaling $19,752. That health inspection rating lands at 2 out of 5, though quality measures score 5 and staffing scores 4, a split worth asking about directly when you tour.
Midway Neurological in Bridgeview runs 404 certified beds, and the staffing numbers are the hard part: 1.62 nurse hours per resident per day, roughly 58% under the national average of 3.86, with weekends about 21% thinner than weekdays. Turnover is 22.6%, which is actually low compared to the 45.8% national figure, so the problem isn't constant churn, it's how few hands are scheduled at once. The inspection record shows 38 deficiencies, including 5 at harm or jeopardy level and 7 tied to abuse, plus two fines totaling $55,162. Its last inspection was June 13, 2025. A for-profit corporation operates it.
Kensington Place runs on 2.19 nursing hours per resident per day, which is roughly 43 percent below the national average, and weekends are about a fifth thinner than weekdays. The staffing star rating reflects that. Turnover at 38.7 percent is actually better than the 45.8 percent national figure, so the problem isn't churn, it's raw hours on the floor. Inspectors last visited in May 2025 and logged 62 deficiencies on the current record, including one at the harm level and 16 tied to abuse. Ownership is a for-profit partnership. When you tour, ask how many nurses and aides are on the floor at 2 a.m. on a Saturday.
Peterson Park runs about 11% leaner on nurse staffing than the national average, and weekends dip slightly further below its own weekday levels, worth knowing if your visits tend to fall on Saturdays or Sundays. The 33 deficiencies on record include two at the harm or jeopardy level and two tied to abuse, which is a lot of inspection history to carry for a 196-bed for-profit home. Staff turnover sits at 37.1%, actually better than the national 45.8%, so the people caring for residents aren't cycling out as fast as elsewhere. The tradeoff: consistent caregivers, but fewer of them per resident, and a recent November 2025 inspection that found real problems.
Park Ridge Healthcare Center runs 46 beds under for-profit LLC ownership, and its nurse staffing sits at 2.94 hours per resident day, roughly a quarter below the national average, with weekends running about 13% thinner than weekdays. That said, the 14.3% annual turnover is remarkably low against a 45.8% national figure, so the staff who are there tend to stay. The trouble shows up in inspections: ten deficiencies on the current record, including one at the harm level and three tied to abuse, with the most recent inspection in May 2025. Quality measures score well; the health inspection side is where this home struggles.
Bria of Forest Edge is a 328-bed for-profit home on Chicago's far south side, and the numbers that stand out most aren't the ones on its marketing. Its 71 deficiencies include 8 at the harm or jeopardy level and 14 tied to abuse, that's a pattern, not a one-off. Nurse staffing sits at 2.97 hours per resident day, well under the 3.86 national average, and weekends drop about 13% below its own weekday level. The one bright spot is turnover: 36.1% versus 45.8% nationally, meaning workers stay longer than at a typical home. But with a 1-out-of-5 inspection rating and $407,863 in fines across three cases, that retention hasn't translated into safer care.
Smith Village is a nonprofit home on Chicago's South Side with 93 certified beds, and its staffing is genuinely heavy, 5.27 nurse hours per resident day, roughly 36% above the national average, though weekends run about 10% thinner than weekdays. The trouble sits elsewhere: 23 deficiencies on the current record, five of them serious enough to put residents in harm's way and one tied to abuse, plus a $16,350 fine and a November 2025 inspection that landed at two stars for health inspections and two for quality measures. Staff turnover of 57.3% is well above the national 45.8%. Generous staffing only helps if the same caregivers stay long enough to know the residents.
On Chicago's Southwest Side, a 46-bed for-profit home run by a limited liability company sits well under the national staffing benchmark, about 16% below it, and weekends run roughly 12% thinner than its own weekdays. Turnover lands at 39.4%, better than the 45.8% national figure, so the consistent staff largely stay. What stands out more is the record: 58 deficiencies, three at harm or jeopardy level, six tied to abuse, and a $151,119 fine, with the last inspection in October 2024. Federal inspectors rated health inspections 2 out of 5, though quality measures scored 4 out of 5.
Fargo Health Care Center runs lean on the floor: 2.83 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. The inspection record is the bigger concern, 42 deficiencies, including 8 at the harm or jeopardy level and 8 tied to abuse, with four fines totaling $245,827 and a survey as recent as August 2025. Staff turnover at 20.3% is genuinely better than the 45.8% national figure, and quality measures score well, but a for-profit LLC structure with that staffing and deficiency history makes the tradeoff clear.
Asbury Court runs a lean ship on turnover: 29.9% annual staff turnover sits well below the 45.8% national average, and total nurse staffing of 4.94 hours per resident day beats the typical 3.86. That's a real advantage, though weekends dip about 17% below weekday coverage, so care may thin out when families visit most.
The inspection record tells a harder story. Nineteen deficiencies, including three at harm or jeopardy level and four abuse-related, produced a 2/5 health inspection rating and a $9,200 fine. The most recent inspection was May 2025, so the record is current.
For-profit, individually owned, 79 beds. Strong staffing and retention, but the harm-level and abuse citations are the kind of thing worth asking the administrator about directly before deciding.
All American Village runs 144 beds on Chicago's Far South Side as a for-profit LLC, and its last full health inspection was in April 2025. The record shows 34 deficiencies, including two at the level that caused actual harm or put residents in immediate jeopardy, plus six tied to abuse. Nurse staffing sits at 2.47 hours per resident day, roughly 36% under the national average, and weekends run about 21% thinner than weekdays. Turnover is 25%, better than the 45.8% national figure, so aides tend to stay, there just aren't enough of them scheduled.
Three Crowns Park is a small nonprofit home in Evanston, just 34 certified beds, and it was inspected recently, in April 2025. The staffing number is the one that stands out: one star, well below what CMS expects, in a building where there's no corporate chain to blame and no obvious excuse for running thin. Its inspection record shows five deficiencies, three tied to abuse and two serious enough to reach harm or jeopardy. A recent inspection with active harm-level findings isn't a stale problem. If you're considering this place, ask what changed after April and who's on the floor overnight.
Winston Manor runs on 1.39 nurse hours per resident per day, about 64 percent below the national average of 3.86, and weekend staffing drops another 7 percent below its own weekday level. That thin coverage sits behind a one-star CMS staffing rating and a two-star inspection record: 36 deficiencies, five of them at the harm or jeopardy level, and eight tied to abuse. The five-star quality measure score looks strong, but those numbers come from resident assessments, not from how many hands are actually on the floor. This is a 180-bed for-profit corporate home in Chicago last inspected in June 2024.
Crestwood Terrace runs lean on the floor: 2.27 nurse hours per resident day against a national average of 3.86, with weekends staffed roughly 14% thinner than weekdays. That gap matters most on Saturdays and Sundays, when questions go unanswered longer. Turnover is the bright spot, 19.6% against a national 45.8% means the aides you meet are more likely to still be there next year. But the inspection record is heavy: 29 deficiencies, 8 involving harm or jeopardy, 6 tied to abuse, and a recent inspection in August 2024. For-profit individual ownership runs the building, and quality scores look strong while staffing and inspection scores sit at 2 out of 5.
Alpine Care of Evanston runs 124 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86, with weekends about 15% thinner than its own weekdays. The one number that stands out in the other direction is turnover: 15.8% against a national average near 46%, so the staff who are there tend to stay. What pulls the record down is the inspection history: 20 deficiencies, three at harm or jeopardy level and three tied to abuse, plus a $40,258 fine and a December 2025 inspection that leaves the quality measure rating at 2 out of 5.
Sheridan Village runs 191 beds on Chicago's South Side, and the staffing number is the one to sit with: 2.58 nurse hours per resident per day against a national average of 3.86. That's roughly a third less hands-on care than typical, and weekends drop another 17% below the home's own weekday level. Turnover at 27.3% actually beats the 45.8% national figure, so the problem isn't churn, it's how few hours each resident gets. The inspection record shows 38 deficiencies, including two at harm or jeopardy level and five tied to abuse, plus a $52,284 fine. The most recent inspection was May 2025.
Elevate Care Palos Heights runs 111 beds under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag. At 3.54 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 16% below its own weekday coverage, that's when families tend to visit and notice. Turnover at 44% is close to the national figure, so that's not the outlier here. What stands out is the inspection record: 21 deficiencies, four serious enough to reach harm or jeopardy, and seven tied to abuse. Two fines totaling $57,370, with the most recent inspection in January 2025. The quality measure score looks good on paper, but I'd ask directly about those abuse deficiencies before deciding.
Northbrook Health and Rehab runs lean on nursing hours, 3.05 per resident day against a national average of 3.86, and weekends drop roughly another 18% below its own weekday coverage. That staffing pattern is the main reason a home with a perfect 5-star inspection history lands at a C overall, since its 11 deficiencies include two at the harm level and one tied to abuse, and $10,059 in fines sit on the record. Turnover at 43.2% is slightly better than the national 45.8%. The last inspection was June 26, 2025, so the picture is current. The 2-star quality measure rating suggests the clinical numbers families watch don't match the strong survey history either.
Elevate Care Des Plaines runs 275 beds under for-profit LLC ownership, and its inspection record is the part that should get your attention. Thirty-six deficiencies on file, ten of them serious enough to put residents in harm's way, plus two abuse-related findings and $246,873 in federal fines across four separate penalties. Staffing sits at 3.80 nurse hours per resident day, just under the national average, and weekends drop roughly 11% below what the home staffs on weekdays. Annual turnover of 44.6% tracks close to the national figure, so that's not the outlier here. The last full inspection was in August 2024, and the state's most recent health inspection rating came in at 2 out of 5.
Pearl Of Montclare runs 96 certified beds on Chicago's northwest side under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.35 hours per resident day against a national average of 3.86, and weekends drop roughly 11% below what the home schedules on weekdays, that gap matters most when families visit and see fewer aides on the floor. Staff turnover runs 50.5%, above the 45.8% national figure, which means roughly half the caregiver workforce turns over in a year. The current inspection record carries 56 deficiencies, including four at the harm or jeopardy level and four tied to abuse, plus $53,336 in fines across three events. The last inspection was March 2025.