Nursing homes across Henry County, Illinois, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Hillcrest Home is owned by the city or county, which usually means steadier oversight and no corporate parent pushing for cuts. The tradeoff shows up in the numbers: nurses give 3.27 hours per resident per day, about 15% under the national average, and weekends run roughly 15% lighter than weekdays. Staff turnover sits at 60.9% against a national 45.8%, so familiar faces are hard to count on. Inspections are the strong point, a 4/5 health inspection rating with a recent May 2025 visit, but the record still carries 17 deficiencies, one at harm level and two abuse-related, which is worth asking about directly.
Allure of Geneseo runs lean on nurse staffing at 3.37 hours per resident day, about 13 percent under the national average, and weekends drop roughly another 10 percent below its own weekday level. Turnover sits at 25 percent, well under the national 45.8 percent, so the aides and nurses who are there tend to stay. Inspections tell a mixed story: 22 deficiencies on record, including one at the harm level and one abuse-related, though the most recent visit was January 2026 and the health inspection and quality measure ratings both came in at 4 out of 5. The staffing rating is 2 out of 5. For-profit, limited liability ownership.
The Avenues at Royal Oak carries 74 deficiencies on its current record, and 13 of those rose to the level of actual harm or jeopardy, 19 are abuse-related. That pattern is serious enough that CMS has placed the 200-bed for-profit home in Kewanee in its Special Focus Facility program, and inspections through September 2025 keep turning up problems. Nurse staffing runs 3.03 hours per resident day, roughly 22 percent below the national average, and weekends are thinner still. One thing does stand out in the home's favor: turnover at 24.6 percent is well under the national 45.8 percent, so the people who are there tend to stay. The concern is how few of them there are.
Hammond-Henry runs a tight ship on staffing, 3.76 nurse hours per resident day, close to the national mark, and turnover at 40% actually beats the typical 45.8%. The catch is weekends, when coverage drops about 11% below weekday levels, and a health inspection record that's harder to defend: eight deficiencies, including two at harm or jeopardy level and two tied to abuse, plus a $75,020 fine. That September 2024 inspection is recent enough to still carry weight. The quality and staffing scores look strong on paper, but the survey history is where the real risk sits. For a 38-bed home, that's a lot of regulatory attention. Ask about weekend coverage and what changed since last fall.
Arcadia Care Kewanee runs on 3.12 nurse hours per resident per day, roughly 19% under the national average, and staffing gets thinner on weekends, about 9% below its own weekday level. That's the pattern behind a one-star CMS staffing rating. The 56 deficiencies on record include four at the harm or jeopardy level and three tied to abuse, plus a single $201,299 fine. Turnover is actually the better number here at 31.1%, well under the national 45.8%, so the problem isn't churn so much as how few hands are scheduled. The last inspection is recent, January 2026, and the quality measure rating sits at three stars.