Nursing homes across Kane County, Illinois, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
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.
Avondale Estates Of Elgin runs on 5.21 nurse hours per resident day, roughly a third more than the national average, and its staff tends to stay, turnover sits at 31.3% against a national 45.8%. Weekend coverage dips only about 7% below weekday levels, so the place doesn't hollow out on Saturdays. The trade-off is a longer deficiency record: 11 findings on the current file, one serious enough to involve harm or jeopardy, though none tied to abuse. State inspectors were last in on June 27, 2025, and the health inspection rating came back at the top of the scale. For a for-profit, individually owned home of 120 beds, the staffing and retention numbers are doing most of the work here.
Greenfields Of Geneva runs about 4.52 nurse hours per resident per day, roughly 17% above the national average, and its staff turnover of 38.6% sits below the national 45.8%, meaning people tend to stay. The tradeoff shows up in the inspection record: 20 deficiencies, three of them serious enough to reach harm or jeopardy level, plus one fine of $14,203. Weekend staffing drops about 12% from weekday levels, so coverage thins out on Saturdays and Sundays. The most recent inspection was in December 2025.
Aperion Care Fox River runs lean on nursing hours, 3.17 per resident day, roughly 18% under the national average, and weekends dip about 12% below its own weekday coverage, which matters most when families visit and when staffing gaps tend to bite. Turnover sits at 39.7%, better than the national 45.8%, so the people who are there tend to stay. The clinical and inspection record is the strong part: top marks on health inspections and quality measures, with 10 deficiencies on file, none at harm or jeopardy level and none abuse-related, and the most recent inspection came in March 2025. For-profit corporate ownership, 94 beds. The tradeoff here is clear, a clean record and stable staff, but thin daily coverage.
Michaelsen Health Center runs on a nonprofit model with 99 certified beds, and the staffing numbers back up its top CMS rating there, 4.49 nurse hours per resident day, roughly 16% above the national average. Turnover sits at 40.2%, a bit better than the 45.8% national figure, though weekend coverage drops about 6% below weekday levels, which is worth asking about. The tension shows up elsewhere: a 4/5 inspection rating as of February 2026, but 21 deficiencies on record, three of them serious enough to involve harm or jeopardy, and one $9,110 fine. A 2/5 quality measure score pulls against that strong staffing story, so ask how those measures are being managed.
Avantara Aurora runs about 3.46 nurse hours per resident day, roughly 10% under the national average of 3.86, and weekend coverage dips another 3% below its own weekday levels. Turnover sits at 52.6% against a national 45.8%, so the aides and nurses your family member sees may change often. The inspection record shows 19 deficiencies, including one at the harm or jeopardy level and one abuse-related, though the most recent inspection was in March 2025 and the health and quality ratings hold at 4 out of 5 stars. Corporate for-profit ownership. The staffing number is the one worth asking about directly.
The Pearl of Elgin runs on 3.18 nurse hours per resident day, about 18 percent under the national average, and weekends drop roughly 13 percent below its own weekday numbers. That thin coverage is the main reason its staffing rating sits at 2 out of 5, even though resident outcomes look strong on paper with a 5 out of 5 quality measure score. Turnover of 40.2 percent is actually better than the national 45.8 percent, so the issue isn't retention so much as how many hands are scheduled at once. The inspection record shows 36 deficiencies, including one at harm level and two tied to abuse, with the last state visit in August 2024.
Batavia Rehabilitation and Health Care Center runs on 2.96 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 8% below its own weekday staffing. That thin coverage is what drives the one-star staffing rating, and it's worth weighing against the five-star quality measure score, the clinical metrics look good, but those numbers depend on people being there to chart and follow through. The current record carries 23 deficiencies, including two tied to abuse, though none rose to harm or jeopardy level. State inspectors last visited in June 2025, and the for-profit corporate owner holds 63 certified beds.
The Grove Of Fox Valley runs 158 certified beds in Aurora under individual for-profit ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekend coverage dips about 4% below what the home manages on weekdays, so the thinnest shifts get thinner. Turnover is 40.5%, better than the 45.8% national figure, which suggests some stability in the workforce even if raw hours run light. The inspection record is mixed: 26 deficiencies on file, including two at harm or jeopardy level and two abuse-related, but the most recent inspection came back in March 2026 and earned 4 of 5 stars on health inspections. Quality measures score 3 of 5.
North Aurora Living & Rehab Center runs on 1.94 nurse hours per resident day, roughly half the national average of 3.86, and weekend staffing doesn't pick up the slack. That thin coverage sits behind a one-star health inspection rating, and the record shows it: 48 deficiencies, including 10 tied to abuse and 8 serious enough to put residents in harm's way. Three fines total $96,800. Staff turnover is 25%, better than the 45.8% national figure, so the problem isn't retention, it's how few hands are scheduled. The quality measure score reads well, but with a for-profit partnership at 129 beds and inspection findings that heavy, ask hard questions about who's actually on the floor on a Saturday night.
Alpine Care of St. Charles is a 120-bed for-profit home, and the numbers show a building running thin on nursing hours. At 3.25 hours per resident day, staffing sits about 16% under the national average, and weekend coverage doesn't improve, it dips slightly below the home's own weekday level. Turnover near 50% means the aides and nurses you'd meet are often new or on their way out.
Inspections are the bigger concern: 39 deficiencies on the current record, four serious enough to involve harm or jeopardy, two tied to abuse. Federal fines total $14,015. The most recent inspection was in September 2025, so the picture is current. If you're considering this home, ask specifically how those four harm-level findings were resolved and what weekend coverage actually looks like on the floor.
Aperion Care Elgin runs about 2.7 nurse hours per resident per day, roughly 29% under the national average, and weekend coverage drops further below its own weekday level. Staff turnover sits at 49.1%, above the national figure. The health inspection history shows 35 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with $56,661 in fines across three cases; the most recent inspection was in April 2025. Resident outcome measures score well, but those numbers depend on the staffing underneath them. With 101 beds under individual for-profit ownership, the staffing shortfall is the concern a family should weigh first.
Jennings Terrace runs on 2.95 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 8% below its own weekday levels. That thin coverage shows up in the staffing star rating, which sits at 2 out of 5. Turnover is 40.5%, a bit better than the 45.8% national figure, so the people who stay tend to stay. The inspection record is the brighter side: 22 deficiencies with none at harm or jeopardy level, one abuse-related, and a 4-out-of-5 inspection rating from a visit in November 2024. Quality measures come in at 2 out of 5. It's a nonprofit corporation with 60 beds. Families should ask who covers weekends and how quickly call lights get answered.
Asbury Gardens is a 75-bed for-profit home in North Aurora, and its inspection record is the strongest part of the picture: a 4-out-of-5 health inspection rating, with the most recent survey completed in January 2026. The trouble sits elsewhere. Nurse staffing runs 3.64 hours per resident day, about 6% under the national average, and weekends drop roughly 17% below what the home staffs on weekdays, so the hours get thinnest exactly when families tend to visit. Annual turnover of 55.4% is well above the 45.8% national figure, which means aides and nurses are cycling through steadily. Twenty deficiencies sit on the current record, one serious enough to involve harm or jeopardy, plus $6,350 in fines across two penalties.
The Pearl of Fox River Valley runs about 10% leaner on nurse staffing than the national average, and weekends dip roughly 7% below its own weekday levels, the stretch when families typically visit and problems surface. Turnover sits at 48.5%, a few points above the national rate, so the people caring for your relative are often new to the building. Its record shows 30 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with two fines totaling $142,448. The last inspection was in September 2025, so the picture is current.
River View Rehab Center runs on 1.97 nurse staffing hours per resident day, roughly half the national average of 3.86, and weekends drop another 13% below its own weekday level. Inspectors have cited 46 deficiencies on the current record, six of them at harm or jeopardy level and 18 abuse-related, with four fines totaling $452,802. Turnover sits at 33.3%, better than the national 45.8%, but that's the one number here working in the building's favor. The last inspection was September 2025, and the health inspection rating landed at 2 out of 5 stars. With this few staff on hand and this many serious citations, you'd want to ask hard questions before moving anyone in.
Alden Courts of Waterford sits in Aurora with 60 certified beds, run by a for-profit corporation. Nurse staffing runs 3.92 hours per resident day, just above the national average of 3.86, but weekends drop roughly 7% below what the home staffs on weekdays, so coverage thins when families tend to visit. Staff turnover is 46.7%, slightly above the national 45.8%. The current record shows 19 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations, and a single fine of $21,645. Inspectors were last on site in August 2025. The health inspection rating is strong at 4 stars, but quality measures sit at 2, which is where the trouble shows.
Alden Of Waterford runs 99 certified beds in Aurora under corporate ownership, and its nurse staffing sits at 3.64 hours per resident day, roughly 6% under the national average of 3.86. Weekends are thinner still, about 16% below the home's own weekday coverage, which matters when falls and infections don't check the calendar. Staff turnover of 43.5% is slightly better than the 45.8% national figure, though still high enough that familiar faces are not a given. The current record carries 30 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $106,499. Its last inspection was March 27, 2025.
Crescent Care of Elgin runs 88 certified beds under for-profit LLC ownership, and its staffing sits at 3.46 nurse hours per resident day, about 10% under the national average of 3.86, with weekends dipping roughly 17% below its own weekday coverage. Turnover runs 41.3%, a bit better than the 45.8% national figure, though the current inspection record carries 27 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus six fines totaling $44,709. Inspections are recent, dated December 2025, and health inspection scores land at 4 of 5 stars against 2 of 5 for staffing, meaning the building's compliance history reads stronger than the day-to-day coverage behind it.
South Elgin Living & Rehab Center runs on 3.18 nurse hours per resident day, roughly 18% under the national average, and weekend coverage dips about 12% below its own weekday level, so the thinnest shifts are when families tend to visit. That's the tension here: staff turnover of 24.5% is unusually low against a 45.8% national figure, yet 58 deficiencies sit on the current record, including four at harm or jeopardy level and five tied to abuse, with $230,403 in fines. The last inspection was May 2024. Consistent caregivers matter, but they're working inside a for-profit operation whose inspection history has been the persistent problem.