Nursing homes across Madison County, Illinois, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
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.
Eden Village Care Center runs on a nonprofit model in Glen Carbon with 107 certified beds, and the staffing numbers are the story here: 4.73 nurse hours per resident day, roughly 22% above the national average of 3.86. That's the kind of margin that shows up in daily care, though weekend coverage drops about 19% below its own weekday level, so families should ask how that gap gets managed. Staff turnover sits at 42.5%, a little better than the 45.8% national figure. Ten deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in February 2025.
Hitz Memorial Home runs 3.76 nurse hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 11% below its own weekday staffing. Turnover sits at 41.7%, better than the 45.8% national figure, and the nonprofit corporation that owns it has kept its last inspection recent, March 2026. What pulls the record down is the deficiency history: 17 citations currently on file, two of them at the harm or jeopardy level and seven tied to abuse, plus one fine of $75,965. CMS gives it 4 stars each for staffing and quality measures, 3 for health inspections. Read those abuse-related citations closely before you decide.
Alton Memorial Rehab & Therapy sits at 64 certified beds under nonprofit ownership, and its nurse staffing runs about 18% above the national average at 4.57 hours per resident day. That's a real cushion, though weekend coverage dips roughly 9% below its own weekday level, and turnover lands at 50% against a national 45.8%, so the people providing that care change fairly often. The inspection record is where things get harder to square: 24 deficiencies currently on file, four of them at the harm or jeopardy level and two tied to abuse, plus one fine of $15,626. The most recent inspection closed in December 2025, so the picture is current.
Alhambra Rehab & Healthcare runs on 2.87 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip about 9% below its own weekday level. That thin coverage shows up in the staffing rating, which sits at the bottom of CMS's scale, though turnover at 41.7% is actually a little better than the 45.8% national figure. Inspections tell a different story: a 5/5 health inspection rating and no deficiencies at the harm or jeopardy level, with the last visit in May 2025. But 13 total deficiencies and two abuse-related findings sit on the record, and the quality measure rating is only 2/5.
Manor Court of Maryville is a nonprofit home with 132 beds, and its nurse staffing sits at 4.37 hours per resident day, roughly 13% above the national average of 3.86. That sounds good until you notice weekends run about 15% thinner than weekdays, and turnover lands at 46.5%, basically matching the national rate of 45.8%.
The inspection record is where things get more mixed. Eighteen deficiencies are on file, including two at the harm or jeopardy level and two tied to abuse. A 4-out-of-5 health inspection rating and a recent November 2024 survey help offset that, but the 2-out-of-5 quality measure rating drags the other direction.
La Bella Of Alton runs on thin staffing: 2.75 nurse hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday levels. That shows up in the numbers, a one-star CMS staffing rating and 49.6% annual turnover, slightly worse than the 45.8% national figure. The 180-bed for-profit home carries 53 deficiencies on its current record, including five at the harm or jeopardy level and three tied to abuse, plus five fines totaling $85,546. Its last inspection was March 25, 2024. A four-star quality measure rating doesn't offset what the inspection and staffing data show, so ask hard questions before considering this one.
Highland Health Care Center runs on thin staffing: 3.31 nurse hours per resident day, about 14% under the national average, with weekends even leaner than weekdays. That's the number behind its one-star staffing rating, and it matters more than the four-star quality measure score, which reflects a narrower set of clinical metrics.
The inspection record is where the real weight sits. Twenty-six deficiencies, four of them serious enough to put residents in harm's way, three tied to abuse, and a $35,875 fine. The most recent state visit was in September 2024, so the picture is current, not stale.
Ownership is a for-profit limited liability company, and turnover runs at 66.7% against a national 45.8%. That churn makes consistent care hard to sustain.
Evercare Of Granite City looks decent on paper in two places: its health inspection and quality measure ratings each sit at four out of five stars, and the last inspection was recent, September 2025. But the staffing number is the one that should worry you. At 2.45 nurse hours per resident per day, this home runs about 37 percent below the national average, weekends dip another 18 percent below its own weekday level, and annual turnover hits 78.3 percent against a national 45.8, meaning most of the people caring for your relative are new, and there are fewer of them on Saturdays and Sundays. Add 21 deficiencies, four of them harm-level and three abuse-related, plus $32,523 in fines, and the inspection stars stop telling the whole story.
La Bella Of Edwardsville runs on 2.91 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage drops about 13% below its own weekday level. That thin staffing shows in the numbers: 71.7% annual turnover, against 45.8% nationally, and 1 out of 5 stars from CMS on staffing. The inspection record carries 40 deficiencies, eight at harm or jeopardy level and five tied to abuse, with $138,697 in fines across five penalties; the last inspection was May 2024. Ownership is for-profit, a limited liability company. The 4-star quality measure rating reflects resident assessment data, not the hands available to deliver care.
Bria Of Godfrey runs on 3.25 nurse hours per resident per day, about 16 percent under the national average, and weekends drop another 13 percent below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and fewer hands are on the floor. Annual turnover sits at 77.4 percent against a national 45.8 percent, so the aides and nurses caring for residents are, more often than not, new to the building.
The inspection record backs that up: 44 deficiencies, 13 serious enough to cause harm or jeopardy, three tied to abuse, and five fines totaling $209,961. The last inspection was August 2024, recent enough to reflect current conditions.
Bria Of Woodriver sits at 3.86 nurse hours per resident day, which lands right on the national average, but that number hides a staffing schedule that thins out considerably on weekends, dropping about 16 percent below its own weekday levels. The bigger problem is who's providing that care and for how long: annual turnover runs 78.5 percent, well above the national 45.8 percent, meaning most of the people caring for your family member will be gone within a year. Behind those numbers is a one-star health inspection rating, 64 deficiencies on the current record with 18 at harm or jeopardy level and 7 tied to abuse, and $492,838 in fines across seven penalties. CMS has placed this home in its Special Focus Facility program, a designation reserved for the persistently worst performers.
Evercare At University runs on 2.93 nursing hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage drops further from there. Staff turnover sits at 63.2% against a national 45.8%, so the people caring for residents are constantly changing. The inspection record is heavy: 68 deficiencies, 15 of them serious enough to put residents at risk of harm, 10 tied to abuse, and $398,905 in fines across eight citations. A for-profit corporation operates the 118-bed building, which was last inspected in February 2025. Families weighing this one against others in Madison County should ask directly how the home plans to fix its staffing and abuse record.
Nexus At Alton runs 181 beds under for-profit LLC ownership, and the staffing picture is stranger than the headline number suggests. Total nurse hours come in around 4.28 per resident day, roughly 11% above the national average, but weekends drop about 20% below the home's own weekday level, so coverage depends heavily on when you visit. Annual turnover sits at 81.5% against a national average near 45.8%, meaning most of the people caring for residents are new to the building. The inspection record is the harder problem: 87 deficiencies on file, 20 at harm or jeopardy level and 14 abuse-related, with five fines totaling $392,111 and a last inspection in May 2024.
Evercare Of Collinsville runs on 2.73 nurse hours per resident day, roughly a quarter less than the national average, and weekends drop about 15% below its own weekday staffing. That thin coverage has to carry a resident population of up to 94, and more than two-thirds of the nursing staff turned over in a year, well above the national rate. The inspection record shows 49 deficiencies, including 10 at the harm or jeopardy level and 7 tied to abuse; the most recent inspection was in November 2024. Three fines total $419,192. A for-profit corporation owns it. When staffing is this far under the national mark and the harm-level findings stack up, those fines start to look less like bad luck and more like a pattern.
Evercare At Edwardsville runs on 2.88 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 8% below what it manages on weekdays. That thin staffing sits behind a 1-out-of-5 CMS staffing rating, and turnover is 67.5% against a national average of 45.8%, most of the people caring for residents here were not doing it a year ago. The current record shows 37 deficiencies, 11 at harm or jeopardy level and 7 tied to abuse, with five fines totaling $423,998 and a February 2025 inspection. A for-profit corporation operates the 120-bed building.
Evercare At Stearns runs on thin coverage: 3.07 nurse hours per resident per day against a national average of 3.86, with weekends about 13% leaner than weekdays. Staff turnover sits at 75.9%, well above the 45.8% typical nationally, so the people caring for residents keep changing. The inspection record backs that up: 34 deficiencies, 13 of them serious enough to put residents at harm or jeopardy, and 14 tied to abuse. Four fines total $279,894, and the most recent inspection was April 2025. A for-profit limited liability company owns the 109-bed home. The federal ratings land at two stars for health inspections and one star each for quality measures and staffing.