Nursing homes across Marion County, Illinois, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Twin Willows has real staffing strength: 4.12 nurse hours per resident day, roughly 7% above the national average, and the state survey team gave it the top staffing rating. Turnover sits at 34.4%, meaningfully lower than the 45.8% national figure, which matters for whether your family sees the same faces month to month. Weekends run about 6% leaner than weekdays, a normal dip but worth asking about. The softer numbers are the 27 deficiencies on record, including one abuse-related citation, and a 1/5 quality measure rating, with the most recent inspection dated April 2026. For-profit corporate ownership rounds it out.
Centralia Manor runs a nonprofit home with 120 beds, and its staffing is genuinely above average, 4.48 nurse hours per resident day against a national 3.86. Weekend coverage dips about 17% below weekdays, though turnover at 26.4% beats the national 45.8%, meaning aides tend to stick around.
The trouble sits on the inspection side. Thirty deficiencies on the current record, seven of them serious enough to put residents in harm's way, four tied to abuse. Five fines totaling $231,200. The last inspection was July 2025, and the health inspection rating came back 1 out of 5. Good staffing and low turnover are real strengths, but the enforcement history is what a family should weigh hardest here.
Fireside House runs lean on nursing hours, 3.50 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 13% below what the home staffs on weekdays. That gap matters most when families visit Saturday and Sunday and find fewer hands on deck. Staff turnover sits at 43.1%, a touch better than the 45.8% national figure, but the inspection record is where this home gets exposed: 18 deficiencies, four of them at harm or jeopardy level, one tied to abuse, and three fines totaling $71,979. The last state visit was December 2024. A for-profit LLC, 98 beds.
Doctors Nursing & Rehab Center runs 120 beds in Salem under for-profit LLC ownership, and the numbers paint a rough picture. Nurse staffing sits at 3.40 hours per resident day, roughly 12 percent under the national average, and weekends dip about 4 percent below what the home already provides on weekdays. Staff turnover is 53.3 percent against a national average of 45.8 percent, so more than half the nursing team turns over in a year.
The inspection record is where things get serious: 35 deficiencies, five at harm or jeopardy level, eight tied to abuse, and three fines totaling $107,564. The most recent inspection was March 13, 2026. If you're considering this home, ask directly what's changed since then.
Odin Health and Rehab runs 3.02 nurse hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than typical. Weekends drop another 24% below the home's own weekday level, and 61.3% of staff left over the past year, well above the 45.8% national figure. The inspection record shows 53 deficiencies, 12 at harm or jeopardy level and 5 tied to abuse, with three fines totaling $435,072. Ownership is for-profit corporate, and the last inspection was May 2025. Quality measures score mid-range, but staffing and inspections sit at the bottom.