Nursing homes across Montgomery County, Illinois, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Avenues At Litchfield runs on 1.67 nurse hours per resident per day, roughly 57% below the national average of 3.86, and the weekend gap is real too, about 12% thinner than its own weekdays. Staff turnover, though, sits at 12% against a national 45.8%, so the people who are there tend to stay, and inspections look solid: 15 deficiencies on record, none at harm or jeopardy level, with a 4/5 inspection rating and a 5/5 on quality measures. The catch is two abuse-related citations and a staffing rating of 1/5. Low turnover doesn't offset thin coverage on nights and weekends, so ask specifically how many nurses are on the floor then.
Litchfield Health & Rehab Center runs 92 beds under for-profit LLC ownership, and its staffing is the weak spot: 2.89 nurse hours per resident day, roughly a quarter below the national average of 3.86, with weekends dipping about 16% below its own weekday levels. Turnover sits at 34.1%, better than the 45.8% national figure, so the people who stay tend to stay. Inspections look solid, a 4/5 health inspection rating, most recent visit in March 2025, and no abuse deficiencies, though the record does show nine deficiencies total, one serious enough to reach harm or jeopardy level. Families weighing this one should ask specifically how the weekend floor is covered.
Nokomis Hc & Senior Living runs 92 certified beds under corporate for-profit ownership, and the staffing numbers are where families should focus first. A one-star staffing rating against the national average means nurse aide and RN hours per resident are well below what most homes provide, and thin coverage is the kind of thing that shows up in daily care long before it shows up in a survey. The inspection record backs that up: 27 deficiencies on file, including three serious enough to put residents in harm's way and four tied to abuse. Two fines totaling $34,418 have been issued, and the last full inspection was in November 2024.
Montgomery Nursing & Rehab Center runs about 2.99 nursing hours per resident per day, well under the national average of 3.86, roughly a quarter less hands-on time than typical. Weekends dip even further, about 6% below the home's own weekday staffing, and the 38.1% annual turnover, while lower than the national 45.8%, still means more than a third of the staff leaves each year. The current record shows 16 deficiencies, three at harm or jeopardy level and one abuse-related, plus a $12,048 fine. A March 2025 inspection is recent, and the 4-star health inspection rating suggests the survey itself went reasonably well, but the 1-star staffing rating and 2-star quality measures tell a different story about daily care.
Hillsboro Rehab & Hcc runs on 3.02 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekend coverage dips about 10% below its own weekday level. Staff turnover sits at 60.8% against a national 45.8%, meaning nearly two of every three caregivers left within a year. Its record shows 67 deficiencies, 15 at harm or jeopardy level and 14 abuse-related, plus three fines totaling $317,250 and a September 2024 inspection. Low staffing, high turnover, and repeat serious findings tend to reinforce each other in a building this size.