Nursing homes across St. Clair County, Illinois, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Memorial Care Center runs on a nonprofit model with 82 certified beds, and the staffing numbers are the first thing worth noticing: 5.31 nurse hours per resident day, roughly 37% above the national average. That's a real cushion, and it shows up in the four-out-of-five staffing star. Weekend coverage dips about 11% below weekday levels, which isn't unusual but is worth asking about. Turnover sits at 49.5%, slightly above the national 45.8%. The inspection record is clean, four deficiencies total, none at harm or jeopardy level, none abuse-related, and the most recent inspection was in March 2026. Quality measures came in at three stars, the softest spot in the profile.
Cedar Ridge runs on thin nurse coverage. At 3.12 hours per resident per day it sits about 19% under the national average, and weekends drop roughly another 19% below its own weekday level, so the leanest shifts are the ones families tend to visit. Staff turnover is 59.1% against a national 45.8%, which means the people caring for your relative are often new. Inspections look better: a recent visit, 20 deficiencies with two at harm level, and a $15,483 fine. But the pattern underneath the health rating is a building that has trouble holding onto nurses while asking fewer of them to cover more.
La Bella Of Freeburg runs on thinner staffing than most homes, 3.67 nurse hours per resident day against a national average of 3.86, and it thins out further on weekends, dropping about 13% below its own weekday level. That's the pattern families notice as fewer hands on the floor Saturday and Sunday. The inspection record is the harder read: 22 deficiencies, nine of them serious enough to put residents at harm or jeopardy, six tied to abuse, and five fines totaling $164,604. Staff turnover sits at 53.8%, meaning more than half the nursing workforce leaves in a year, compared with 45.8% nationally. The most recent inspection was November 2025.
Evercare Of Lebanon runs 90 certified beds under for-profit LLC ownership, and the staffing picture is the first thing that stands out: 3.06 nurse hours per resident day, about 21% under the national average of 3.86, with weekends running roughly 12% lighter than weekdays. That thin coverage shows up in the inspection record, 37 deficiencies, seven at harm or jeopardy level, six abuse-related, and four fines totaling $303,529, with the most recent inspection in December 2024. Staff turnover at 33.3% is actually better than the 45.8% national figure, so the instability here isn't primarily about people leaving; it's about too few hours on the floor relative to what residents need.
Bria Of Belleville runs 140 certified beds as a for-profit corporation, and its nurse staffing comes in at 4.27 hours per resident day, roughly 11% above the national average of 3.86. But that headline number hides a gap: weekend staffing drops about 20% below the home's own weekday level, and annual turnover sits at 53.4% against a national 45.8%, so the people providing that care are cycling out faster than average.
The inspection record is where the real weight sits. Sixty-six deficiencies are on file, thirteen of them at the harm or jeopardy level and eight abuse-related, with eight fines totaling $375,242. The last inspection was May 2025, and the health inspection rating is 1 out of 5.
Helia Southbelt Healthcare runs 156 certified beds in Belleville under individual for-profit ownership, and the numbers behind its record are hard to read any other way. Nurse staffing sits at 3.14 hours per resident per day, roughly 19% under the national average, with weekends about 3% thinner than weekdays, so coverage is stretched before you even get to the harder measures. Inspectors have cited 65 deficiencies, including 6 at harm or jeopardy level and 7 tied to abuse, and the fines total $240,982. Staff turnover of 37.8% is actually below the national figure, which may be the one bright spot; the last inspection was in September 2025.
If you're considering Bria of Cahokia for a family member, the numbers tell a hard story. Nurse staffing sits at 3.25 hours per resident day, about 16 percent under the national average, and drops further on weekends. Staff turnover runs 51 percent, above the national rate, which means the people caring for your relative are likely to keep changing. The inspection record is the part that worries me most: 89 deficiencies, 23 of them serious enough to put residents in harm's way, and 20 tied to abuse. Seven fines totaling just under $687,000 have piled up, with the most recent inspection in April 2025. For-profit, limited liability ownership.
Nexus At Mascoutah runs 55 certified beds and sits about 5% under the national average for nurse staffing hours per resident day, with weekends dropping roughly 12% below its own weekday numbers. The staffing picture gets harder when you look at turnover: 77.6% annually against a national average near 46%, meaning most of the people caring for your relative were hired within the past year or so. Inspectors have cited 42 deficiencies, including 7 at the harm or jeopardy level and 8 tied to abuse, with four fines totaling $73,886; the last visit was August 2024. Ownership is a for-profit partnership.
La Bella Of Cahokia runs 150 beds and carries 63 deficiencies on its current record, 15 of them serious enough to cause harm or jeopardy and 18 tied to abuse. It's a for-profit partnership and one of the homes CMS has flagged for its Special Focus Facility program, which is reserved for the country's most persistent poor performers. Nurse staffing sits at 3.36 hours per resident day, about 13% under the national average, and weekends run thinner still. Staff turnover is 48.9%, with three fines totaling $702,001. Inspectors last visited in April 2024. If you're considering this one, ask hard questions and visit unannounced.
Evercare of Swansea runs on thin staffing. At 2.98 nurse hours per resident day, it sits about 23% under the national average of 3.86, and weekends drop roughly 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 60.3%, well above the 45.8% national figure, meaning the aides and nurses around your relative are likely to change often. The inspection record is heavy: 70 deficiencies, nine at harm or jeopardy level, eleven abuse-related, and three fines totaling $285,149, with the most recent inspection in October 2024. For-profit individual ownership. If you're considering this one, ask hard questions about weekend coverage and who's actually on the floor.
St. Paul's Senior Community runs about 3.68 nurse hours per resident day, roughly 5% under the national average, and weekends drop another 10% below its own weekday numbers. That thin coverage shows up in the staffing rating, which sits at the bottom of CMS's scale, and in turnover: 60.8% of staff leave each year, well above the 45.8% national figure. The inspection record is heavier still, 39 deficiencies, 10 of them at harm or jeopardy level, one tied to abuse, and five fines totaling $227,658. Ownership is for-profit through a limited liability company. The last inspection was in January 2025, so the record is current, not stale.
Nurse staffing at La Bella of Mascoutah runs about 3.65 hours per resident per day, roughly 5% under the national average, and it thins out further on weekends, about 14% below its own weekday level. The bigger issue is who stays: annual turnover hits 78.8% against a national average of 45.8%, meaning most of the aides and nurses caring for your relative this year likely won't be there next year. That churn shows up in the inspection record: 36 deficiencies, five serious enough to put residents in harm's way, four tied to abuse, and three fines totaling $128,006. The most recent inspection was December 2025.
La Bella Of Caseyville runs on 3.03 nursing hours per resident day, roughly a fifth below the national average, and weekends dip even lower than its own weekdays. That thin coverage shows up in the numbers: a one-star staffing rating, a one-star quality measure rating, and 55.3% annual turnover, meaning more than half the nursing staff leaves each year. The inspection record is heavier than that staffing picture alone would suggest, 40 deficiencies, 7 serious enough to put residents in harm's way, 6 tied to abuse, and $222,663 in fines across three actions, with the most recent inspection in June 2025. This is a for-profit LLC with 150 beds, and families should ask directly how the home covers weekends and what changed since those abuse findings.
Evervella Of Swansea runs on 3.03 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage dips even further below its own weekday pace. That thin margin shows up in the workforce itself: nearly three-quarters of staff turned over in a year, against a national rate closer to 46%. The inspection record carries 32 deficiencies, including three at the harm or jeopardy level and one tied to abuse, plus 23 fines totaling $155,317. The last inspection was recent, in September 2025, and quality measures sit at 2 out of 5 stars. If you're weighing this one, ask directly how they hold weekend staffing and what's changed since that abuse finding.
Nexus Pavilion At Belleville runs 180 beds under for-profit LLC ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.24 hours per resident day against a national average of 3.86, weekend coverage drops about 15% below its own weekday level, and annual turnover hits 70.4%, well above the 45.8% national figure. That thin, churning workforce shows up in the inspection record: 75 deficiencies, 25 at harm or jeopardy level, 17 abuse-related, and seven fines totaling $821,641. CMS has placed it in the Special Focus Facility program, reserved for the poorest performers. Its last inspection was March 14, 2025.