Every Medicare-certified nursing home in Illinois, graded on inspections, staffing, turnover
and enforcement history.
24 homes in the state sit in the federal Special Focus programme.
Hammond-Henry runs a tight ship on staffing, 3.76 nurse hours per resident day, close to the national mark, and turnover at 40% actually beats the typical 45.8%. The catch is weekends, when coverage drops about 11% below weekday levels, and a health inspection record that's harder to defend: eight deficiencies, including two at harm or jeopardy level and two tied to abuse, plus a $75,020 fine. That September 2024 inspection is recent enough to still carry weight. The quality and staffing scores look strong on paper, but the survey history is where the real risk sits. For a 38-bed home, that's a lot of regulatory attention. Ask about weekend coverage and what changed since last fall.
Oregon Living and Rehabilitation Center is a for-profit limited liability operation with 104 certified beds, and its federal staffing rating sits at the bottom of the scale, one out of five stars. That staffing picture matters given the record: 39 deficiencies on file, including one at the harm or jeopardy level and three tied to abuse. The quality measure rating is two stars, and the last inspection was September 11, 2025, so the findings are current rather than stale. If you're weighing this home for someone you care about, the staffing number and the abuse-related deficiencies are the two things worth asking the administrator about directly before making a decision.
Rushville Nursing & Rehab Center runs on thinner nursing coverage than most homes, 3.11 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 17% below its own weekday staffing. That gap shows up in the federal staffing star rating, which sits at the lowest rung even as the inspection rating reaches 4 out of 5. The 24 deficiencies on record include two at harm or jeopardy level and one tied to abuse, and staff turnover at 46.8% edges just past the national figure. For-profit, LLC-owned, 96 beds, last inspected in April 2025.
Mclean County Nursing Home is county-owned, which usually means slower decision-making but also no private-equity pressure to cut corners. The staffing numbers back that up: 4.07 nurse hours per resident day, about 5% above the national average, though weekends drop roughly 19% below weekday coverage. Turnover sits at 41.1%, a bit better than the 45.8% national figure. What pulls the record down is the inspection side, 31 deficiencies on file, five of them abuse-related, and a 2/5 health inspection rating, even with no harm-level citations. The last full inspection was in August 2025, so the record is current. Good daily staffing, thinner weekends, and a paper trail that needs watching.
Medina Nursing Center sits on the high side for nurse coverage, 4.27 hours per resident per day, roughly 11% above the national average, but that staffing thins out on weekends, dropping about 12% below its own weekday level. Turnover is the bigger concern: 53.1% of staff leave each year, against a national average of 45.8%, so the people providing that care keep changing. The inspection record is where this home really struggles: 31 deficiencies, five serious enough to put residents in harm's way, eight tied to abuse, and four fines totaling $69,289, with the most recent inspection in April 2025. Corporate ownership, and the numbers behind them, warrant a close look.
Winning Wheels runs 88 certified beds in Prophetstown under nonprofit ownership, and the staffing numbers are the first thing to notice: 3.78 nurse hours per resident day, slightly under the national average, with weekends running about 6% thinner than weekdays. That leaner weekend coverage matters because turnover sits at 50.6%, higher than the 45.8% national figure, meaning the aides and nurses at the bedside keep changing.
The inspection record is the heavier concern, 54 deficiencies on file, including 5 at the harm or jeopardy level and 10 tied to abuse. A single fine of $12,258 and a July 2025 inspection round out the picture. Ask about weekend coverage, staff retention, and how those abuse-related findings were resolved.
Alden Estates Of Barrington runs a for-profit shop with 150 beds, and its turnover number is the standout: 26.5% against a national average of 45.8%, meaning far fewer aides and nurses are walking out the door than is typical. Staffing sits at 4.13 hours per resident day, about 7% above the national figure, though weekends drop roughly 15% below the home's own weekday level, so coverage thins out when families tend to visit. The inspection record shows 17 deficiencies, four serious enough to reach harm or jeopardy level, and one fine of $18,395, with the last state visit in September 2024.
Seminary Manor runs about 4.25 nursing hours per resident per day, roughly 10% above the national average, and its 42.4% turnover is slightly better than the 45.8% typical elsewhere. That staffing picture is the strongest part of the story here. The inspection record is the problem: 23 deficiencies, including five at the harm or jeopardy level and five tied to abuse, plus one $41,300 fine, and the most recent inspection was in May 2025. Weekend staffing also drops about 11% below weekday levels, which matters for families who visit or need help on Saturdays and Sundays. It's a nonprofit corporation with 121 certified beds.
Aviston Countryside Manor runs on 2.87 nursing hours per resident per day, roughly a quarter below the national average, and weekend coverage drops further from there. Staff turnover sits at 52.9%, well above the national figure, which means the people caring for residents are often new to the building. The current record shows 16 deficiencies, including one at the harm level and two tied to abuse; the last inspection was June 2024. Ownership is for-profit corporate, and CMS rates staffing and health inspections at 2 out of 5 stars each. Quality measures score better at 3, but the staffing and inspection numbers are the ones worth weighing before you decide.
Bella Terra Bloomingdale is a for-profit, LLC-owned home with 166 beds in DuPage County, and its staffing is the number that stands out. At 3.53 nurse hours per resident day, it runs about 9% under the national average, and weekend coverage dips another 6% below its own weekday level, a pattern families often notice when they visit on Saturdays and Sundays. Annual turnover of 49.5% sits above the national 45.8%, so the staff caring for your relative may change often. The current record shows 43 deficiencies, four at the harm level and none abuse-related, with one fine of $10,358 and an inspection in February 2025.
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.
Pavilion On Main Street runs 2.98 nurse hours per resident day, roughly a quarter below the national 3.86, and weekends dip another 9% under its own weekday levels, so coverage thins exactly when families tend to visit. Turnover at 34.7% is better than the 45.8% national figure, which matters for consistency of care, but the inspection record carries 29 deficiencies, four of them serious enough to involve harm or jeopardy, plus $122,009 in fines across two penalties. A 2/5 on health inspections and 2/5 on staffing, with the most recent survey in August 2025, tells you the state has been finding problems recently. This is a for-profit, individually owned home where the staffing numbers are the thing to ask about directly.
Jerseyville Manor runs 155 certified beds as a nonprofit, and its aides and nurses put in 3.36 hours of care per resident each day, roughly 13% under the national average of 3.86, with weekends dipping about 9% below its own weekday pace. Staff turnover is genuinely low at 30.8% against a national 45.8%, so the people who are there tend to stay. The trouble sits in the inspection record: six deficiencies, two serious enough to reach harm or jeopardy level, two tied to abuse, and the most recent state visit came January 23, 2026.
Montgomery Place sits in Chicago with 40 certified beds and a nonprofit owner, and its nurse staffing comes in at 3.82 hours per resident day, just under the national average of 3.86. Weekend coverage dips about 3% below its own weekday level, so the difference between a Tuesday and a Sunday is real. The inspection record is the harder part: 33 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with two fines totaling $19,752. That health inspection rating lands at 2 out of 5, though quality measures score 5 and staffing scores 4, a split worth asking about directly when you tour.
Pa Peterson At The Citadel runs about 3.70 nurse hours per resident day, roughly 4% under the national average, and weekends dip another 6% below its own weekday level. That thin margin shows up in the staffing rating: 1 out of 5. Annual turnover sits at 59.6%, well above the 45.8% national figure, so the people caring for residents are changing often. The current record lists 63 deficiencies, including 3 at the harm or jeopardy level and 8 tied to abuse, with one fine of $21,212. A May 2025 inspection is recent, and the 3/5 health inspection and 4/5 quality measure ratings suggest some clinical care is tracked well, but the staffing numbers and deficiency history are what a family should ask about directly.
Integrity Hc Of Carbondale is a for-profit LLC home with 131 beds, and the numbers here are hard to ignore. Fifty-two deficiencies sit on its current record, ten of them at the level where residents were actually harmed or put in jeopardy, and eight tied to abuse. Three fines total $403,772, and CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems. Staffing is the other red flag: the home earns one star there, well below average, even though its quality measure score looks strong at four stars. The last inspection was in February 2025. One star for health inspections, one for staffing, 52 deficiencies, that combination is what drives the grade down.
Midway Neurological in Bridgeview runs 404 certified beds, and the staffing numbers are the hard part: 1.62 nurse hours per resident per day, roughly 58% under the national average of 3.86, with weekends about 21% thinner than weekdays. Turnover is 22.6%, which is actually low compared to the 45.8% national figure, so the problem isn't constant churn, it's how few hands are scheduled at once. The inspection record shows 38 deficiencies, including 5 at harm or jeopardy level and 7 tied to abuse, plus two fines totaling $55,162. Its last inspection was June 13, 2025. A for-profit corporation operates it.
Warren Barr Buffalo Grove runs 200 beds under for-profit partnership ownership, and its nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average of 3.86. Weekend coverage dips about 2% below the home's own weekday level, and the staffing star rating lands at 2 out of 5. Turnover is 40.9%, better than the 45.8% national figure, but the inspection record carries 41 deficiencies, including one at the harm level and two tied to abuse. The last inspection was January 29, 2025, and fines total $9,311. Quality measures rate 4 out of 5, which may reflect clinical care, but the thin staffing and inspection history are what a family should weigh first.
Mount Sterling Health and Rehab runs on 2.86 nurse hours per resident per day, about a quarter below the national average, and weekends drop roughly 15% below its own weekday staffing. That thin coverage sits behind a one-star CMS staffing rating, and turnover of 54.2% means the aides and nurses who do show up are often new. The inspection record shows 23 deficiencies, including one at the harm level and one abuse-related, with $86,763 in fines and a February 2024 inspection date. The for-profit LLC ownership structure isn't unusual in Illinois, but combined with those numbers, staffing is the thing to ask hard questions about before moving anyone in.
Kensington Place runs on 2.19 nursing hours per resident per day, which is roughly 43 percent below the national average, and weekends are about a fifth thinner than weekdays. The staffing star rating reflects that. Turnover at 38.7 percent is actually better than the 45.8 percent national figure, so the problem isn't churn, it's raw hours on the floor. Inspectors last visited in May 2025 and logged 62 deficiencies on the current record, including one at the harm level and 16 tied to abuse. Ownership is a for-profit partnership. When you tour, ask how many nurses and aides are on the floor at 2 a.m. on a Saturday.