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.
Dixon Rehab & Hcc runs about 3.46 nursing hours per resident per day, roughly 11% under the national average, and weekends drop another 12% below its own weekday staffing. Turnover sits at 33.3%, which is actually better than the 45.8% national figure, so the problem here isn't retention, it's sheer hours on the floor. The inspection record is the bigger concern: 21 deficiencies, six serious enough to involve harm or jeopardy, plus one abuse-related finding, and two fines totaling $34,753. The last inspection was October 2024, so the record is fairly current. Quality and staffing scores both land at 2 out of 5.
Aperion Care Burbank sits right around the national average for total nurse staffing, 3.88 hours per resident day versus 3.86, but that average hides a problem: weekend coverage drops about 6% below what the home staffs on weekdays, and CMS gives the place just 2 of 5 stars for staffing overall. The inspection record is where things get more serious. Twenty-five deficiencies are on file, seven of them serious enough to involve harm or jeopardy, three tied to abuse. Five fines totaling $90,114 have been levied. Turnover at 41.4% is slightly better than the 45.8% national figure, but it's still a lot of churn. Corporate-owned, 56 beds, last inspected August 2024.
Mcleansboro Rehab & Hlth C Ctr sits in Hamilton County with 43 certified beds and an individual for-profit owner. Inspectors have been in recently, June 2024, and the record shows 11 deficiencies, including two at the harm or jeopardy level and three tied to abuse. That's a heavy citation load for a home this small, and it comes with a $45,123 fine. The staffing picture is the other half of the story: the federal staffing rating is just 1 out of 5, meaning direct care hours fall well short of what CMS expects. A 4-star inspection rating doesn't cancel that out. When a facility is thinly staffed and has documented abuse and harm-level findings, families should ask direct questions about who's on the floor overnight and how complaints get handled.
Silver Foxes runs a 60-bed for-profit home in Mcleansboro with a strong inspection record, six deficiencies on file, none tied to abuse, and its most recent state visit came in November 2024. The staffing side tells a different story. At 2.53 nurse hours per resident day, it sits about a third under the national average of 3.86, and weekends dip slightly below its own weekday level. Annual turnover hits 63% against a national 45.8%, meaning most of the people caring for residents this year won't be there next year. One deficiency rose to the harm level. Good surveys don't staff the floor.
Decatur Rehab & Health Care Center runs 58 certified beds under corporate ownership, and the federal numbers are rough across the board. Inspectors have logged 89 deficiencies on the current record, including 9 tied to abuse and 5 serious enough to put residents in immediate harm or jeopardy. Staffing levels sit far below what CMS expects, the one-star rating there means fewer caregivers per resident than the national average, which matters most when someone needs help with daily tasks or a quick response. The last full inspection was September 25, 2024, and the home has one fine on record for $25,500. When a building carries this many health and safety citations alongside thin staffing, families should ask hard questions before moving anyone in.
Crescent Care of Elgin runs 88 certified beds under for-profit LLC ownership, and its staffing sits at 3.46 nurse hours per resident day, about 10% under the national average of 3.86, with weekends dipping roughly 17% below its own weekday coverage. Turnover runs 41.3%, a bit better than the 45.8% national figure, though the current inspection record carries 27 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus six fines totaling $44,709. Inspections are recent, dated December 2025, and health inspection scores land at 4 of 5 stars against 2 of 5 for staffing, meaning the building's compliance history reads stronger than the day-to-day coverage behind it.
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.
Hickory Vlg Nrsg & Rhb runs lean on nursing hours, 2.67 per resident per day against a national average of 3.86, and weekends drop roughly another 23% below its own weekday coverage. That thinner weekend floor is where problems tend to surface. The home's current record carries 23 deficiencies, including 4 at the harm or jeopardy level and 7 tied to abuse, with three fines totaling $350,672. Turnover sits at 27.9%, better than the 45.8% national figure, so the same faces are largely staying. Its last inspection was in March 2025, so the record is recent rather than stale. A for-profit LLC with this staffing pattern and that deficiency history is the picture worth weighing.
Serenity Estates of Lena runs 92 certified beds under individual for-profit ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average, with weekends about 15% thinner than weekdays. That gap is what drives its one-star staffing rating, and the pattern shows up in the inspection record too: 36 deficiencies, including two at the harm or jeopardy level and two tied to abuse. The inspection star of four suggests surveyors found a decent baseline when they last visited in March 2025, and quality measures land at two stars. If you're weighing this one, ask directly how weekends get covered and what changed since those abuse findings.
Westwood Village runs 115 certified beds on Chicago's Cook County side, under for-profit LLC ownership. Nurse staffing sits at 2.99 hours per resident day, roughly 23% under the national average of 3.86, and weekends drop about 19% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The current inspection record shows 39 deficiencies, none at harm or jeopardy level but 6 tied to abuse, with the last full inspection in December 2024. Turnover at 36.6% actually beats the national 45.8%, which is the one number here that works in its favor. CMS rates staffing and quality measures 1 out of 5 stars each, with a 3 for health inspections.
Alden Park Strathmoor runs 189 beds in Rockford under for-profit limited liability ownership, and its nurse staffing sits at 3.34 hours per resident day, roughly 14% under the national average of 3.86. Weekends dip about 9% below the home's own weekday levels, so coverage thins exactly when families tend to visit. Turnover of 43.1% is slightly better than the 45.8% national figure, but the inspection record is the heavier problem: 31 deficiencies, five of them at harm or jeopardy level, and two fines totaling $115,265. The most recent inspection was May 2025. Quality measures score well; staffing and inspections do not.
Wentworth runs 300 beds on Chicago's South Side, and the staffing numbers are the first thing I'd want you to see: 2.84 nurse hours per resident per day, roughly 27% under the national average, with weekends about 15% thinner than weekdays. The inspection record backs that up, 66 deficiencies, eight serious enough to involve harm or jeopardy, eight tied to abuse, and five fines totaling $289,387, with the most recent inspection in May 2024. Turnover at 30.5% is actually better than the 45.8% national figure, which tells you the problem isn't retention so much as how few hours the building puts at the bedside. For-profit corporate ownership, and the health inspection rating sits at 2 out of 5.
Avantara Lincoln Park runs 248 beds on Chicago's North Side, and its nurse staffing works out to 3.25 hours per resident day, roughly 16% under the national average of 3.86. Weekend coverage slips a little further, about 2% below its own weekday numbers, and staff turnover sits at 43.3%, slightly better than the 45.8% national figure. What stands out more is the inspection record: 60 deficiencies, including 7 at the harm or jeopardy level and 7 tied to abuse, with four fines totaling $202,448. The last full inspection was June 2024, and CMS rated the health inspection and staffing domains 2 out of 5. For-profit corporate ownership, thin nursing hours, and a long serious-deficiency history are the things to weigh here.
Evervella Of White Hall runs on 2.86 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop about 11% below what the home staffs on weekdays. Turnover sits at 64%, well above the 45.8% national figure, so the aides and nurses in the building keep changing. The current record shows 30 deficiencies, including one at the harm or jeopardy level and four tied to abuse; the last inspection was in August 2025. Greene County families weighing this one should focus on the staffing number and the inspection history together, because those tell the story the star ratings only hint at.
Belhaven runs on 2.60 nurse hours per resident day, roughly a third less than the national average, and weekends drop another 11% below its own weekday levels. Staff turnover sits at 33.9%, which is actually better than the 45.8% national figure, so the problem isn't retention so much as how few hands are on deck in a 221-bed building. The inspection record is where it gets heavy: 100 deficiencies, ten at harm or jeopardy level, eleven tied to abuse, and five fines totaling $320,068. The last inspection was December 2025. A corporation owns it, and the federal staffing and inspection stars both sit at one out of five.
California Terrace runs on 2.21 nursing hours per resident per day against a national average near 3.86, roughly 43% less hands-on care than typical. Weekends thin out further, about 14% below the home's own weekday staffing, and the current inspection record carries 88 deficiencies, including 7 at harm or jeopardy level and 11 tied to abuse. Five fines total $363,575, and the most recent inspection was August 2025. Turnover at 41.1% actually sits slightly under the national figure, so the problem isn't retention so much as how few staff there are to begin with. Cook County families comparing options should weigh that 297-bed size against a one-star inspection history.
Landmark of Lincoln Park runs 178 beds under for-profit limited liability ownership, and the staffing numbers are the first thing I'd want you to see: 2.76 nurse hours per resident day, roughly 28% under the national average, and weekends dip about 9% below its own weekday level. The inspection record is heavier than that shortfall alone, 74 deficiencies, seven at harm or jeopardy level, 13 tied to abuse, and three fines totaling $116,630. Turnover sits at 40.3%, slightly better than the 45.8% national figure, so retention isn't the weak point here. The most recent inspection was June 12, 2025, so the record is current.
Chalet Living & Rehab runs on 2.51 nurse hours per resident day, roughly a third below the national average, and weekend coverage dips further below its own weekday level. That thin margin shows up in the inspection record: 54 deficiencies, four at harm or jeopardy level, six tied to abuse, and $390,344 in fines. The one number that stands out in the other direction is staff turnover at 20.4%, well under the national 45.8%, a stable workforce that nonetheless hasn't translated into adequate hours per resident. This is a 219-bed for-profit run by a corporation, last inspected January 9, 2026. The question for your family isn't whether the staff care; it's whether there are enough of them on weekends.
Hallmark Hc Of Carlinville is city-owned, which is unusual, most homes are run by chains or private operators, and it holds 49 beds, so it's small. Where it struggles is staffing: 3.10 nurse hours per resident day sits about 20% under the national average, and weekends drop roughly 12% below what the home itself staffs on weekdays. Turnover lands at 45%, basically level with the national figure, so that's not the problem here. What stands out is the inspection record: 24 deficiencies, three of them serious enough to put residents at risk of harm, plus one fine totaling $25,493. The most recent state visit was February 2025, so the picture is current.
South Elgin Living & Rehab Center runs on 3.18 nurse hours per resident day, roughly 18% under the national average, and weekend coverage dips about 12% below its own weekday level, so the thinnest shifts are when families tend to visit. That's the tension here: staff turnover of 24.5% is unusually low against a 45.8% national figure, yet 58 deficiencies sit on the current record, including four at harm or jeopardy level and five tied to abuse, with $230,403 in fines. The last inspection was May 2024. Consistent caregivers matter, but they're working inside a for-profit operation whose inspection history has been the persistent problem.