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.
Miller Health Care Center runs 160 certified beds as a nonprofit corporation, and its staffing sits at 3.77 nurse hours per resident day, just under the national average of 3.86, with weekends about 12% thinner than weekdays. Staff turnover lands at 42%, actually below the 45.8% national figure, so retention isn't the main problem here. The inspection record is: 33 deficiencies, 5 of them at harm or jeopardy level, and $189,285 in fines from two events, with the most recent inspection in July 2024. CMS gives 2 of 5 stars for both health inspections and quality measures, 3 for staffing. Nothing abuse-related appears on the record. The pattern is a home that keeps its people but gets cited often, and sometimes seriously, for how it delivers care.
Harmony Palos runs a 130-bed for-profit home in Palos Heights, and the staffing numbers are the first thing to notice. At 3.08 nurse hours per resident day it sits about 20% under the national average, weekends dip further, and 64.1% annual turnover means many of the aides and nurses your relative sees are still new. The inspection record shows 42 deficiencies, four serious enough to involve harm or jeopardy, three tied to abuse, and two fines totaling $25,874; the most recent state visit was November 2024. Ownership is a limited liability company, which limits who is personally on the hook if something goes wrong.
The Haven of Bridgeport runs about 2.59 nurse hours per resident per day, roughly a third below the national average of 3.86, and staffing drops another 13% on weekends when oversight tends to be thinnest. That thin coverage shows up in the results: a 1-out-of-5 CMS staffing rating, 20 deficiencies on the current record including two at harm or jeopardy level and one tied to abuse, with the last inspection in May 2024. Annual turnover sits at 48.6%, above the 45.8% national figure. For-profit corporate ownership and a 2-out-of-5 quality measure rating round out a picture worth weighing carefully against other homes in the area.
Aperion Care Midlothian runs on 3.04 nurse staffing hours per resident day, roughly a fifth below the national average, and weekends are thinner still, about 13% below what the home staffs on weekdays. That matters because turnover sits at 56%, well above the 45.8% national figure, so the people covering those shifts are often new. Inspectors cited 32 deficiencies on the current record, including two at the harm level and three tied to abuse, and the most recent inspection was July 2025. One fine totaling $19,565 has been assessed. The home is individually owned for profit, holds 91 certified beds, and its staffing and health inspection ratings both sit at the low end of CMS's scale.
Arcadia Care Kewanee runs on 3.12 nurse hours per resident per day, roughly 19% under the national average, and staffing gets thinner on weekends, about 9% below its own weekday level. That's the pattern behind a one-star CMS staffing rating. The 56 deficiencies on record include four at the harm or jeopardy level and three tied to abuse, plus a single $201,299 fine. Turnover is actually the better number here at 31.1%, well under the national 45.8%, so the problem isn't churn so much as how few hands are scheduled. The last inspection is recent, January 2026, and the quality measure rating sits at three stars.
South Shore Rehabilitation runs 248 beds on Chicago's far southeast side, and the staffing numbers are where I'd start. At 3.05 nurse hours per resident day, it sits about 21% under the national average, and weekends drop roughly 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 44.2% is close to the national figure, so that's not the outlier here. What stands out is the inspection record: 55 deficiencies, six at harm or jeopardy level, two tied to abuse, and five fines totaling $478,448. The most recent inspection was August 2025. For-profit, limited liability ownership. Ask about weekend coverage and the plan of correction before you decide.
Aspyre Of Waukegan runs a lean ship on the floor: 3.15 nurse staffing hours per resident day, roughly 18% under the national average, with weekends dipping about 14% below its own weekday numbers. Turnover, though, sits at 26.4%, well below the 45.8% national figure, so the people who stay tend to stay. The trouble is what's on the record: 37 deficiencies, four at harm or jeopardy level, four tied to abuse, and two fines totaling $135,606, with the most recent inspection in February 2026. For-profit corporate ownership, 115 beds, and a one-star health inspection rating. The staffing math and the citation history are the two things to weigh hardest before deciding.
Atrium Health Care Center runs on thin nursing coverage, 2.54 hours per resident day against a national average of 3.86, and weekends drop about 16% below what the home staffs on weekdays. That gap matters because direct care is what residents actually feel. The inspection record backs it up: 54 deficiencies, 8 serious enough to involve harm or jeopardy, 17 tied to abuse, plus two fines totaling $163,637. Turnover at 25.3% is better than the 45.8% national figure, which is a real point in its favor for continuity of care. But a for-profit LLC with a 1-out-of-5 staffing rating leaves little cushion when someone calls in sick on a Saturday.
If you're weighing Newman Rehab & Health Care Ctr, the staffing numbers deserve your attention first. Nurses provide about 3.16 hours of care per resident each day, roughly 18 percent below the national average, and weekends run about 24 percent lighter than weekdays, so the coverage you see on a Tuesday isn't what a Saturday looks like. Annual turnover sits at 73 percent against a national 45.8, meaning most of the people caring for your family member are relatively new. The current record carries 39 deficiencies, including one at the harm level and three tied to abuse, plus a $10,517 fine. The last inspection was September 2024. The five-star quality measure score reflects reported care outcomes; the one-star staffing score reflects what's actually on the floor.
Rock River Health Care runs on thin nursing coverage, 2.69 hours per resident per day against a national average of 3.86, roughly 30 percent below. Weekends drop another 19 percent under its own weekday level, so the thinnest shifts land when families tend to visit. The 45 deficiencies on record, including five at harm or jeopardy level and two tied to abuse, sit alongside four fines totaling $95,885. Staff turnover at 30.6 percent actually beats the national 45.8 percent, which suggests the problem isn't retention so much as how few nurses are scheduled. Inspectors were last in on December 10, 2025, and all three CMS star ratings, health inspection, quality measures, and staffing, come in at 2 out of 5.
Nurse staffing here runs about 3.33 hours per resident day, roughly 14 percent under the national average, and weekends drop another 4 percent below the home's own weekday numbers, so the thinnest coverage lands when families tend to visit. The record shows 21 deficiencies, including one at the harm or jeopardy level and one tied to abuse. A 2/5 health inspection rating and a 2/5 quality measure rating sit behind the staffing figure. Ownership is a for-profit limited liability company. The last inspection was March 3, 2026. If you're weighing this one, ask specifically how the abuse deficiency was resolved and what nurse coverage looks like on Saturday and Sunday.
Moweaqua Rehab & Hcc carries 76 deficiencies on its current record, and 8 of those rose to the level of actual harm or jeopardy, 4 tied to abuse. That's a lot of serious findings for a 70-bed home, and it's why the health inspection rating sits at 1 out of 5 stars. The single fine on file runs $146,900, which tells you regulators treated at least one problem as significant. Staffing is also rated 1 star, so the people caring for residents are stretched thin relative to what CMS expects. Quality measures land at 3 stars, but that's the one bright spot in an otherwise rough picture. The last inspection was November 2024, so this record is recent, not stale.
Alden Lincoln runs 96 beds on Chicago's North Side, and the numbers that stand out first are the ones about people. Nurse staffing sits at 2.98 hours per resident per day, about a quarter below the national average, and weekends dip roughly 14% below what the home itself provides Monday through Friday. That's the stretch when families often visit and when coverage thins.
The inspection record carries 36 deficiencies, four of them serious enough to put a resident in harm's way and two tied to abuse. The most recent state visit was July 2024, so the picture is current, and one fine totaling $8,512 has been levied.
Staff turnover of 41.3% is slightly better than the 45.8% national figure, not a strong point, but not the worst of it either.
Lakeland Rehab runs 154 beds in Effingham under corporate ownership, and its staffing is the weak spot: 3.39 nurse hours per resident day, roughly 12% under the national average, with weekends about 12% thinner than weekdays. The inspection history is the real concern, 27 deficiencies on record, including 4 at the harm or jeopardy level and 7 tied to abuse, plus three fines totaling $86,553. Turnover at 38.6% is actually better than the national 45.8%, and the 4-star health inspection and July 2025 visit are recent positives. But thin daily staffing against that deficiency record is what pulls this home's overall picture down.
Aperion Care Wilmington runs on 2.15 nursing hours per resident day, roughly 44% under the national average of 3.86, and weekends dip about 10% below its own weekday numbers. That thin coverage shows up in the inspection record: 47 deficiencies, including 5 at harm or jeopardy level and 13 tied to abuse, with four fines totaling $293,067. Turnover sits at 43.3%, slightly better than the 45.8% national figure, but stable-ish staffing doesn't offset a 1-out-of-5 CMS staffing rating or a 2-out-of-5 on health inspections. The most recent inspection was April 2025, so the record is current. For-profit, limited liability ownership.
Accolade Hc Of Paxton On Pells carries a for-profit, limited-liability ownership and a record that should give any family pause before signing. The home has 59 deficiencies on file, including 10 at the harm or jeopardy level and 6 tied to abuse, plus seven fines totaling $153,560, and its most recent health inspection earned a single star out of five. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, with weekends about 3% leaner than weekdays. Annual turnover of 48% tops the national 45.8% figure, meaning the people caring for your relative are likely to keep changing. Ask hard questions about that abuse history and what's changed since January 2025.
Pearl of Elk Grove runs 190 beds under corporate ownership, and its nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record is where the real weight sits: 56 deficiencies, 10 of them at harm or jeopardy level and 7 tied to abuse, plus five fines totaling $144,133. Staff turnover of 47.3% runs slightly above the national 45.8%. The most recent inspection was December 19, 2025. Quality measures score well; staffing and inspections do not.
St. Clara's runs leaner than most homes on the floor: 2.95 nurse hours per resident day, roughly a quarter below the national average, and weekends dip further below its own weekday numbers. That thin coverage is the core issue behind its low staffing rating, and it's worth asking how the home handles a Saturday night. Turnover is better than average at 34.6%, and there are no abuse deficiencies, which matters. But 19 deficiencies with two at harm level, two fines totaling nearly $71,000, and a February 2025 inspection point to real compliance problems. The nonprofit owner doesn't change what the numbers show.
The Grove of Northbrook runs lean on nurses, 2.20 hours per resident day against a national average of 3.86, roughly 43% below. Weekend coverage barely dips from its own weekday level, so the thinness is consistent rather than a weekend problem. What stands out in the other direction is turnover: 18.8% against a national 45.8%, meaning the staff who are there tend to stay. Inspections, though, are where this home gets exposed. Nineteen deficiencies on the current record, four of them at harm or jeopardy level and two tied to abuse, plus three fines totaling $83,860. The most recent inspection was June 2024, so that record is current.
Ryze At The Ridge runs on 2.17 nurse staffing hours per resident day, roughly 44% below the national average of 3.86, a gap that shows up on weekends too, when coverage dips about 4% below its own weekday level. The inspection record is where it gets harder to look past: 50 deficiencies on file, including 6 at the harm or jeopardy level and 8 tied to abuse, plus three fines totaling $301,750. The last inspection was August 23, 2024. Turnover sits near the national figure at 44.2%, so the problem isn't retention so much as how few hands are scheduled in the first place. For-profit, limited liability ownership.