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.
Pleasant Meadows runs about 18% below the national average on nurse staffing, and weekends drop another 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover sits near 59% against a national 45.8%, meaning the aides and nurses around your relative are likely to keep changing. The inspection record is where it gets hardest to explain away: 89 deficiencies, 14 serious enough to involve harm or jeopardy, and 14 tied to abuse. Five fines total $400,084. The quality star says 4, but that score comes from resident assessments, not from whether the building is adequately staffed or kept in compliance.
Axiom Gardens Of Nashville is a for-profit partnership home with 120 beds, and the numbers behind it are hard to read past. Nurse staffing sits at 3.46 hours per resident day, about 10% under the national average, and it thins out further on weekends, dropping roughly 13% below the home's own weekday level, so the coverage gaps aren't just theoretical. Staff turnover is 63.6% a year against a national average of 45.8%, which means the people doing the work keep changing. The current record shows 53 deficiencies, 13 at harm or jeopardy level and 11 abuse-related, plus $541,045 in fines across three cases. CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems.
Grove Health & Rehab Center in Jacksonville runs 175 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.57 hours per resident per day, roughly 8% under the national average, and it thins out further on weekends, dropping about 12% below the home's own weekday levels. Annual turnover hits 50.7%, well above the 45.8% national figure, so the people providing care keep changing.
The inspection record shows 31 deficiencies, eight of them serious enough to involve harm or jeopardy, three tied to abuse. Three fines total $76,577. The most recent inspection was in August 2025, so the picture is current, and CMS rates health inspections, staffing, and quality measures at 1, 1, and 2 stars respectively.
Cisne Rehabilitation and Health Care Center runs 35 beds in Wayne County under corporate for-profit ownership, and its inspection record is the main thing to know: 27 deficiencies on file, six of them serious enough to cause harm or jeopardy, three tied to abuse. Three fines add up to $87,202. Staffing hours land at 3.87 per resident day, right on the national average of 3.86, but weekend coverage drops about 11% below the home's own weekday levels, and turnover sits at 45.5%, essentially the same as the national rate. CMS gave all three of its star ratings a 2 out of 5. The most recent inspection was June 6, 2025.
Sandwich Living & Rehab Center runs short on nursing hours, about 3.34 per resident per day, roughly 14% under the national average, and weekend coverage dips another 8% below its own weekday levels. That thin staffing shows up against a 56.3% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses caring for residents are frequently new or on their way out. The inspection record is the harder read: 71 deficiencies on file, 12 serious enough to cause harm or jeopardy, 10 tied to abuse, and five fines totaling $285,025. One star each for staffing and health inspections, with a state survey as recent as December 2024.
Nexus At Berwyn runs 145 certified beds under corporate ownership, and the numbers that matter most here are the ones families can't easily see. Nurse staffing sits at 3.25 hours per resident day, roughly 16 percent under the national average, and it thins out further on weekends, dropping about 17 percent below the home's own weekday level. Staff turnover is 57 percent, well above the 45.8 percent national figure, so the people providing care keep changing.
The inspection record is where things get serious: 52 deficiencies, including 9 at the harm or jeopardy level and 3 tied to abuse, with five fines totaling $428,544. That's a lot of documented trouble for one building.
Alpine Care Of Zion runs 244 certified beds under for-profit LLC ownership, and its nurse staffing sits at 2.86 hours per resident day, roughly 26 percent under the national average of 3.86. Weekends drop about 17 percent below its own weekday levels, and annual turnover of 48.2 percent runs slightly above the national figure of 45.8 percent, so the aide or nurse your relative sees most often may not be there next year. The current record lists 44 deficiencies, three at harm or jeopardy level and two abuse-related, along with three fines totaling $72,394. The most recent inspection was August 2025, so the picture is current, not stale.
Axiom Healthcare of Rosiclare runs 62 certified beds under corporate ownership, and the staffing picture is the first thing worth knowing: 3.65 nurse hours per resident day sits about 5% under the national average, and weekends drop roughly 19% below what the home staffs on weekdays. Turnover at 42.1% is slightly better than the national figure, which helps, but it doesn't offset a record with 33 deficiencies, three at harm or jeopardy level, two tied to abuse, and $132,266 in fines across two penalties. The most recent inspection closed in December 2025, so the findings are current rather than stale. Quality measures score low, and staffing scores lowest of all.
Avenora Elmhurst runs on 1.44 nursing hours per resident day, roughly a third of the national figure and the kind of number that shows up on weekends too, when coverage drops another 5 percent below its own weekday level. The inspection record backs that up: 36 deficiencies, five of them at harm or jeopardy level and four tied to abuse, with $216,044 in fines across four separate penalties. Staff turnover sits at 46.9 percent, right about where the national average is, so this isn't a retention crisis, it's a staffing-level one, in a for-profit building that state inspectors last visited in October 2024 and rated one star.
Aperion Care Oak Lawn runs on thin staffing, about 3.08 nurse hours per resident each day, roughly a fifth below the national average, and weekends drop even further below its own weekday levels. That's a problem when you consider the inspection record: 62 deficiencies, seven of them serious enough to put residents at risk of harm, and 13 tied to abuse. More than half the nursing staff turns over in a year, well above the national rate of 45.8%, which makes consistent care hard to sustain. Federal fines total just over $52,000 across four penalties, and the most recent inspection was in January 2026. For-profit ownership under a limited liability company rounds out a picture where the numbers consistently point the same direction.
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.
Fondulac runs on 2.89 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 16% below what the home staffs on weekdays. That thin coverage sits behind a one-star CMS staffing rating and a one-star inspection rating, with 65 deficiencies on the current record, six serious enough to reach harm or jeopardy level, six tied to abuse. Two fines total $146,601, and the most recent inspection was August 2024, so that record reflects where things stood then. Ownership is for-profit corporate, and the quality measure rating of three stars doesn't offset what the inspection and staffing numbers show.
Quincy Healthcare & Sr Living runs 89 certified beds under for-profit LLC ownership, and the numbers worth knowing are the staffing ones. Nurses provide 3.38 hours per resident day, about 12% under the national average, and weekends drop roughly 13% below what the home itself staffs on weekdays, so care thins out exactly when families tend to visit. Annual turnover of 57.6% sits well above the 45.8% national figure. The current inspection record carries 39 deficiencies, four of them at harm or jeopardy level, plus three fines totaling $61,926. The last inspection was July 9, 2025. Ownership and staffing together explain more here than any single rating.
Hillside runs lean on nursing hours, 2.77 per resident day against a national average of 3.86, roughly 28% below, and weekends dip even further below its own weekday levels. The inspection record shows 35 deficiencies, three of them at the harm or jeopardy level and three tied to abuse, with $158,570 in fines across three penalties; the last inspection was in May 2026. Ownership is for-profit through a limited liability company, and staff turnover sits at 44.7%, essentially matching the national rate rather than improving on it. Quality measure and staffing ratings both land at the low end, and the health inspection rating is middling at best.
Mount Vernon Countryside Manor runs on 2.92 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip even lower than its own weekday levels. The staffing star rating sits at 1 out of 5, and turnover runs 49.4% against a national 45.8%, nearly half the nursing staff cycling out in a year. On inspections, the record shows 22 deficiencies, four at harm or jeopardy level and three tied to abuse, with $126,387 in fines across four penalties. The most recent inspection was January 2025. For-profit corporate ownership. If you're weighing this one, ask hard questions about weekend coverage and how they've corrected the abuse-related findings.
Fair Oaks runs leaner than most. At 3.43 nurse hours per resident per day, it sits about 11 percent under the national average, and weekends drop roughly another 12 percent below its own weekday numbers, so the thinnest coverage lands when families tend to visit. Staff turnover is the bigger issue: 61.3 percent a year against a national average of 45.8 percent, meaning most of the people caring for residents are still learning the building.
The inspection record backs that up. Thirty-six deficiencies, four serious enough to cause harm, two tied to abuse, and three fines totaling $71,124. The most recent inspection was September 2025, so the picture is current, not stale. For-profit corporate ownership, 78 beds.
Bria Of River Oaks runs 309 beds in Burnham, and the number that should give you pause is 2.86 nursing hours per resident per day, roughly a quarter below the national average, with weekends thinner still. Turnover sits at 35.6%, which is actually better than average, so the problem isn't a churning workforce; it's that there don't appear to be enough hands scheduled. The inspection record is heavy: 38 deficiencies, 13 of them at harm or jeopardy level, seven tied to abuse, and eight fines totaling $270,248. Its last inspection was July 2024. For-profit corporate ownership. Ask about weekend coverage and the abuse plan before you tour.
Austin Oasis is a 216-bed for-profit home in Chicago, and the federal numbers on it are grim. Staffing earns one star out of five, meaning residents here get fewer caregiving hours than the national average, and that gap is where falls, sores, and missed medications tend to happen. The inspection record shows 68 deficiencies, including 8 that put residents in immediate harm and 13 tied to abuse. Seven fines totaling $607,298 have piled up, with the most recent inspection in March 2025. Low staffing plus a harm-level deficiency pattern is the combination families should weigh hardest. If you're considering this one, ask to see the current plan of correction and how the home is fixing its staffing shortfall.
Shelbyville Healthcare & Senior Living runs well under the national staffing average, 2.87 nurse hours per resident day against 3.86, and it thins out further on weekends, when coverage drops about 9% below its own weekday level. That shortfall shows up in the numbers: 44 deficiencies on the current record, including 2 at the harm level and 4 tied to abuse, with the last inspection in August 2024.
Staff turnover sits at 60% against a national average of 45.8%, meaning roughly six in ten workers left over the year. Federal ratings put staffing and quality measures at 1 out of 5 stars each, with health inspections at 2. All of this sits under a for-profit corporate owner.
Vandalia Healthcare & Senior Living runs 116 certified beds under for-profit LLC ownership, and its staffing is the number to sit with first: 3.06 nurse hours per resident day against a national average of 3.86, roughly a fifth below, with weekends about 8% thinner than weekdays. Turnover sits at 59.5%, well above the 45.8% national figure, so the aides and nurses in the building keep changing. The inspection record backs that up: 35 deficiencies, two at harm or jeopardy level, no abuse findings, and one fine of $14,720, with the most recent survey dated November 20, 2025. Quality and staffing each scored one star out of five; health inspections scored three. Families should ask how the home covers weekends and how long its current staff have actually been there.