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.
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.
Axiom Healthcare of Mount Vernon runs on thinner nurse staffing than most homes, about 3.60 hours per resident day against a national average near 3.86, and weekends drop roughly 17% below what the building staffs during the week. Turnover sits at 60.4% a year, well above the 45.8% national mark, so the people caring for residents keep changing. The inspection record is the heavier problem: 64 deficiencies, 11 of them involving harm or jeopardy, five tied to abuse, and seven fines totaling $355,763, with the last inspection in December 2024. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 1 out of 5. For-profit corporate ownership.
The Haven of Ridgeview runs on 3.48 nurse hours per resident day, roughly a tenth under the national average, and weekends drop about 16% below what the home itself staffs on weekdays. Annual turnover sits at 57.4%, well above the 45.8% national figure, so the people around your relative keep changing. The record shows 39 deficiencies, five serious enough to put residents in harm's way and three tied to abuse, with $84,882 in fines across three penalties and a state inspection in August 2025. It's a for-profit limited liability company, and the low quality-measure score suggests the day-to-day care isn't tracking well either.
Evercare Of Collinsville runs on 2.73 nurse hours per resident day, roughly a quarter less than the national average, and weekends drop about 15% below its own weekday staffing. That thin coverage has to carry a resident population of up to 94, and more than two-thirds of the nursing staff turned over in a year, well above the national rate. The inspection record shows 49 deficiencies, including 10 at the harm or jeopardy level and 7 tied to abuse; the most recent inspection was in November 2024. Three fines total $419,192. A for-profit corporation owns it. When staffing is this far under the national mark and the harm-level findings stack up, those fines start to look less like bad luck and more like a pattern.
If you're considering The Haven of Paris for a family member, the numbers are worth sitting with. The home runs 3.15 nurse staffing hours per resident day, roughly 19% under the national average of 3.86, and weekend coverage dips about 6% below its own weekday level, so care is thinnest exactly when families tend to visit. Turnover sits at 62.5% against a national 45.8%, meaning most of the aides and nurses working there this year likely won't be there next year. The inspection record is heavy: 104 deficiencies, 14 of them serious enough to put residents in harm or jeopardy, 18 tied to abuse. Nine fines totaling $497,318.
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.
Evercare At Edwardsville runs on 2.88 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 8% below what it manages on weekdays. That thin staffing sits behind a 1-out-of-5 CMS staffing rating, and turnover is 67.5% against a national average of 45.8%, most of the people caring for residents here were not doing it a year ago. The current record shows 37 deficiencies, 11 at harm or jeopardy level and 7 tied to abuse, with five fines totaling $423,998 and a February 2025 inspection. A for-profit corporation operates the 120-bed building.
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.
Charleston Rehab And Nursing runs on 3.14 nurse hours per resident day, roughly 19 percent under the national average, and weekend staffing drops about 11 percent below its own weekday level. That thin coverage sits alongside a 72.4 percent annual turnover rate, well above the 45.8 percent national figure, so the aides and nurses at the bedside keep changing. The inspection record is the heavier problem: 71 deficiencies, five of them at harm or jeopardy level and 14 tied to abuse, with two fines totaling $75,785 and a 1-out-of-5 inspection rating. For-profit corporate ownership, 139 beds, and a last inspection in September 2024. If you're considering this one, ask hard questions before you sign anything.
The Haven of Bement runs on 3.25 nurse hours per resident day, roughly 16% under the national average, and weekends drop another 13% below its own weekday staffing. That thin coverage shows up in the inspection record: 56 deficiencies, five of them at harm or jeopardy level, eight tied to abuse, and $71,790 in CMS fines. Annual turnover sits at 66.7%, well above the 45.8% national figure, so residents cycle through a lot of unfamiliar caregivers. The last inspection was March 13, 2026, and every CMS star category, health inspections, quality measures, staffing, came back at one out of five. It's a for-profit limited liability company with 60 certified beds.
Integrity Hc Of Anna runs about 2.63 nurse hours per resident day against a national average of 3.86, roughly a third less hands-on care than typical, with weekends running about 13% leaner than weekdays. Turnover sits at 67.7% against a national 45.8%, meaning most of the staff you'd meet likely weren't there a year ago. The inspection record is heavy: 53 deficiencies, 10 of them at harm or jeopardy level and two tied to abuse, plus five fines totaling $352,749. The most recent inspection was August 2025, so the record is current rather than stale. For a 70-bed for-profit home, the numbers point to thin coverage and repeated compliance failures rather than isolated bad luck.
Regency Care runs 99 beds in Springfield under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 2.96 nurse hours per resident per day, roughly a quarter below the national average, with weekends dropping another 12% below its own weekday staffing. Turnover sits at 57.3% against a national 45.8%, which means the aides and nurses your family member sees are cycling through constantly. The inspection record backs this up, 38 deficiencies, six at harm or jeopardy level, three tied to abuse, and $210,507 in fines across four events. The most recent inspection was March 2025, so the record is current. CMS rates it 1 out of 5 on both staffing and quality measures.
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.
Metropolis Rehab & Hcc runs on 3.48 nurse hours per resident per day, roughly 10% under the national average, and weekend coverage drops about 15% below what it manages on weekdays. Staff turnover sits at 55.3% against a national 45.8%, so the aides and nurses cycling through have less time to learn residents' routines. The inspection record is the harder part: 58 deficiencies, 16 of them serious enough to put residents in harm's way, five tied to abuse, and $361,369 in fines across five penalties. Federal ratings put the home at one star for health inspections, quality measures, and staffing alike. A for-profit corporation owns it, and the most recent inspection was May 2025.
Lakeside runs 3.12 nurse hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekends are thinner still, about 13% below its own weekday coverage, and 60.6% of staff turned over in a year versus 45.8% nationally, so the people providing that care keep changing. The inspection record shows 38 deficiencies, 11 serious enough to cause harm or jeopardy, 2 tied to abuse, and $199,461 in fines across three penalties. The most recent inspection was March 2025, so the picture is current. A for-profit corporation owns the 95-bed building. Staffing, quality measures, and inspection results each land at the low end of CMS's scale.
Hillsboro Rehab & Hcc runs on 3.02 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekend coverage dips about 10% below its own weekday level. Staff turnover sits at 60.8% against a national 45.8%, meaning nearly two of every three caregivers left within a year. Its record shows 67 deficiencies, 15 at harm or jeopardy level and 14 abuse-related, plus three fines totaling $317,250 and a September 2024 inspection. Low staffing, high turnover, and repeat serious findings tend to reinforce each other in a building this size.
Nurse staffing at Arc at Sangamon Valley runs about 25% under the national average, 2.91 hours per resident day against 3.86, and weekends dip roughly 8% below what the home itself provides on weekdays. When aides and nurses leave at a 72.6% annual rate, well above the 45.8% national figure, that thin coverage gets harder to hold steady. The inspection record carries 82 deficiencies, 14 of them at harm or jeopardy level and 13 tied to abuse; federal fines total $583,051 across five penalties, and the most recent inspection was September 2024. Nonprofit ownership hasn't translated into stronger numbers here.
Serenity Estates of Lincolnshire runs on 2.97 nurse hours per resident per day, roughly a quarter below the national figure, and it thins out further on weekends. That staffing picture is hard to separate from a 99% annual turnover rate, meaning the aides and nurses in the building are largely new to it, more than double the churn seen at the typical U.S. home. The inspection record is heavier still: 61 deficiencies, ten serious enough to involve harm or jeopardy, six tied to abuse, and $343,139 in fines across eight penalties. The most recent state visit was April 2025. A for-profit limited liability company operates the 144-bed home.
The Haven On The River runs on thin staffing: 3.07 nurse hours per resident day against a national average of 3.86, with weekends dipping about 7% below its own weekday levels. That matters because turnover sits at 65.9%, well above the national 45.8%, so the people providing care keep changing. The inspection record shows 37 deficiencies, five at harm or jeopardy level and three abuse-related, plus three fines totaling $338,630. The most recent inspection was May 2025, so the picture is current, not old. This is a for-profit limited liability company with 66 certified beds, and the numbers above are what a family should weigh before deciding.