Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Goldwater Care Clinton runs on 3.34 nurse hours per resident per day, about 14% under the national average, and weekends drop roughly another 10% below its own weekday levels. Staff turnover sits near 70%, well above the 45.8% national figure. The inspection record is the harder problem: 116 deficiencies, 8 of them at harm or jeopardy level, 11 tied to abuse, and $286,544 in fines. CMS has placed it in the Special Focus Facility program, a designation reserved for the country's poorest performers, and the last inspection, on February 18, 2026, produced ratings of one star across health inspections, quality measures, and staffing.
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.
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.
El Paso Rehabilitation and Health Care Center carries 73 deficiencies on its current record, including 15 tied to abuse and three serious enough to put residents in immediate harm's way. That record, plus $227,266 in CMS fines and placement in the federal Special Focus Facility program, tells you regulators are watching this building closely. Nurse staffing sits at 2.91 hours per resident day, roughly a quarter below the national average, and weekends drop another 17 percent below the home's own weekday levels. Staff turnover runs 58.2 percent, well above the 45.8 percent national figure, so the people caring for residents keep changing. The most recent inspection was January 10, 2025.
Bria of Elmwood Park carries one of the heaviest regulatory loads in Cook County. Its record shows 100 deficiencies, including 26 that put residents in immediate harm or jeopardy and 16 tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for the small share of homes with a pattern of persistent problems. Fines total $616,979 across 10 penalties. Nurse staffing sits slightly under the national average, and weekends run about 16% thinner than weekdays, with 48.5% annual turnover. All three CMS star ratings, inspections, quality measures, staffing, sit at the lowest tier, and the most recent inspection was February 2025.
Bria Of Woodriver sits at 3.86 nurse hours per resident day, which lands right on the national average, but that number hides a staffing schedule that thins out considerably on weekends, dropping about 16 percent below its own weekday levels. The bigger problem is who's providing that care and for how long: annual turnover runs 78.5 percent, well above the national 45.8 percent, meaning most of the people caring for your family member will be gone within a year. Behind those numbers is a one-star health inspection rating, 64 deficiencies on the current record with 18 at harm or jeopardy level and 7 tied to abuse, and $492,838 in fines across seven penalties. CMS has placed this home in its Special Focus Facility program, a designation reserved for the persistently worst performers.
Arcadia Care Watseka runs 123 beds in Iroquois County under for-profit LLC ownership, and the staffing numbers are thin: 3.40 nurse hours per resident day, roughly 12% under the national average, with weekends about 10% below its own weekdays. Turnover sits at 55.4% against a 45.8% national rate, so the people caring for residents keep changing. The current record shows 74 deficiencies, 9 at harm or jeopardy level and 19 abuse-related, plus five fines totaling $421,200. CMS has placed it in the Special Focus Facility program, and the most recent inspection was February 2026. If you're considering this one, ask hard questions about who's actually on the floor nights and weekends.
Arcadia Care Havana runs on thinner nursing coverage than most homes in the country, 3.17 nurse hours per resident day against a national average of 3.86, and weekends drop even further below its own weekday level. That shortfall shows up in the numbers: a 57.4% annual turnover rate, well above the national 45.8%, and 95 deficiencies on the current record, 12 of them serious enough to put residents in harm's way and 19 tied to abuse. Three fines totaling $412,962 have accumulated, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the poorest performers. The last inspection was March 21, 2025.
Arcadia Care Peoria Heights runs on 2.94 nurse hours per resident per day, roughly a quarter below the national average, and weekend coverage dips about 6% below its own weekday pace. Staff turnover sits at 52.1%, above the national figure, which matters for a building where 70 deficiencies sit on the current record, including five at the harm level and 13 tied to abuse. Three CMS fines total $259,968, and the home is in the Special Focus Facility program, a designation reserved for the lowest performers. The most recent inspection was January 2026. For-profit ownership through a limited liability company rounds out the picture.
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.
Fair Havens runs 154 beds in Decatur under for-profit LLC ownership, and the numbers that matter most here are the ones CMS flags hardest. Its health inspection rating sits at 1 out of 5, with 93 deficiencies on the current record, 9 of them at harm or jeopardy level and 17 tied to abuse. Four fines total $277,416, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Nurse staffing runs just below the national average at 3.73 hours per resident day, weekends drop about 15% below weekdays, and turnover hits 51.9% against a 45.8% national figure. The December 2025 inspection is recent.
Claridge Healthcare Center is a 231-bed for-profit home in Lake Bluff, and its record with CMS is about as bad as it gets. Seventy deficiencies on the current inspection record, seven of them at the level where a resident was actually harmed or put in immediate jeopardy, and twelve tied to abuse. Staffing sits at one out of five stars, well below what CMS expects for a building this size, and the quality measure score is barely better at two. Three fines totaling more than $241,000, and CMS has placed it in the Special Focus Facility program, the designation reserved for the poorest performers in the country. The most recent inspection was June 6, 2024. When you tour, ask directly how they're addressing the abuse findings and what staffing looks like on nights and weekends.
Arcadia Care Toulon runs on 2.90 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip even lower than its own weekdays. That thin coverage sits alongside 75 deficiencies on the current record, including 8 at the harm or jeopardy level and 12 tied to abuse, plus four fines totaling $379,356. The state's most recent inspection dates to March 2026, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor care. Staff turnover, at 45.1%, is about average, so the problem isn't retention; it's how few hands are on deck and what inspectors keep finding when they show up.
Landmark of Itasca runs 144 beds under for-profit partnership ownership, and the staffing numbers explain a lot. At 2.91 nurse hours per resident day, it sits about a quarter below the national average, and weekends drop roughly another 11 percent below its own weekday levels, so the thinnest coverage lands when families visit and emergencies often happen. Turnover is the one bright spot: 27 percent against a national 45.8 percent, meaning aides and nurses tend to stay. But stability hasn't translated into safe care. The home carries 89 deficiencies, nine involving harm or jeopardy and twelve tied to abuse, plus six fines totaling $441,611. CMS placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes, and its most recent inspection was May 2025.
La Bella Of Danville carries 139 deficiencies on its current federal record, 14 of them serious enough to involve actual harm or jeopardy, plus 25 flagged as abuse-related. Those aren't paperwork problems, that's a pattern regulators noticed, which is why CMS put this home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes. Nine fines totaling $433,572 back that up.
Staffing is the other half of the story. At 2.60 nurse hours per resident day, this 200-bed for-profit home runs about a third below the national average, and weekends dip roughly 10% below its own weekday levels. Turnover sits at 48.2%, slightly worse than the 45.8% national figure. The quality measure score looks good on paper, but that's self-reported data, the inspection record and the thin staffing are what families should weigh.
Morgan Park Healthcare runs 294 beds on Chicago's far South Side, and the numbers behind its federal record are worth walking through slowly. Nurse staffing sits at 2.75 hours per resident per day against a national average of 3.86, roughly 29% thinner, and weekends drop about 17% below what the home itself provides on weekdays, so the thinnest coverage lands when families tend to visit. The inspection history is heavier still: 123 deficiencies on the current record, 15 of them at harm or jeopardy level, 18 tied to abuse, and eight fines totaling $631,885. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Staff turnover of 50.3% runs above the 45.8% national figure. Its last inspection was October 4, 2024.
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.
Timbercreek runs on thinner staffing than most homes its size, 3.42 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 15% below what it manages Monday through Friday. That matters over 202 beds, where gaps get covered by whoever's left. Annual turnover sits at 65.9% while the national figure is 45.8%, so the aides and nurses cycling through are often new to the building and to each other. On inspections, the record shows 74 deficiencies, 11 of them at harm or jeopardy level and four tied to abuse, with seven fines totaling $260,624. The last inspection was August 2024. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care.
Goldwater Care Danville runs on thin staffing: 3.38 nurse hours per resident day, about 12% under the national average, and weekends drop another 12% below its own weekday levels. Annual turnover sits at 55.7%, roughly ten points above the national figure, so the people left on the floor are often new. The inspection record backs that up, 78 deficiencies, 12 of them at harm or jeopardy level, 8 tied to abuse, and six fines totaling $494,449. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The last inspection was April 4, 2025.
The numbers on Arcadia Care On The Hill point to a home stretched thin. At 251 beds it's a large, for-profit building, and its 2.80 nurse staffing hours per resident day fall roughly 27% under the national average, with weekends running about 7% lighter than weekdays. That shortfall shows in the federal staffing rating and in an inspection record carrying 33 deficiencies, 7 of them at the harm or jeopardy level.
The one encouraging figure is turnover: 29.1%, well below the 45.8% national average, so the people who are there tend to stay. Inspections were current as of September 2025, and fines total $57,030. If you're considering this home, ask directly how the low staffing plays out on nights and weekends.
Goldwater Care Peoria Heights runs 94 beds as a for-profit corporation, and the numbers here are hard to dress up. Nurse staffing sits at 3.76 hours per resident day, just under the national average, but it thins out on weekends, and turnover runs at 54.2%, well above the typical 45.8%. The inspection record is the real weight: 104 deficiencies, 12 of them at harm or jeopardy level, 5 tied to abuse, and two fines totaling $527,947. CMS has placed it in the Special Focus Facility program, which it reserves for the country's most persistently troubled homes. One star for health inspections and one for staffing tell you most of what you need to know.
Axiom Healthcare of West Frankfort runs on 2.83 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 16% below what the home itself staffs on weekdays. The inspection record is where the real weight sits: 64 deficiencies, seven at harm or jeopardy level, eight tied to abuse, and three fines totaling $177,001. Staff turnover, at 38.5%, is actually better than the national 45.8%, so the problem isn't retention, it's how few hours reach the floor. Corporate-owned, 96 beds, last inspected March 2025; the quality measure score of three stars stands out against a one-star inspection and staffing picture.
Landmark of Cicero runs 485 certified beds on 1.90 nurse hours per resident day, roughly half the national figure of 3.86. Weekend staffing drops another 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover sits at 31.7%, actually better than the 45.8% national average, which makes the low staffing hours look more like a budget decision than a retention problem. The record shows 74 deficiencies, nine at harm or jeopardy level and nine abuse-related, plus a $52,195 fine. CMS placed it in the Special Focus Facility program, and the most recent inspection, on January 8, 2026, is recent enough that the findings reflect current conditions.
Lincoln Village Healthcare runs 126 beds under for-profit LLC ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average, and weekends drop about 16% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Staff turnover hits 77.2% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The current record carries 82 deficiencies, including 9 at the harm or jeopardy level and 14 tied to abuse, with six fines totaling $348,066. The last inspection was January 30, 2025.
Evercare At Stearns runs on thin coverage: 3.07 nurse hours per resident per day against a national average of 3.86, with weekends about 13% leaner than weekdays. Staff turnover sits at 75.9%, well above the 45.8% typical nationally, so the people caring for residents keep changing. The inspection record backs that up: 34 deficiencies, 13 of them serious enough to put residents at harm or jeopardy, and 14 tied to abuse. Four fines total $279,894, and the most recent inspection was April 2025. A for-profit limited liability company owns the 109-bed home. The federal ratings land at two stars for health inspections and one star each for quality measures and staffing.
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.
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.
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.
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.
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.
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.
Allure Of The Quad Cities runs 149 certified beds in Moline under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.34 nurse hours per resident day, it sits about 13% under the national average of 3.86, and weekends drop roughly another 12% below its own weekday level. Annual turnover of 60.6% is well above the 45.8% national figure, so aides are cycling through constantly. The inspection record backs that up: 48 deficiencies, seven at harm or jeopardy level, twelve tied to abuse, and four fines totaling $294,890, with the most recent inspection in November 2024.
Mattoon Rehab & Hcc runs 148 certified beds as a nonprofit, but the numbers behind its record are rough. Nurse staffing sits at 3.42 hours per resident day, about 11% under the national average, and weekends drop roughly 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is 59.6% against a national 45.8%, meaning more than half the nursing team left within a year. The current inspection record carries 67 deficiencies, including 8 at harm or jeopardy level and 12 tied to abuse, plus six fines totaling $175,366. Its last inspection was September 17, 2025. A nonprofit label doesn't guarantee better care here.
Axiom Gardens of Flora is a 97-bed for-profit home in Clay County, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.13 hours per resident day, roughly 19 percent under the national average, and it thins out further on weekends. Staff turnover runs 69.2 percent against a national average near 46, meaning most of the people caring for your family member are new to the building. The current record shows 40 deficiencies, including 5 at the harm or jeopardy level and 8 tied to abuse. Four fines total $184,358, and the last inspection was March 2, 2026.
Loft Rehab Of Decatur runs 150 certified beds under corporate ownership, and the numbers worth knowing are the staffing and inspection record. Nurses provide about 3.03 hours of care per resident per day, roughly a fifth below the national average, and weekend coverage drops further below what the home staffs on weekdays. Annual turnover sits at 55.7 percent against a national 45.8. Inspectors cited 95 deficiencies on the current record, 13 of them at harm or jeopardy level and 11 abuse-related, with $278,764 in fines across four penalties. The last inspection was March 2025, so the record is current, not stale.
Nexus At Alton runs 181 beds under for-profit LLC ownership, and the staffing picture is stranger than the headline number suggests. Total nurse hours come in around 4.28 per resident day, roughly 11% above the national average, but weekends drop about 20% below the home's own weekday level, so coverage depends heavily on when you visit. Annual turnover sits at 81.5% against a national average near 45.8%, meaning most of the people caring for residents are new to the building. The inspection record is the harder problem: 87 deficiencies on file, 20 at harm or jeopardy level and 14 abuse-related, with five fines totaling $392,111 and a last inspection in May 2024.
Carlinville Rehab & Hcc runs on 3.14 nurse hours per resident day, roughly 19% under the national average, and weekends drop about 15% below what the home already provides on weekdays. Turnover sits at 62.9% against a national 45.8%, so the aides and nurses who know your parent are often the ones walking out the door. The current record carries 38 deficiencies, six of them serious enough to put residents in harm's way and ten tied to abuse, plus two fines totaling $171,737. Inspectors were last in on June 26, 2025. This is a for-profit LLC, and the numbers say the money isn't going toward the bedside.
If you're weighing Sunny Acres for someone in your family, the staffing numbers are the first thing to look at. At 2.96 nurse hours per resident per day, this home runs about a quarter below the national average, and weekends dip even further below its own weekday level. Turnover sits near 65%, meaning most of the people caring for your relative this year likely won't be there next year. The inspection record is heavier: 48 deficiencies, seven of them serious enough to put residents in harm's way, six tied to abuse, and three fines totaling just under $294,000. The state's most recent look came in March 2025.
Chicago Ridge SNF runs 231 beds on 2.26 nurse hours per resident day, roughly 41 percent under the national average of 3.86, and weekends drop about 17 percent below its own weekday coverage. The inspection record is heavy: 119 deficiencies, 24 of them at harm or jeopardy level and 19 abuse-related, plus five fines totaling $883,180. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. Staff turnover sits at 46.8 percent, slightly above the 45.8 percent national figure, and its last inspection was September 27, 2024. It's a for-profit limited liability company, and all three CMS star ratings, health inspections, quality measures, and staffing, come in at 1 out of 5.
La Bella Of Aurora runs 2.93 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home, and weekends drop about 13% below its own weekday level. The inspection record is the bigger problem: 36 deficiencies, five of them serious enough to put residents in harm's way, one tied to abuse, and $274,921 in fines across three events. That April 2025 inspection was recent, so this isn't a stale file. It's a 68-bed for-profit LLC, the kind of operation where low staffing and repeated citations tend to reinforce each other rather than resolve.
Kenwood Vlge Nrsg And Rhb Ctr carries a record that should give any family pause. The home has been cited for 72 deficiencies, including 8 at the harm or jeopardy level and 10 tied to abuse, findings severe enough to trigger three federal fines totaling $236,838. Nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average, and weekend coverage drops another 17% below its own weekday level, meaning care thins out exactly when families often visit. Turnover is near the national norm, so the problem isn't churn, it's depth of coverage and a long, serious inspection history.
Axiom Healthcare of Harrisburg runs 68 certified beds under corporate ownership, and the numbers behind its federal record are hard to read charitably. Nurse staffing sits at 3.48 hours per resident day against a national average of 3.86, and weekends drop roughly 22% below what the home itself staffs on weekdays, so the thinnest coverage lands when families are most likely to visit. Annual turnover of 51.5% outpaces the already-high national rate of 45.8%, meaning more than half the nursing staff leaves each year. The inspection history shows 25 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with a $92,920 fine and a March 2025 inspection.
Richland Nursing & Rehab runs on 2.85 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 8% below its own weekday staffing. That thin coverage shows up elsewhere: 64.3% annual turnover, meaning most of the people caring for residents this year likely won't be there next year. Federal inspectors have cited 47 deficiencies, 14 of them at a level that caused or risked actual harm, plus five tied to abuse. Ten fines total $401,602. Ownership is a for-profit corporation, and the last inspection was February 2025. If you're considering this one, ask hard questions about who's actually on the floor at 2 a.m. on a Sunday.
Pittsfield Manor runs on a corporate for-profit model, and the numbers show where that pressure lands. Nurse staffing sits at 3.84 hours per resident day, technically just under the national average, but weekends drop about 7% below the home's own weekday levels, and annual turnover hits 63.7% against a national 45.8%. That churn matters more than the headline staffing figure suggests.
The inspection record is the harder problem: 41 deficiencies, including five at harm or jeopardy level and seven tied to abuse. Four fines total $212,564, and the most recent inspection was December 2024. All three CMS star ratings, health inspection, quality measures, and staffing, land at one or two out of five.
Evercare At University runs on 2.93 nursing hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage drops further from there. Staff turnover sits at 63.2% against a national 45.8%, so the people caring for residents are constantly changing. The inspection record is heavy: 68 deficiencies, 15 of them serious enough to put residents at risk of harm, 10 tied to abuse, and $398,905 in fines across eight citations. A for-profit corporation operates the 118-bed building, which was last inspected in February 2025. Families weighing this one against others in Madison County should ask directly how the home plans to fix its staffing and abuse record.
Ryze On The Avenue runs 302 beds on Chicago's South Side, and the numbers behind its record are hard to dress up. Nurse staffing sits at 2.64 hours per resident day, roughly a third below the national average, and weekend coverage barely dips from that already thin weekday level, so there's little sign of extra help when families visit. Nearly three in five staff left over the past year, well above the typical rate. Inspectors have cited 86 deficiencies, seven involving harm or jeopardy and a dozen tied to abuse, with nine fines totaling $192,821. The last inspection was September 2024.
Sullivan Healthcare & Senior Living runs on nurse staffing that's roughly 30% below the national average, 2.70 hours per resident day against 3.86, and weekends drop about 10% below its own weekday level, which is when families tend to visit and notice. Staff turnover sits at 53.4% against a national 45.8%, so the people providing that thinner care are also leaving at a faster clip. The inspection record is where it gets harder to look past: 48 deficiencies, three at the harm or jeopardy level, seven tied to abuse, and one fine of $93,289, with the most recent inspection in August 2025 giving all three CMS ratings, health inspections, quality measures, and staffing, just one star out of five.
Palm Garden of Mattoon carries a one-star rating in all three CMS categories, health inspections, quality measures, and staffing, which tells you the problems run across the board, not just in one area. The inspection record is the heaviest part: 114 deficiencies, with 13 serious enough to put residents in harm's way and 26 tied to abuse. Staffing sits at 2.66 nurse hours per resident day, roughly a third below the national average, and weekends drop even lower. More than half the nursing staff turned over in a year. Three fines total $351,405. The last inspection was in January 2026. If you're considering this place, ask hard questions about who's actually on the floor.
Central Nursing Home runs 245 beds on Chicago's West Side, and the numbers behind its federal record are hard to dress up. Nurse staffing sits at 2.24 hours per resident per day, roughly 42% under the national average of 3.86, and weekends run about 8% thinner than weekdays, so the hours when families visit most are the hours with the least coverage. The inspection record shows 45 deficiencies, including 2 at the harm or jeopardy level and 6 tied to abuse, with three fines totaling $85,800 and a last inspection in August 2024. Staff turnover of 46.5% is close to the national rate, meaning the instability here isn't unusual for the industry, but combined with the low staffing and quality scores, it leaves little margin.
The Odd Fellow-Rebekah Home runs about 3.64 nursing hours per resident day, roughly 6% under the national average, and weekends drop another 13% below its own weekday staffing. That thin coverage sits alongside a 50.4% annual turnover rate, higher than the 45.8% national figure, so the aides and nurses at the bedside keep changing. Its current record carries 61 deficiencies, including 8 at the harm or jeopardy level and 8 tied to abuse, plus three fines totaling $244,338. The most recent inspection was November 21, 2025, so the picture is current, not stale, a nonprofit home where the numbers say watch closely before deciding.
Imboden Creek runs about 3.17 nursing hours per resident day, roughly 18% under the national average, and weekend coverage slips another 10% below its own weekday numbers. That thin staffing shows up in the inspection record: 83 deficiencies, seven at harm or jeopardy level, nine abuse-related, and five fines totaling $379,323. Annual turnover sits at 50%, above the national 45.8%, so the people providing care keep changing. The last inspection was January 13, 2026, and the federal government's own ratings give this for-profit corporation one star each for health inspections, quality measures, and staffing, the lowest marks CMS issues on all three.
Evercare of Jerseyville runs a for-profit, LLC-owned home of 98 certified beds, and the numbers behind its federal ratings are hard to dress up. Nurse staffing sits at 2.89 hours per resident day, roughly a quarter below the national average, and weekends drop about 14% below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. Staff turnover is 50.8%, above the national rate, and its current inspection record carries 40 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse. Two fines total $143,408, with the most recent inspection dated December 14, 2025.
Crystal Pines runs 110 beds in Crystal Lake under corporate ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.15 hours per resident day, roughly 18 percent under the national average, and it thins out further on weekends, so coverage is lightest exactly when families tend to visit. Staff turnover is 55.7 percent against a national 45.8, meaning more than half the nursing crew turns over in a year. The inspection history shows 47 deficiencies, seven at harm or jeopardy level and six tied to abuse, plus five fines totaling $152,720; the most recent inspection was June 2024. Ask about weekend coverage and how they've addressed the abuse-related findings before you decide.
Shelbyville Manor runs a nonprofit operation with 109 certified beds, and its nurse staffing sits at 4.28 hours per resident day, about 11% above the national average of 3.86. That's the strongest number here. The rest is harder to swallow: weekend staffing drops roughly 8% below its own weekday level, and annual turnover hits 60% against a national average of 45.8%, so the people providing that care are cycling through fast.
The inspection record is the real concern. Forty-three deficiencies are on file, six of them at the harm or jeopardy level and six abuse-related, with two fines totaling $77,985 and a May 2025 inspection that rated 2 out of 5 stars. Quality measures came in at 1 out of 5.
La Bella Of Cahokia runs 150 beds and carries 63 deficiencies on its current record, 15 of them serious enough to cause harm or jeopardy and 18 tied to abuse. It's a for-profit partnership and one of the homes CMS has flagged for its Special Focus Facility program, which is reserved for the country's most persistent poor performers. Nurse staffing sits at 3.36 hours per resident day, about 13% under the national average, and weekends run thinner still. Staff turnover is 48.9%, with three fines totaling $702,001. Inspectors last visited in April 2024. If you're considering this one, ask hard questions and visit unannounced.
Evercare of Swansea runs on thin staffing. At 2.98 nurse hours per resident day, it sits about 23% under the national average of 3.86, and weekends drop roughly 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 60.3%, well above the 45.8% national figure, meaning the aides and nurses around your relative are likely to change often. The inspection record is heavy: 70 deficiencies, nine at harm or jeopardy level, eleven abuse-related, and three fines totaling $285,149, with the most recent inspection in October 2024. For-profit individual ownership. If you're considering this one, ask hard questions about weekend coverage and who's actually on the floor.
Ryze At Homewood runs 259 certified beds out of a for-profit LLC, and the nurse staffing line is where the trouble starts: 2.49 hours per resident day, roughly 36% below the national average of 3.86, with weekends running about 9% thinner than weekdays. Turnover sits at 62.4% against a national 45.8%, so even the hours that exist are often worked by someone new. The inspection record backs that up, 73 deficiencies, 15 at harm or jeopardy level, six abuse-related, and $502,525 in fines across 10 citations, with the last inspection in December 2024. Quality measures score mid-range, but that's the one bright spot in an otherwise thin picture.
Eastview runs lean on nurses: 3.30 hours per resident day against a national average of 3.86, and weekends drop roughly 17% below what the home staffs on weekdays. That gap matters most when families visit on Saturdays and Sundays. The inspection record shows 60 deficiencies, including five at the harm level and 13 tied to abuse, plus four fines totaling $139,731, the state last inspected in November 2024. Turnover at 43.2% is slightly better than average, so the problem isn't retention so much as how few hands are scheduled. This is a for-profit limited liability company with 63 certified beds, and the staffing and quality scores both sit at the bottom of CMS's scale.
Mt Zion Health & Rehab runs on thinner nursing coverage than most homes in the country, 3.22 nurse hours per resident day against a national average of 3.86, and weekends get even leaner, dropping roughly 12% below its own weekday staffing. That strain shows up in the workforce itself: 56.3% annual turnover means more than half the nursing staff leaves each year, well above the 45.8% national figure. The inspection record backs it up, with 51 deficiencies on file, including three at the level that put residents in harm's way and seven tied to abuse, plus a $47,700 fine. State surveyors last visited in February 2024.
Loft Rehabilitation & Nursing runs 92 certified beds in Eureka under corporate for-profit ownership, and the numbers that stand out most aren't close calls. Nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average, and weekends drop about 5 percent below its own weekday level. Annual turnover hits 65.1 percent against a national 45.8 percent, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is heavy: 61 deficiencies, 13 at harm or jeopardy level, 11 abuse-related, and four fines totaling $438,940. The last inspection was August 2024. A 4/5 quality measure score doesn't offset a 1/5 on both health inspections and staffing.
Marigold Rehabilitation and Health Care Center runs 3.00 nurse hours per resident per day, about 22% under the national average of 3.86, and weekends dip another 9% below its own weekday levels. Staff turnover sits at 55.6% against a national 45.8%, so the people caring for residents are cycling out faster than usual. The inspection record shows 40 deficiencies, seven at harm or jeopardy level and nine tied to abuse, with $222,740 in fines across three actions; the last inspection was August 2024. Corporate-owned, 172 beds, and a one-star inspection rating alongside a one-star staffing rating, the quality measure score of three stars is the outlier here, not the pattern.
Taylorville Care Center runs on 2.71 nurse staffing hours per resident day, roughly 30% under the national average of 3.86, and weekend coverage dips about 7% below its own weekday level. The inspection record is heavy: 42 deficiencies, including 8 at the harm or jeopardy level and 6 tied to abuse, with two fines totaling $247,115. Staff turnover sits at 36.4%, better than the 45.8% national figure, so retention isn't the core problem here, the numbers point to thin coverage and a long, serious citation history. The last inspection was August 2025.
Allure Of Sterling runs 130 beds under corporate ownership, and its staffing sits right at the national average, 3.88 nurse hours per resident day against 3.86, so the raw coverage number looks fine until you notice weekends dip about 3% below the home's own weekday level. Turnover is the harder fact: 52.6% of staff leave annually, well above the 45.8% national figure, which means the people showing up are often new. The inspection record carries 39 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, plus a $118,360 fine. The most recent inspection was December 2025, so the picture is current, not stale.
Loft Rehab Of Peoria runs 120 beds under for-profit LLC ownership, and the numbers behind its record are worth knowing. Nurse staffing sits at 3.23 hours per resident per day, roughly 16% under the national average, and weekends run about 15% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Staff turnover is 61.5% against a national 45.8%, meaning the people caring for residents are, more often than not, new to the building.
The inspection record is heavier still: 68 deficiencies on file, including 5 at the harm or jeopardy level and 9 tied to abuse, plus three fines totaling $235,553. The most recent inspection was August 2024. Ask about weekend staffing and turnover before you decide.
Nexus At Mascoutah runs 55 certified beds and sits about 5% under the national average for nurse staffing hours per resident day, with weekends dropping roughly 12% below its own weekday numbers. The staffing picture gets harder when you look at turnover: 77.6% annually against a national average near 46%, meaning most of the people caring for your relative were hired within the past year or so. Inspectors have cited 42 deficiencies, including 7 at the harm or jeopardy level and 8 tied to abuse, with four fines totaling $73,886; the last visit was August 2024. Ownership is a for-profit partnership.
Arcadia Care Jacksonville runs on 2.67 nurse hours per resident per day, roughly a third below the national average, and weekends drop even further below its own weekday numbers. That thin coverage shows up in the inspection record: 39 deficiencies, three of them at the harm or jeopardy level, including two tied to abuse, and $84,491 in fines. Staff turnover sits at 50.9%, higher than the 45.8% national figure, which means caregivers are leaving faster than residents can get to know them. The last inspection was in November 2024, so the picture is current. Corporate-owned and 113 beds, this is a home where the numbers themselves tell you to ask hard questions before trusting the care.
Aperion Care International runs 218 beds on the South Side, and the staffing numbers are where the trouble starts: 3.14 nurse hours per resident day, roughly 19% under the national average, with weekends about 12% thinner than weekdays. A 48.1% annual turnover rate sits slightly above the national figure of 45.8%, which means the people providing that already-lean care are frequently new. The inspection record is heavy, 71 deficiencies, eight at harm or jeopardy level, seven tied to abuse, and five fines totaling $106,504. State inspectors last visited in May 2024. With a for-profit limited liability company at the helm, the pattern suggests a building where corners get trimmed at the bedside.
Helia Healthcare Of Energy runs 98 certified beds as a for-profit corporation, and the nurse staffing number is the first thing I'd flag: 2.88 hours per resident day, roughly a quarter below the national average of 3.86. Weekend coverage dips about 6% under its own weekday level, and annual turnover sits at 61.3% against a national 45.8%, that's a lot of churn on top of thin coverage. The inspection record backs it up: 64 deficiencies, 11 at harm or jeopardy level, 8 abuse-related, and 7 fines totaling $293,967. With a 1-out-of-5 inspection rating and the most recent survey dated January 2026, ask hard questions before touring.
Prairie Oasis runs 3.26 nurse hours per resident per day, roughly 16% under the national average, and weekends drop about 18% below its own weekday staffing. The inspection record backs that up: 67 deficiencies, 12 of them at harm or jeopardy level, 13 abuse-related, and six fines totaling $302,164. Turnover sits at 44.1%, marginally better than the 45.8% national figure but hardly a bright spot given everything else. All three CMS star ratings, health inspections, quality measures, staffing, come in at 1 out of 5, and the last inspection was September 12, 2025. This is a for-profit, individually owned home where the numbers point the same direction.
La Bella Of Rochelle runs on 2.43 nurse hours per resident day, roughly a third below the national average of 3.86, and weekends dip about 13% under its own weekday level. The inspection record is heavy: 87 deficiencies, 13 of them at harm or jeopardy level, 10 tied to abuse, and eight fines totaling $434,100. The last inspection was March 5, 2025. This is a for-profit corporate home with 74 certified beds, and its federal ratings sit at one star for health inspections, one for staffing, and two for quality measures. When staffing is this thin and the deficiency count this high, the pattern tends to show up in daily care, not just on paper.
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.
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.
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.
Oakwood Rehab And Nursing Center runs on 2.88 nurse hours per resident day, roughly a quarter below the national average, and weekends drop further, about 14% under its own weekday staffing. That thin coverage shows up in the numbers: a one-star CMS staffing rating, a one-star health inspection rating, 61 deficiencies on the current record including four at harm or jeopardy level and three tied to abuse, and $111,099 in fines across four penalties. Annual turnover sits at 62.4% against a national 45.8%, so many aides are new. The for-profit limited liability company behind it bears watching. The last inspection was December 2024. If you're considering this one, ask specifically who's on the floor on weekends and how long the current director of nursing has been there.
If you're looking at Alden Lakeland, start with the inspection record. Ninety-seven deficiencies is a lot, and 13 of them rose to the level where a resident was actually harmed or put in immediate jeopardy. Eight are abuse-related. Federal fines total $205,559 across four actions. That inspection history is where the one-out-of-five health inspection rating comes from.
Staffing has its own problems. Turnover runs at 59.7% a year, well above the national rate of 45.8%. Weekend coverage drops about 13% below weekdays, so care can thin out exactly when families visit. The home is corporate-owned and holds 300 beds. It was inspected in May 2025, so the record is recent.
Pearl Of Orchard Valley runs 203 certified beds in Aurora under for-profit limited liability ownership, and its nurse staffing sits at 3.23 hours per resident day, roughly 16% under the national average. Weekends dip about 14% below its own weekday levels, and annual turnover hits 57.7% against a national 45.8%. The inspection record is where it gets serious: 63 deficiencies, nine of them at harm or jeopardy level, seven tied to abuse, with six fines totaling $542,423. A March 2025 inspection is recent, but the 1-star inspection and staffing ratings tell you what those visits keep finding. If you're considering this one, ask directly how they've addressed the abuse-related citations and what weekend coverage actually looks like.
Goldwater Care Gibson City runs on thinner nurse coverage than most homes, 3.37 hours per resident day against a national average of 3.86, with weekends dipping even further below its own weekday level. Staff turnover sits at 51.7%, meaning more than half the nursing team leaves within a year, which makes consistent care hard to maintain. The inspection record backs that up: 79 deficiencies, seven serious enough to put residents in harm's way and 15 tied to abuse, plus five fines totaling $84,595. Corporate for-profit ownership, and the most recent inspection was March 2025. If you're considering this one, ask directly how they're fixing staffing and what's changed since those findings.
Little Village runs on 2.37 nurse hours per resident day, roughly 39% under the national average, and weekends drop about 27% below what the home itself staffs on weekdays. That thin coverage sits behind a record of 51 deficiencies, nine of them at harm or jeopardy level and 11 tied to abuse, plus a $54,464 fine and a December 2024 inspection. Turnover, at 33.3%, is actually better than the 45.8% national figure, so the problem here isn't retention, it's how few hands are scheduled against a for-profit, limited-liability operation where federal ratings land at 2/5 for inspections and 1/5 for both quality measures and staffing.
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.
Bria Of Belleville runs 140 certified beds as a for-profit corporation, and its nurse staffing comes in at 4.27 hours per resident day, roughly 11% above the national average of 3.86. But that headline number hides a gap: weekend staffing drops about 20% below the home's own weekday level, and annual turnover sits at 53.4% against a national 45.8%, so the people providing that care are cycling out faster than average.
The inspection record is where the real weight sits. Sixty-six deficiencies are on file, thirteen of them at the harm or jeopardy level and eight abuse-related, with eight fines totaling $375,242. The last inspection was May 2025, and the health inspection rating is 1 out of 5.
Hope Creek runs 245 beds in East Moline under for-profit LLC ownership, and the numbers there deserve a careful look before you tour. Nurse staffing sits around 3.29 hours per resident day, roughly 15% under the national average, and weekends dip about 9% below what the home itself staffs on weekdays, so coverage thins exactly when families tend to visit. The inspection record is the bigger concern: 59 deficiencies on file, nine of them at harm or jeopardy level and nine tied to abuse, with five fines totaling $386,400 and a health inspection rating of one star out of five. Last full inspection was August 2024. Turnover, at 41.1%, is actually a bit better than the 45.8% national figure, but it doesn't offset the rest.
Landmark of Hyde Park runs 318 certified beds, and its nurse staffing sits at 2.05 hours per resident day, roughly 47% under the national average of 3.86. Weekend coverage drops another 14% below its own weekday level, so the thinnest shifts are the ones families tend to visit. The inspection record is where the real weight sits: 70 deficiencies, including five at the harm or jeopardy level and nine tied to abuse, with two fines totaling $118,855 and a health inspection rating of 1 out of 5. Staff turnover at 37.5% is actually lower than the 45.8% national average, which is the one number here working in the home's favor.
Aperion Care Forest Park is a 232-bed for-profit home in Cook County with 71 deficiencies on its current record, 12 of those at the harm or jeopardy level, 8 involving abuse. That's an unusually heavy enforcement history, and it shows in the fines: six penalties totaling $387,772. The government's health inspection rating sits at 1 out of 5 stars.
Staffing tells a similar story. At 3.26 nurse hours per resident day, the home runs about 16 percent below the national average, and weekends dip another 16 percent below its own weekdays. Turnover is 38.2 percent, which is actually better than the 45.8 percent national figure, the one number here that isn't a red flag, though it doesn't offset the rest. Its last inspection was in January 2025.
Aliya of Glenwood runs 184 beds in Cook County under for-profit LLC ownership, and its nurse staffing sits right at the root of its problems. At 2.69 hours per resident day, it's about 30% under the national average of 3.86, and weekend coverage dips roughly 5% below its own weekday levels. Staff turnover lands at 48.7%, a few points above the national figure. The inspection record is heavy: 63 deficiencies, 8 at harm or jeopardy level, 6 abuse-related, and seven fines totaling $226,122. Its last inspection was April 2025. If you're weighing this one, ask specifically how they cover weekends and what's changed since those abuse findings.
Briar Place runs on 1.90 nurse hours per resident per day, roughly half the national average of 3.86. Weekends drop about another 10% below its own weekday numbers, and 54.1% of staff turned over last year against a national rate of 45.8%. The inspection record shows 50 deficiencies, nine of them at harm or jeopardy level and nine abuse-related, with five fines totaling $147,914; the last visit was November 2024. For-profit, limited liability ownership, 232 beds, a two-star health inspection rating and one star for staffing. When a building carries that many harm-level findings and that thin a floor staff, families should ask who is actually on the unit overnight and on weekends.
Complete Care at Margate Park runs 310 beds on Chicago's far North Side, and the staffing numbers are the first thing worth knowing: 3.01 nurse hours per resident per day against a national average of 3.86, with weekends running roughly 10% thinner than weekdays. That shortage shows up in the inspection record, 100 deficiencies, nine of them at harm or jeopardy level and 19 tied to abuse, plus five fines totaling $155,687. Annual turnover sits at 47.4%, slightly above the national figure, at a for-profit limited liability company. One thing in the home's favor: it was inspected recently, in late February 2026, so the record you're reading reflects current conditions rather than a stale survey.
La Bella Of Woodstock runs on 2.83 nurse hours per resident day, about 27% under the national average, and weekends drop roughly 12% below its own weekday staffing. The inspection record is the bigger issue: 87 deficiencies, 13 of them serious enough to put residents at risk of harm, plus 29 abuse-related citations and seven fines totaling just under $600,000. A 1-star inspection rating and 1-star staffing rating sit alongside a 3-star quality measure score, which mostly reflects how well the home documents care, not how much of it residents actually get. The most recent inspection was June 2025, so the record is current, not stale.
Alden Debes runs 268 certified beds in Rockford under corporate ownership, and its staffing is the first thing to look at: 3.39 nurse hours per resident day against a national average of 3.86, with weekends about 11% thinner than weekdays. Turnover sits at 56.1% against a national 45.8%, so aides and nurses cycle through faster than typical, and CMS gives staffing 1 out of 5 stars. The inspection record is the harder problem, 44 deficiencies, five at harm or jeopardy level and six abuse-related, with $129,985 in fines and a 2-star inspection rating. Quality measures score 4 out of 5, but recent inspections still found serious problems.
Landmark of Richton Park runs 294 beds in Cook County under for-profit LLC ownership, and the numbers behind its record are worth sitting with. Nurse staffing sits at 2.58 hours per resident day, roughly a third below the national average, and weekends drop about 14% below what the home itself staffs on weekdays, with turnover at 54.2% against a national 45.8%. The inspection history shows 70 deficiencies on the current record, 14 of them at harm or jeopardy level and 9 tied to abuse, plus six fines totaling $519,652. Its last inspection was in March 2025, and CMS rates staffing 1 out of 5 stars.
Allure Of Zion runs 5.03 nurse hours per resident day, roughly 30% above the national average of 3.86, and weekend staffing dips only about 8% below its weekday level. That's real coverage on paper. But 53.5% of staff turned over in a year, against a 45.8% national average, so the people delivering those hours keep changing. The inspection record is where the story turns: 66 deficiencies, 8 at harm or jeopardy level, 10 abuse-related, four fines totaling $255,454, and a health inspection rating of 1 out of 5. The last inspection was July 2024. High staffing hours and a troubled inspection history can coexist, one measures presence, the other measures what happens.
Princeton Rehab & Hcc runs 225 certified beds on Chicago's south side, and the staffing numbers are the first thing that stands out. At 2.64 nurse hours per resident day, it sits about a third below the national average, and weekends drop roughly another 10% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The inspection record is heavy: 49 deficiencies, four serious enough to involve harm or jeopardy, three tied to abuse, and two fines totaling $32,136 from a February 2025 inspection. Staff turnover, at 47.1%, runs slightly above the national rate, which means new faces are constant.
Nurse staffing at Arc At Normal runs 2.81 hours per resident day, roughly 27 percent under the national average of 3.86, and weekends dip below even that. The current record carries 72 deficiencies, including 8 at the harm or jeopardy level and 16 tied to abuse. Two fines total $62,192, and the last inspection was February 2025. Turnover sits at 40 percent, a bit better than the 45.8 percent national figure, but that one comparatively decent number doesn't offset a 1-out-of-5 staffing rating or the inspection and quality scores both at 2. This is a for-profit limited liability company operating 141 certified beds, and the pattern across these numbers is consistent.
Bria Of Chicago Heights runs 112 certified beds under for-profit LLC ownership, and its nurse staffing sits at 2.71 hours per resident day, roughly 30 percent under the national average of 3.86. Weekends drop about 15 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 33 deficiencies, seven of them at the harm or jeopardy level, six tied to abuse, with four fines totaling $165,764 and a survey as recent as May 2025. Turnover at 41.9 percent is slightly better than the 45.8 percent national figure, but that's the one number here working in its favor.
Wabash Senior Living runs 156 certified beds in Carmi under for-profit LLC ownership, and its staffing numbers are the first thing worth understanding: 3.21 nurse hours per resident per day against a national average of 3.86, with weekends running about 7% leaner than weekdays. Annual turnover sits at 61.1% while the national figure is 45.8%, meaning roughly six in ten caregivers left within the year. The health inspection side looks stronger, a 4-out-of-5 rating and a recent survey date, but 15 deficiencies sit on the current record, five at harm or jeopardy level and one abuse-related, plus a single fine of $93,679. Quality measure and staffing ratings both land near the bottom of CMS's five-point scale.
Manor Court of Carbondale runs a nonprofit operation with 120 certified beds, and its nurse staffing comes in at 4.42 hours per resident day, which is roughly 14 percent above the national average. That's a real strength on paper, though weekend coverage drops about 15 percent below the home's own weekday level, and staff turnover sits at 52.1 percent against a national average of 45.8 percent, meaning the people delivering that care are cycling out faster than is typical elsewhere. The inspection record is where things get harder to explain: 38 deficiencies currently on file, six of them serious enough to involve harm or jeopardy, three tied to abuse, plus three fines totaling $126,274. The most recent inspection was June 2025.
Aliya Of Oak Lawn runs 191 beds under for-profit LLC ownership, and the numbers tell a hard story. Nurse staffing sits at 3.46 hours per resident day, about 10% under the national average of 3.86, and weekend coverage dips roughly 3% below its own weekday level, meaning help is thinnest exactly when families tend to visit. Staff turnover is 62% against a national average of 45.8%. On the inspection side, CMS records 81 deficiencies, 16 at harm or jeopardy level and 13 abuse-related, with three fines totaling $299,044; the most recent inspection was January 16, 2025. Quality measure scores look strong, but that's the one bright spot in an otherwise difficult picture.
Aperion Care Lakeshore runs 313 beds on Chicago's South Side, and the numbers that matter most here are the ones about hands on residents. At 2.45 nurse hours per resident day, staffing sits roughly 37% under the national average, and weekends run about 11% thinner than the home's own weekdays. Turnover is genuinely low at 22.2%, well under the national 45.8%, but steady staff can't offset a schedule this thin. The inspection record is the harder read: 96 deficiencies, 8 at harm or jeopardy level, 7 abuse-related, and $249,799 in fines across five penalties. The last inspection was February 2025. If you're considering this one, ask specifically how many nurses are on the floor on a Saturday night.
Ambassador Nursing & Rehab Center runs on 2.58 nurse hours per resident per day, roughly a third below the national average, and weekend coverage drops about 8% below its own weekday level, so the thinnest shifts land when families tend to visit. Turnover sits at 20.2%, well under the national 45.8%, which means the staff who are there tend to stay. The record is where the trouble shows: 62 deficiencies, 5 at harm or jeopardy level, 8 abuse-related, and $134,388 in fines. A 190-bed for-profit LLC in Chicago, inspected most recently in August 2025, with middling marks on health, quality, and staffing. Ask about weekend coverage and how those abuse citations were resolved.
Highland Health Care Center runs on thin staffing: 3.31 nurse hours per resident day, about 14% under the national average, with weekends even leaner than weekdays. That's the number behind its one-star staffing rating, and it matters more than the four-star quality measure score, which reflects a narrower set of clinical metrics.
The inspection record is where the real weight sits. Twenty-six deficiencies, four of them serious enough to put residents in harm's way, three tied to abuse, and a $35,875 fine. The most recent state visit was in September 2024, so the picture is current, not stale.
Ownership is a for-profit limited liability company, and turnover runs at 66.7% against a national 45.8%. That churn makes consistent care hard to sustain.
Country Health runs lean on nurses: 3.08 hours per resident day against a national average of 3.86, and weekends drop about 9% below its own weekday pace. That thin coverage shows up in the inspection record, 53 deficiencies, eight serious enough to involve harm or jeopardy, 13 tied to abuse. Staff turnover sits at 53.6%, well above the 45.8% national figure, meaning the people providing daily care keep changing. This nonprofit campus in Gifford has been fined twice, totaling $150,053, and its last inspection was September 24, 2025. The quality measure score of 3 out of 5 is the strongest part of the file; staffing and health inspection scores both land at 2.
Oak Park Oasis runs 204 beds under for-profit partnership ownership, and the staffing numbers are the first thing that stand out. At 2.98 nurse hours per resident day, it sits roughly 23% under the national average of 3.86, and weekends drop about another 15% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover at 32.1% is actually better than the national 45.8%, which suggests the problem isn't retention so much as how many hands are scheduled. The inspection record is harder to explain away: 52 deficiencies, including five at harm or jeopardy level and six tied to abuse, plus seven fines totaling $244,182. The most recent inspection was October 2024.
Continental runs 208 beds on Chicago's West Side with a corporate for-profit owner, and the staffing math is thin: 2.70 nurse hours per resident day, roughly 30% under the national average, and weekends drop about 11% below its own weekday levels. Turnover at 31.8% is better than the 45.8% national figure, so the people who stay tend to stay. What stands out more is the inspection record, 97 deficiencies, nine serious enough to put residents in harm's way, eleven tied to abuse, and twelve fines totaling $305,887. The most recent inspection was May 2025, so it's current. If you're considering this one, go visit on a weekend and ask directly how they staff then.
Sunset Home runs about 3.05 nurse staffing hours per resident per day, roughly a fifth below the national average, and weekend coverage dips a bit further below its own weekday level. That thin margin shows up in the inspection record: 62 deficiencies, 11 of them serious enough to put residents in harm's way, 8 tied to abuse, and four fines totaling nearly a quarter-million dollars. Staff turnover sits at 49.1%, slightly worse than the national rate, so the people providing care keep changing. The last inspection was in October 2024, and the federal ratings land at one star for health inspections and two each for quality measures and staffing.
Evercare Of Lebanon runs 90 certified beds under for-profit LLC ownership, and the staffing picture is the first thing that stands out: 3.06 nurse hours per resident day, about 21% under the national average of 3.86, with weekends running roughly 12% lighter than weekdays. That thin coverage shows up in the inspection record, 37 deficiencies, seven at harm or jeopardy level, six abuse-related, and four fines totaling $303,529, with the most recent inspection in December 2024. Staff turnover at 33.3% is actually better than the 45.8% national figure, so the instability here isn't primarily about people leaving; it's about too few hours on the floor relative to what residents need.
Coulterville Rehab & Hcc runs on 3.11 nurse hours per resident per day, roughly 19% under the national average, and weekends drop another 10% below its own weekday staffing. That thin coverage shows up in the inspection record: 12 deficiencies, two of them at harm or jeopardy level and two abuse-related, plus a $113,818 fine. Turnover sits at 47.1%, slightly above the national 45.8%, so caregivers are cycling through. The last inspection was August 2024. Corporate-owned and certified for 75 beds, it earns middling marks on quality measures but the lowest tier for staffing. If you're considering this one, ask directly how many nurses are on the floor on a Saturday night.
La Bella Of Freeburg runs on thinner staffing than most homes, 3.67 nurse hours per resident day against a national average of 3.86, and it thins out further on weekends, dropping about 13% below its own weekday level. That's the pattern families notice as fewer hands on the floor Saturday and Sunday. The inspection record is the harder read: 22 deficiencies, nine of them serious enough to put residents at harm or jeopardy, six tied to abuse, and five fines totaling $164,604. Staff turnover sits at 53.8%, meaning more than half the nursing workforce leaves in a year, compared with 45.8% nationally. The most recent inspection was November 2025.
Park View Rehab Center runs on 2.32 nurse hours per resident per day, roughly 40% under the national average, and weekends drop another 13% below its own weekday staffing. That thin coverage sits behind a record of 68 deficiencies, including 10 at the harm or jeopardy level and 15 tied to abuse, plus seven fines totaling $597,010. Staff turnover is 39.7%, slightly better than the national 45.8%, and the last inspection was September 2025. The for-profit LLC structure and 2/5 inspection and staffing ratings round out the picture.
Complete Care At The Boulevard carries 84 deficiencies on its current record, and 11 of those rose to the level where a resident was actually harmed or put in immediate jeopardy. Another 14 are abuse-related. Those aren't paperwork problems. Six fines total $378,581, and the most recent inspection, in February 2025, is recent enough to reflect how the place runs now.
Nurse staffing sits at 2.97 hours per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays. Turnover is 53.4%, meaning more than half the nursing staff leaves each year. For-profit corporate ownership at 156 beds.
The quality measure score looks good. Staffing and inspections do not. When families ask me where to start, I tell them the inspection record.
Arcadia Care Aledo runs about 3.42 nurse hours per resident per day, roughly 11% under the national average, and weekends dip even lower. That thin coverage shows up in the inspection record: 67 deficiencies, 9 at harm or jeopardy level, 11 abuse-related, and four fines totaling $193,582, with the most recent inspection in March 2025. Staff turnover is 38.7%, better than the 45.8% national figure, so the problem isn't retention so much as how few hands are on deck and how often care has fallen short.
Landmark At 95Th Rehabilitation And Nursing Center carries 228 certified beds on Chicago's South Side, and the staffing numbers are where the trouble starts. At 2.61 nurse hours per resident day, it runs roughly a third below the national average of 3.86, and weekends dip about 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover at 40.8% is actually a bit better than the 45.8% national figure, but it doesn't offset much given the hours on the floor. The inspection record is the heavier concern: 98 deficiencies, 14 tied to abuse, 10 at harm or jeopardy level, and six fines totaling $505,715.
Symphony Maple Crest runs on 2.85 nurse hours per resident day, roughly a quarter below the national average, and weekends dip about 10% below what the home staffs during the week. More than half its nurses left in the past year, 53.4% turnover against a national 45.8%, so the people providing care keep changing. The inspection record shows 46 deficiencies, six of them serious enough to put residents at risk of harm, two tied to abuse, and four fines totaling $373,007. Ownership is a for-profit limited liability company. Whatever the quality measures say, they're being produced by thin, unstable staffing, and that combination is what families should weigh when they visit.
Archer Heights Healthcare runs 249 certified beds on Chicago's Southwest Side, and the staffing numbers tell you a lot: 2.43 nurse hours per resident per day, roughly 37% under the national average, with weekends about 13% thinner than weekdays. Turnover sits at 53.5%, well above the 45.8% national figure, so the people left are often covering for the ones who left. The inspection record is the harder problem, 124 deficiencies, 18 at harm or jeopardy level, 16 tied to abuse, and five fines totaling $596,515. A 4/5 on quality measures can coexist with all of that because those measures come from resident assessments, not from how the place is actually run.
Sharon Health Care Willows runs 218 certified beds under corporate ownership, and its staffing is the first thing that stands out: 2.88 nurse hours per resident per day, roughly a quarter below the national average. Weekends are thinner still, about 11% below the home's own weekday coverage, and nearly half the nursing staff turned over last year. The inspection record backs that up, 44 deficiencies, four serious enough to involve harm or jeopardy, and 16 tied to abuse. The most recent inspection was October 2024, so the picture is current, not stale. When you tour, ask how they cover weekends and what's changed since those abuse citations.
Harmony Park Ridge runs 298 beds under for-profit LLC ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17 percent under the national average of 3.86. Weekends dip slightly further below its own weekday levels. The inspection record is the bigger concern: 52 deficiencies, 11 of them at harm or jeopardy level and 10 abuse-related, with five fines totaling $223,201. Federal inspectors last visited in March 2025 and rated health inspections 2 out of 5. For a building this size, that many serious findings points to problems that persist between surveys rather than one bad week.
Arcadia Care Bloomington runs a 115-bed for-profit home, and the staffing numbers are the place to start: 2.59 nurse hours per resident per day, roughly a third below the national average, with weekends running about 7% thinner than weekdays. That shortfall lines up with a 1-out-of-5 staffing rating from CMS. Turnover sits at 39.1%, which is actually better than the 45.8% national figure, so the issue isn't retention, it's how few hands are on the floor per resident. The inspection record is heavy: 58 deficiencies, five at harm or jeopardy level, 14 abuse-related, and three fines totaling $179,825, with the most recent inspection in April 2025.
Carlyle Healthcare & Sr Living runs 109 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.21 nurse hours per resident per day, it sits about 17% under the national average of 3.86, and weekends drop roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 42.4% is slightly better than the 45.8% national figure, but that's a small comfort. What concerns me more is the record: 21 deficiencies, four at harm or jeopardy level and four abuse-related, with a 2/5 inspection rating, a 1/5 quality measure rating, and a July 2024 inspection that's now well behind you. Ask about the abuse citations directly.
Tower Hill runs on 2.74 nurse hours per resident day, roughly 29 percent below the national average of 3.86, and weekends dip about 10 percent below its own weekday staffing. That thin coverage sits alongside 55 deficiencies on the current record, including 6 at the harm or jeopardy level and 11 abuse-related, plus $57,365 in fines. Turnover at 38.3 percent is actually better than the 45.8 percent national figure, so the problem isn't retention so much as how few hours each resident gets. Inspectors were last in on February 6, 2025. For a 206-bed for-profit partnership, ask specifically who covers the floor on Saturday and Sunday.
Aliya On 87Th carries 75 deficiencies on its current record, ten of them serious enough to cause harm or jeopardy and five tied to abuse. That's an unusual concentration of high-severity findings for a single home. Nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average, and it thins further on weekends. Staff turnover matches the national rate, so retention isn't the outlier here, the shortfall in hands-on hours is. The 5/5 quality measure rating contrasts sharply with a 1/5 on both inspections and staffing, and $343,276 in fines across five penalties tells you regulators have acted more than once.
Allure of Galesburg runs on thin nursing coverage: 3.12 hours per resident day against a national average of 3.86, with weekends about 5% leaner than weekdays, so the gaps families notice tend to show up on Saturdays and Sundays. Staff turnover sits at 45.2%, essentially the national rate, meaning the aides and nurses cycling through are not unusually transient, but the low staffing star reflects fewer hands overall. The inspection record is the harder read: 60 deficiencies, 7 of them at harm or jeopardy level and 17 tied to abuse, plus two fines totaling $271,833. Quality measures score well, but the last inspection was July 2025 and the health inspection star remains 1 out of 5.
Pine Crest runs on about 2.48 nurse hours per resident day, roughly a third below the national average, and weekends drop another 18% under its own weekday level. Nine of the 53 deficiencies on record sit at harm or jeopardy level, and there are ten abuse-related citations plus four fines totaling nearly $120,000. The one bright spot is turnover, 30.3% against a national 45.8%, so the staff who are there tend to stay. But with a 1-star inspection rating and a 199-bed for-profit partnership, the numbers suggest a building where the care depends heavily on which shift your relative happens to get.
Sharon Health Care Pines runs 116 beds in Peoria under corporate for-profit ownership, and its last inspection was September 3, 2025. The record behind it is heavy: 41 deficiencies, nine of them at the level where residents were actually harmed, and 16 tied to abuse. Fines total $235,100 across two penalties. Nurse staffing sits at 2.77 hours per resident day, roughly 28% under the national average of 3.86, and weekends run about 15% thinner than weekdays. Turnover comes in at 39.7%, better than the 45.8% national figure, but that's the one number leaning your way. Federal inspectors rated health inspections and staffing each 1 out of 5 stars, with quality measures at 4.
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.
Loft Rehab of Rock Springs carries 94 deficiencies on its current record, six of them serious enough to involve actual harm or jeopardy, and eight tied to abuse. Those aren't paperwork problems. The health inspection rating sits at 1 out of 5, and the staffing rating matches it, 2.85 nurse hours per resident per day against a national average of 3.86, roughly a quarter less hands-on time. Weekend coverage drops another 11% below the home's own weekday numbers. Turnover at 43.7% is marginally better than the 45.8% national figure, which is the only number here that isn't working against it. A $17,870 fine and a March 2025 inspection round out the picture.
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.
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.
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.
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.
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.
Elevate Care Des Plaines runs 275 beds under for-profit LLC ownership, and its inspection record is the part that should get your attention. Thirty-six deficiencies on file, ten of them serious enough to put residents in harm's way, plus two abuse-related findings and $246,873 in federal fines across four separate penalties. Staffing sits at 3.80 nurse hours per resident day, just under the national average, and weekends drop roughly 11% below what the home staffs on weekdays. Annual turnover of 44.6% tracks close to the national figure, so that's not the outlier here. The last full inspection was in August 2024, and the state's most recent health inspection rating came in at 2 out of 5.
Momence Meadows runs about 2.52 nurse hours per resident each day, roughly a third below the national figure of 3.86, and weekends dip below even that. Staff turnover sits near 51%, higher than the 45.8% national average, so the people providing care keep changing. The inspection record is the harder read: 53 deficiencies, four of them serious enough to put residents in harm's way and eleven tied to abuse. That's what sits behind the low marks on health inspections, quality measures, and staffing. With 140 beds under individual for-profit ownership and a November 2024 inspection on the books, this is a home where you'd want to visit unannounced, ask who actually covers weekends, and look closely at how complaints get handled.
Alden Long Grove runs 248 beds in Lake County, and its nurse staffing sits at 2.74 hours per resident day, roughly 29% under the national average of 3.86. Weekends drop about 11% below its own weekday coverage, so the quietest shifts get the thinnest help. Turnover is 41%, a bit better than the 45.8% national figure, but that's the one number here that reads favorably. The current inspection record carries 30 deficiencies, five at harm or jeopardy level and two tied to abuse, with $183,548 in fines across three penalties. The last inspection was January 2026. If you're weighing this one, ask specifically how they cover weekends and what changed since those harm-level findings.
Manor Court of Maryville is a nonprofit home with 132 beds, and its nurse staffing sits at 4.37 hours per resident day, roughly 13% above the national average of 3.86. That sounds good until you notice weekends run about 15% thinner than weekdays, and turnover lands at 46.5%, basically matching the national rate of 45.8%.
The inspection record is where things get more mixed. Eighteen deficiencies are on file, including two at the harm or jeopardy level and two tied to abuse. A 4-out-of-5 health inspection rating and a recent November 2024 survey help offset that, but the 2-out-of-5 quality measure rating drags the other direction.
Elevate Care Palos Heights runs 111 beds under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag. At 3.54 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 16% below its own weekday coverage, that's when families tend to visit and notice. Turnover at 44% is close to the national figure, so that's not the outlier here. What stands out is the inspection record: 21 deficiencies, four serious enough to reach harm or jeopardy, and seven tied to abuse. Two fines totaling $57,370, with the most recent inspection in January 2025. The quality measure score looks good on paper, but I'd ask directly about those abuse deficiencies before deciding.
Marshall Rehab & Nursing runs 75 certified beds under for-profit partnership ownership, and the staffing numbers tell a mixed story. At 3.78 nurse hours per resident day, it sits just under the national average, and weekends drop roughly 19% below its own weekday coverage, worth asking about if you're planning visits or worrying about Saturday care. Turnover at 40% is better than the 45.8% national figure, which matters for continuity. What stands out more is the record: 42 deficiencies, 14 of them abuse-related, though none reached harm or jeopardy level. Inspections were last done in April 2024, and all three CMS star ratings sit at 2 out of 5.
Elevate Care Northbrook runs 298 beds under for-profit LLC ownership, and its nurse staffing sits at 2.63 hours per resident day, roughly a third below the national average of 3.86. Weekends run about 14% leaner than weekdays, so coverage thins out exactly when families tend to visit. The current inspection record carries 12 deficiencies, four of them at harm or jeopardy level and two tied to abuse, plus a $131,121 fine; the last inspection was August 2024. Staff turnover of 17.5% is genuinely low against the 45.8% national figure, which suggests some stability, but stable staff working short shifts still leaves gaps.
Aperion Care Chicago Heights runs on 2.14 nurse hours per resident per day, roughly 44% under 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 53.3% of staff turned over in a year against a national 45.8%. Inspections at this for-profit, 200-bed Cook County home turned up 30 deficiencies, including one at the harm level and ten tied to abuse, with a $21,934 fine on record. The most recent inspection was January 29, 2026. Family members should ask directly how the home covers weekends and how it screens and supervises staff.
Bella Terra Morton Grove is a 211-bed for-profit home, and the numbers worth knowing are the inspection record and the staffing. State inspectors cited 44 deficiencies on the current record, nine of them at a level that means actual harm or jeopardy, and six tied to abuse, with three fines totaling $53,913. Nurse staffing sits at 3.69 hours per resident day, under the national average of 3.86, and weekends run about 5% thinner than weekdays. Annual turnover is 49.7%, higher than the 45.8% national figure. The most recent inspection was April 17, 2025, so the record is current. If you're weighing this home, those harm-level and abuse-related citations are the things to ask about directly.
Parc Joliet runs 203 beds under corporate ownership, and its nurse staffing sits at 3.14 hours per resident day, roughly 19 percent under the national average of 3.86. Weekends drop about 16 percent below the home's own weekday coverage, so the thinnest shifts are also the least supervised. Turnover is 36.2 percent, which is actually better than the 45.8 percent national figure, but it hasn't translated into a clean record: 51 deficiencies, three of them at harm or jeopardy level and ten abuse-related, plus $25,830 in fines. The last inspection was September 25, 2025, and its health inspection rating is 2 out of 5.
Elevate Care Regency runs 254 beds in Niles under for-profit LLC ownership, and the record has some weight to it. State inspectors cited 30 deficiencies, seven of them serious enough to involve actual harm or jeopardy, plus one tied to abuse; four fines add up to $344,195. Staffing sits at 3.70 nurse hours per resident day, roughly 4% under the national average, and weekends run about 11% below the home's own weekday coverage, the stretch when families often visit. Turnover is the one bright spot at 25.2%, well under the 45.8% national figure, so the people caring for residents tend to stay. A recent April 2025 inspection means the picture is current.
River View Rehab Center runs on 1.97 nurse staffing hours per resident day, roughly half the national average of 3.86, and weekends drop another 13% below its own weekday level. Inspectors have cited 46 deficiencies on the current record, six of them at harm or jeopardy level and 18 abuse-related, with four fines totaling $452,802. Turnover sits at 33.3%, better than the national 45.8%, but that's the one number here working in the building's favor. The last inspection was September 2025, and the health inspection rating landed at 2 out of 5 stars. With this few staff on hand and this many serious citations, you'd want to ask hard questions before moving anyone in.
Nurse staffing at Arc At El Paso runs 2.87 hours per resident day, about a quarter below the national average of 3.86, and weekends dip roughly 8% below its own weekday coverage. Turnover sits at 30.2%, which is actually better than the 45.8% national figure. The current record shows 28 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $8,994; the most recent inspection was March 26, 2025. For-profit, limited liability ownership. The quality measure rating is strong at 4/5, but the 2/5 health inspection and 2/5 staffing ratings are where the real trouble sits.