The Elms: Staffing, Turnover, and Inspection Record
The Elms is a 98-bed government-run nursing home in Macomb, Illinois. In the CMS August 2026 release it reported 3.11 nurse aide hours per resident per day, 49% above the Illinois average of 2.09, and 28.4% nursing staff turnover (Illinois average 44.5%).
The Elms
1212 Madelyn AvenueMacomb, IL 61455
Mc Donough County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Elms, nurse aides logged 3.11 hours per resident per day, 49% above the Illinois average. With about 66 residents a day, that works out to roughly 206 aide hours a day, or about 26 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Illinois avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.11 | 2.09 | 2.32 |
| Licensed practical nurses | 0.53 | 0.64 | 0.86 |
| Registered nurses | 1.10 | 0.72 | 0.69 |
| All nursing staff | 4.74 | 3.45 | 3.86 |
| All nursing staff, weekends | 4.15 | 3.08 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
28.4% of nursing staff at The Elms left over the year CMS measured, against a Illinois average of 44.5% and a US average of 45.8%. Registered nurse turnover was 30.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 3, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 15 health deficiencies (Illinois average 12.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Elms holds 5 of 5 overall; the Illinois average is 2.5.
About The Elms
- Ownership: Government - City/county
- Legal name: County of McDonough McDonough County Clerk
- Medicare and Medicaid certified since: Sep 1, 2002
- Councils: resident council
- Area: rural
Nursing homes near The Elms
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Macomb Post Acute Care Center Macomb | 0.1 | 80 | 2.55 | 3.81 | 34.5% | 4 | None |
| Wesley Village Macomb | 0.3 | 73 | 3.24 | 4.87 | 27.0% | 5 | None |
| Countryside Care Center Macomb | 0.8 | 62 | 1.78 | 2.90 | 62.5% | 2 | $317,916 |
| Goldwater Care Roseville Roseville · many days without an RN | 15.3 | 99 | 1.98 | 3.37 | 46.7% | 1 | $138,664 |
| Rushville Nursing & Rehab Ctr Rushville · abuse citation | 23.2 | 96 | 1.83 | 3.11 | 46.8% | 1 | None |
| Henderson County Ret Center Stronghurst | 24.3 | 58 | 2.32 | 3.93 | 52.6% | 5 | None |
| The Clayberg Cuba | 24.8 | 49 | 2.49 | 3.87 | 50.0% | 5 | None |
| Golden Good Shepherd Home Golden · many days without an RN | 30.4 | 46 | 1.96 | 3.41 | 36.4% | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.