Nursing Homes in Illinois: Staffing, Turnover, and Penalties
Illinois has 666 Medicare- or Medicaid-certified nursing homes in 328 cities. On CMS's August 2026 figures, nurse aides there log 2.09 hours per resident per day, 10% below the US average of 2.32, and 44.5% of nursing staff leave in a year (US 45.8%).
Illinois averages
Aide hours per resident per day is the nurse aide time a home logged for each resident across a whole day, from the payroll records every home submits to CMS. More hours per resident means more hands on the floor for the same number of residents. Turnover is the share of nursing staff who left over a year. Fines and payment denials are CMS penalties from the last three years.
Aide hours per resident a day
2.09
US 2.32
All nursing hours per resident a day
3.45
US 3.86
Nursing staff turnover
44.5%
US 45.8%
Fines per home, 3 years
2.2
US 0.9
CMS Care Compare State and US Averages, August 2026 release
Nursing homes by city
The most nursing homes are in Chicago (77), Rockford (12), Aurora (8). Each city page compares every home on staffing, turnover, CMS stars, and fines.
- Aledo (2)
- Alhambra (2)
- Altamont (1)
- Alton (3)
- Anna (1)
- Arcola (1)
- Arlington Heights (1)
- Arlington Hts (2)
- Auburn (1)
- Aurora (8)
- Aviston (1)
- Barrington (2)
- Barry (1)
- Bartlett (1)
- Batavia (2)
- Beardstown (1)
- Beecher (1)
- Belleville (5)
- Belvidere (3)
- Bement (1)
- Bensenville (1)
- Benton (3)
- Berwyn (1)
- Bloomingdale (3)
- Bloomington (4)
- Bolingbrook (1)
- Bourbonnais (1)
- Bradley (1)
- Breese (1)
- Bridgeport (1)
- Bridgeview (2)
- Brookfield (1)
- Buffalo Grove (1)
- Burbank (2)
- Burnham (1)
- Burr Ridge (1)
- Byron (1)
- Cahokia (2)
- Camp Point (1)
- Canton (4)
- Carbondale (2)
- Carlinville (3)
- Carlyle (1)
- Carmi (2)
- Carol Stream (1)
- Carrier Mills (1)
- Casey (2)
- Caseyville (1)
- Centralia (2)
- Champaign (1)
- Charleston (2)
- Chester (1)
- Chicago (77)
- Chicago Heights (2)
- Chicago Ridge (2)
- Chillicothe (1)
- Chrisman (1)
- Cicero (2)
- Cisne (1)
- Clifton (1)
- Clinton (1)
- Cobden (1)
- Collinsville (1)
- Columbia (1)
- Coulterville (1)
- Country Club Hills (1)
- Crestwood (3)
- Crete (1)
- Crystal Lake (3)
- Cuba (1)
- Danforth (1)
- Danville (4)
- Decatur (5)
- Deerfield (1)
- Dekalb (4)
- Des Plaines (6)
- Dixon (2)
- Dolton (2)
- Downers Grove (2)
- Du Quoin (2)
- Durand (1)
- Dwight (1)
- East Moline (2)
- East Peoria (2)
- Edwardsville (3)
- Effingham (3)
- Eldorado (1)
- Elgin (8)
- Elk Grove Village (1)
- Elmhurst (4)
- Elmwood Park (1)
- El Paso (2)
- Energy (1)
- Eureka (2)
- Evanston (8)
- Evergreen Park (1)
- Fairbury (1)
- Fairfield (2)
- Farmer City (1)
- Farmington (1)
- Flanagan (1)
- Flora (2)
- Forest Park (1)
- Forsyth (1)
- Frankfort (1)
- Franklin Grove (1)
- Freeburg (1)
- Freeport (4)
- Galena (1)
- Galesburg (5)
- Geneseo (3)
- Geneva (2)
- Gibson City (2)
- Gifford (1)
- Gillespie (1)
- Gilman (1)
- Glen Carbon (2)
- Glenview (4)
- Glenwood (1)
- Godfrey (1)
- Golden (1)
- Granite City (2)
- Grayville (1)
- Greenup (1)
- Greenville (1)
- Hanover Park (1)
- Hardin (1)
- Harrisburg (2)
- Harvard (1)
- Harvey (1)
- Havana (1)
- Hazel Crest (1)
- Henry (1)
- Herrin (2)
- Hickory Hills (1)
- Highland (1)
- Highland Park (1)
- Highwood (1)
- Hillsboro (2)
- Hillside (1)
- Hinsdale (1)
- Hoffman Estates (1)
- Homer Glen (1)
- Homewood (2)
- Hoopeston (1)
- Huntley (1)
- Indian Head Park (1)
- Inverness (1)
- Itasca (1)
- Jacksonville (4)
- Jerseyville (3)
- Joliet (7)
- Kankakee (3)
- Kewanee (2)
- Knoxville (1)
- Lacon (1)
- La Grange (2)
- La Grange Park (2)
- Lake Bluff (1)
- Lake Forest (1)
- Lake Zurich (1)
- Lansing (1)
- Lebanon (2)
- Lemont (2)
- Lena (1)
- Libertyville (1)
- Lincoln (2)
- Lincolnshire (2)
- Lincolnwood (1)
- Lindenhurst (1)
- Lisle (2)
- Litchfield (2)
- Lombard (2)
- Long Grove (2)
- Loves Park (1)
- Macomb (4)
- Marengo (1)
- Marion (2)
- Marseilles (1)
- Marshall (1)
- Maryville (1)
- Mascoutah (2)
- Mason City (1)
- Matteson (1)
- Mattoon (3)
- McHenry (2)
- McLeansboro (2)
- Melrose Park (1)
- Mendota (1)
- Metamora (1)
- Metropolis (2)
- Midlothian (1)
- Moline (2)
- Momence (1)
- Monmouth (1)
- Monticello (1)
- Morris (2)
- Morrison (2)
- Morton (2)
- Morton Grove (1)
- Mount Carmel (1)
- Mount Carroll (1)
- Mount Morris (1)
- Mount Pulaski (1)
- Mount Sterling (1)
- Mount Vernon (4)
- Mount Zion (1)
- Moweaqua (1)
- Mundelein (1)
- Naperville (7)
- Nashville (1)
- Neoga (1)
- New Baden (1)
- Newman (1)
- Newton (1)
- Niles (7)
- Normal (3)
- Norridge (2)
- North Aurora (2)
- Northbrook (5)
- Northlake (1)
- Oak Brook (1)
- Oak Lawn (4)
- Oak Park (3)
- Oblong (1)
- Odin (1)
- Olney (2)
- Oregon (1)
- Orland Park (3)
- Oswego (1)
- Ottawa (3)
- Palatine (2)
- Palos Heights (3)
- Palos Hills (1)
- Palos Park (1)
- Pana (2)
- Paris (2)
- Park Ridge (3)
- Paxton (2)
- Pekin (3)
- Peoria (8)
- Peoria Heights (2)
- Peru (2)
- Petersburg (1)
- Pinckneyville (1)
- Pittsfield (2)
- Plainfield (1)
- Polo (1)
- Pontiac (3)
- Princeton (2)
- Prophetstown (2)
- Prospect Heights (1)
- Quincy (4)
- Richton Park (1)
- Ridgway (1)
- Riverwoods (1)
- Roanoke (1)
- Robinson (1)
- Rochelle (2)
- Rockford (12)
- Rock Island (3)
- Rolling Meadows (1)
- Roselle (1)
- Roseville (1)
- Rosiclare (1)
- Round Lake Beach (1)
- Rushville (1)
- Saint Charles (1)
- Salem (2)
- Sandwich (2)
- Savanna (1)
- Savoy (1)
- Schaumburg (2)
- Shabbona (1)
- Shelbyville (2)
- Sherman (1)
- Shorewood (2)
- Silvis (2)
- Skokie (5)
- South Beloit (1)
- South Chicago Height (1)
- South Elgin (2)
- South Holland (3)
- Sparta (1)
- Springfield (6)
- Spring Valley (1)
- Staunton (1)
- St Charles (1)
- St Elmo (1)
- Sterling (3)
- Stickney (1)
- Stockton (1)
- Streamwood (1)
- Streator (2)
- Stronghurst (1)
- Sullivan (2)
- Swansea (2)
- Taylorville (2)
- Toluca (1)
- Toulon (1)
- Tuscola (1)
- Urbana (1)
- Vandalia (2)
- Vienna (1)
- Virden (1)
- Virginia (1)
- Walnut (1)
- Washington (1)
- Waterloo (1)
- Watseka (2)
- Wauconda (1)
- Waukegan (3)
- Westchester (1)
- West Chicago (2)
- West Frankfort (1)
- Westmont (3)
- Wheaton (3)
- Wheeling (3)
- White Hall (1)
- Willowbrook (1)
- Wilmette (1)
- Wilmington (1)
- Winchester (1)
- Winfield (1)
- Wood River (1)
- Woodstock (2)
- Yorkville (1)
- Zion (2)
Largest nursing home chains in Illinois
CMS links 261 of Illinois's homes to these 15 chains. A chain is a group of homes under common ownership or management, as CMS records it.
| Chain | Homes in IL | Homes nationwide |
|---|---|---|
| Legacy Healthcare | 41 | 89 |
| The Alden Network | 25 | 27 |
| Arcadia Care | 22 | 25 |
| Aperion Care | 21 | 33 |
| WLC Management Firm | 18 | 18 |
| Infinity Healthcare Consulting | 16 | 69 |
| Allure Healthcare Services | 15 | 15 |
| Pearl Healthcare | 15 | 15 |
| Aliya Healthcare | 14 | 14 |
| Stern Consultants | 14 | 22 |
| Citadel Healthcare | 13 | 14 |
| Elevate Care | 13 | 14 |
| Tutera Senior Living & Health Care | 12 | 25 |
| Crest Healthcare Consulting | 11 | 11 |
| Goldwater Care | 11 | 11 |
Chain as recorded in the CMS Provider Information file, August 2026 release