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Illinois skilled nursing distress & acquisition radar
This page counts 667 Illinois nursing homes from CMS's Care Compare provider file. The Illinois market page counts Medicare enrolment records, which is a slightly different population — recently certified facilities appear in Care Compare before the enrolment file catches up. Both figures are correct for their source.
Every Medicare-certified nursing home in Illinois, scored 0–100 on operational, regulatory, financial and corporate stress — built entirely from CMS payroll, inspection, penalty and ownership files. 46 facilities score elevated or worse.
Highest-scoring facilities — free preview
| Facility | County | Beds | Occupancy | Score |
|---|---|---|---|---|
| INTEGRITY HC OF CARBONDALE | Jackson | 131 | 1% | 90 |
| ST ANTHONY'S NSG & REHAB CTR | Rock Island | 130 | 63% | 80 |
| DECATUR REHAB & HEALTH CARE CT | Macon | 58 | 0% | 72 |
| LOFT REHABILITATION & NURSING | Woodford | 92 | 65% | 68 |
| Nexus Pavilion at Belleville | St. Clair | 180 | 63% | 67 |
| JERSEYVILLE NSG & REHAB CENTER | Jersey | 111 | 50% | 67 |
The full Illinois radar — 270 scored facilities
Every facility above a score of 40, with all four component scores, the specific drivers behind each one, corporate family attribution, occupancy, staffing hours per resident day, agency-labour share, turnover, deficiency and penalty history. Delivered as CSV plus a print-ready PDF.
Get the Illinois radar — $149How the score is built
Operational (30%) — resident census trend, total nurse hours per
resident day, RN coverage, share of hours filled by agency staff, day-to-day staffing volatility,
nursing turnover.
Regulatory (30%) — deficiency count and severity, civil monetary penalties, star
ratings, special focus status, abuse flag.
Financial (20%) — Medicare cost reports (HCRIS): operating margin and its
three-year trend, contract-labour share of salaries, payer mix, cost per resident day against the
state median, leverage and current ratio. Occupancy and agency dependence remain as a
current-quarter overlay, because cost reports lag roughly two years while payroll data is current.
Corporate (20%) — size of the controlling family, how many of its facilities are
deteriorating at once, and how much it has been selling.
Data vintage differs by component, and that matters. Payroll and census data is current to CY2026 Q1. Medicare cost reports (HCRIS) are final through FY2023 — roughly a two-year lag — so the financial component describes structure, not this quarter. Inspection and penalty data is current to July 2026.
What this is and is not. A high score is a screening signal — where to look first — not a finding about quality of care and not a prediction that any facility will be sold. Payroll data is nursing staff only and is self-reported. Corporate family attribution is our analysis, not a CMS designation.