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Nursing homes in Illinois

Illinois has 666 Medicare- or Medicaid-certified nursing homes in 96 counties, with 84,984 certified beds in total. The state average CMS overall rating is 2.5 of 5 against a national average of 3.0, and homes report 3.45 nurse staffing hours per resident per day against 3.86 nationally.

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Illinois against the national average

MeasureIllinoisUnited States
Overall rating (1 to 5)2.53.0
Health inspection rating2.72.8
Staffing rating2.12.9
Nurse staffing hours per resident per day3.453.86
Registered nurse hours per resident per day0.720.69
Nursing staff turnover44.5%45.8%
Health deficiencies in the latest inspection12.69.2
Fines per home, past three years2.20.9

Averages are published by CMS. Health inspection ratings are set within each state, so compare them across states with care.

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Cities with at least 3 homes, by the city in each home's CMS address. Every home is also listed by county below.

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Nursing home rules and contacts in Illinois

Federal rules on residents' rights, discharge notices and Medicare coverage are the same in every state. These are the offices to call in Illinois, and the rules the state sets for itself.

Minimum staffing
Homes licensed under the Nursing Home Care Act must provide at least 3.8 hours of nursing and personal care a day for each resident who needs skilled care, and 2.5 hours for each resident who needs intermediate care. At least 25% of that time must be by licensed nurses, including at least 10% by registered nurses. The state checks compliance every quarter using federal payroll-based staffing data. Source: 210 ILCS 45/3-202.05; 77 Ill. Adm. Code 300.1230
Personal needs allowance (Medicaid)
A Medicaid resident keeps $60 a month for personal needs. The amount rose from $30 on January 1, 2024. Source: 305 ILCS 5/5-35.5; Illinois HFS provider notice of January 25, 2024
Holding a bed during a hospital stay or leave
Illinois Medicaid has not paid to hold beds in homes licensed under the Nursing Home Care Act since July 1, 2012. The one exception is home visits by residents assessed with a traumatic brain injury, in homes that meet occupancy and Medicaid-share thresholds. Under the rule that a home may not refuse to keep a resident because of Medicaid, a resident who receives or has applied for Medicaid is still counted as a resident during a hospital stay totaling 10 days or less; if the home refuses to readmit the person after such a stay, the state recovers the extra hospital cost from the home. Source: 89 Ill. Adm. Code 140.523; 210 ILCS 45/3-401.1(a-10)
Visiting
Residents may have private visits at any reasonable hour unless the resident's physician documents that visits are not medically advisable. Each home must have written policies to prevent social isolation; virtual visits are in addition to in-person visits, not a substitute for them. Source: 210 ILCS 45/2-108 and 3-102.3
Discharge notice
Since January 1, 2026, a home must give at least 30 days' written notice before an involuntary transfer or discharge (it was 21 days), except in emergencies, safety situations and a few other cases set by law. Copies go to the Department of Public Health, the State Long-Term Care Ombudsman, the resident, the resident's representative and the resident's managed care organization. The resident may ask the Department of Public Health for a hearing within 10 days after receiving the notice; the request generally stops the move until the hearing and any appeal are decided. Source: 210 ILCS 45/3-402 to 3-411, as amended by Public Act 104-191
Cameras in rooms
A resident may put a camera or audio recorder in their own room. The resident, or someone allowed by law to consent for them, and any roommate must sign the Department of Public Health's consent form, and monitoring may start only after the form is given to the home. The resident pays for the device and its installation, upkeep and removal; the home may not charge for electricity. The device must be in plain view, and signs are posted. Source: Authorized Electronic Monitoring in Long-Term Care Facilities Act, 210 ILCS 32
When private funds run out
A home that takes Medicaid may not refuse to keep a resident because the person receives or has applied for Medicaid. If only part of a home is Medicaid-certified, a resident in the other part who can no longer pay without Medicaid may be discharged only if the home explained this in writing at admission and the other conditions in the law are met. Source: 210 ILCS 45/3-401.1

Checked against Illinois state sources on Oct 9, 2026. Rules and phone numbers change, so confirm with the office listed. For the rules that apply in every state, see residents' rights, how to file a complaint and how Medicaid pays for a nursing home.

Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026.