Worth Considering
2
Facilities graded B or better with zero fines
Best Nursing Homes in Elgin, Illinois
2 of 8 nursing homes in Elgin (25%) meet our strict criteria. The Illinois statewide average is 29%.
2 recommended · 2 caution · 4 avoid · data
City Average
3.4
★
+0.00 vs state
Total Beds
881
across 8 facilities
High Risk Facilities
4
4 Grade F
$935,997 in combined fines
Zero Fines
3
/8
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why These 2?
The nursing home market in Elgin, Illinois is adequate but has significant concerns, with only 2 of the 8 facilities recommended. Families should be aware that 4 facilities have accumulated $920,039 in total fines, highlighting the importance of careful selection in this market.
Exceptional (Grade A, Trust Score 90+)
- 1 APERION CARE FOX RIVER (95) — A top-tier facility, Aperion Care Fox River boasts a perfect Trust Score of 95/100 and an excellent CMS 5★ rating, indicating outstanding care. With an A+ grade and no fines, this for-profit institution excels in providing quality services to its 94 residents, making it a top choice for nursing care in Elgin.
- 2 HIGHLAND OAKS (93) — Highland Oaks is a commendable non-profit nursing home with a strong community focus, reflected in its impressive Trust Score of 93/100 and a CMS 5★ rating. With an A grade and no fines, this 24-bed facility delivers compassionate, patient-centered care, making it a great option for families seeking quality support for their loved ones.
The other 6 Elgin facilities didn't qualify — 4 carry Grade D or F ratings and 5 have fines totaling $935K.
Recommended
A top-tier facility, Aperion Care Fox River boasts a perfect Trust Score of 95/100 and an excellent CMS 5★ rating, indicating outstanding care. With an A+ grade and no fines, this for-profit institution excels in providing quality services to its 94 residents, making it a top choice for nursing care in Elgin.
Highland Oaks is a commendable non-profit nursing home with a strong community focus, reflected in its impressive Trust Score of 93/100 and a CMS 5★ rating. With an A grade and no fines, this 24-bed facility delivers compassionate, patient-centered care, making it a great option for families seeking quality support for their loved ones.
Proceed with Caution
These facilities don't meet our recommendation criteria but may still be viable options.
Also Worth Considering
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | Elgin Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 5 stars | 3.4 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Facilities to Avoid
These facilities have significant quality concerns.
What Disqualified the Other 6?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Grade F facilities
- 4 Grade F — critical inspection failures
- Facilities with fines
- 5 Have fines totaling $935,997
- Low-scoring facilities
- 1 Scored below B — Trust Scores under 70
- Caution group
- 2 Had good grades but fines disqualified them
Questions Elgin Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
Elgin's city average is 3.4 stars
-
2
"Have you received any fines in the past 3 years?"
5 of 8 Elgin facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; Elgin avg is 0 min
-
4
"What were your most recent inspection findings?"
Elgin facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in Elgin, IL are recommended?
2 of 8 nursing homes in Elgin (25%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in Elgin "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in Elgin?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.