Nursing Homes in Elgin, Illinois
Elgin has 8 Medicare-certified nursing homes with 881 beds. The city average CMS rating is 3.4 stars, which is above Illinois's state average of 2.5 stars. 2 facilities earn a B grade or better and are recommended for family consideration.
Compare 8 nursing homes · data
See all 2 recommended nursing homesWorth Considering
2
Facilities graded A or B that meet our quality standards
City Average
+0.86 vs state
Total Beds
881
across 8 facilities
High Risk Facilities
2
0 under CMS review
2 with abuse citations
Nurse Availability
57 min
RN time per resident daily
Meets CMS recommendation
Well Staffed
1
exceed staffing threshold
13% of facilities
Zero Fines
passed all inspections
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Trend
0
improved vs last year
0 declined
Top Rated in Elgin
Aperion Care Fox River
Explore Nearby Cities
Aperion Care Fox River
★★★★★ · 95/100 · 94 beds
Highland Oaks
★★★★★ · 93/100 · 24 beds
Avondale Estates Of Elgin
★★★★★ · 76/100 · 120 beds
Pearl Of Elgin, The
★★★★★ · 65/100 · 139 beds
Crescent Care Of Elgin
★★★★★ · 26/100 · 88 beds
Aperion Care Elgin
★★★★★ · 8/100 · 101 beds
Avantara Of Elgin
★★★★★ · 6/100 · 112 beds
River View Rehab Center
★★★★★ · 0/100 · 203 beds
Showing 1–8 of 8 facilities
All 8 Nursing Homes in Elgin
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Fines · Deficiencies · Ownership Data · Quality Comparisons
About Nursing Home Care in Elgin
When it comes to nursing home care in Elgin, IL, families need to tread carefully. While the city boasts an average rating above the state average at **3.4 stars**, only **four out of eight facilities** meet acceptable standards. The standout is **Aperion Care Fox River**, which holds a **Grade A and a 5-star CMS rating** with an impressive score of **95**. However, the limited options mean families must be selective, as the nursing home market here has concerning elements.
Families should definitely consider **Highland Oaks** (Grade A, score of **93**) and **Avondale Estates of Elgin** (Grade B, score of **76**). Both facilities are noted for their quality of care, with Highland Oaks also holding a **5-star CMS rating**. These are the places where families can expect better staffing and fewer issues, making them worth a visit.
On the flip side, there are facilities you should outright avoid. **River View Rehab Center** has faced serious allegations of abuse, accompanied by **$666K in fines**. **Avantara of Elgin** carries a troubling **Grade F** and **$163K in fines**, while **Aperion Care Elgin** also has abuse citations and a **Grade F** rating. When visiting any facility, always come prepared with a list of questions to ensure you get a clear understanding of their practices and care quality.
Elgin at a Glance
Good News
- • 3 facilities with clean records—no fines in 3 years
- • Elgin rates better than most Illinois cities
- • 1 community-run facility (non-profit)
- • 1 facility has more nurses than required
Be Aware
- • 2 facilities have serious problems—check before visiting
- • 2 facilities with critical staffing shortages
- • 2 facilities with abuse citations
What's Changing
- → 8 facilities stayed the same
- ★ Overall: Elgin is stable
Questions Elgin Families Should Ask
Based on what we found in local inspection data
How many RN hours per resident do you provide daily?
CMS recommends 0.75 hrs; Elgin avg is 0.95 hrs (57 min)
Have you received any fines in the past 3 years?
3 of 8 Elgin facilities have zero fines
What were your most recent inspection findings?
Ask for specifics—2 local facilities have serious deficiencies
What is your staff-to-resident ratio on weekends?
Weekend staffing often differs from weekday levels
Finding Quality Nursing Home Care in Elgin, Illinois
Elgin, Illinois's Kane County seat, has 8 Medicare-certified nursing homes with approximately 881 beds. Families have good options, with many facilities exceeding state averages.
Elgin vs. Illinois: Above Average Quality
Elgin nursing homes outperform the state average on key quality metrics. The city's average CMS rating of 3.38 stars exceeds Illinois's statewide average of 2.52 stars by 0.9 stars—a meaningful difference that suggests stronger local standards.
2 of 8 facilities earn a B grade or better, giving families good options. While 2 facilities still warrant caution, the overall picture is positive for Elgin families.
Understanding Our Trust Score System
The Trust Score is a 0-100 rating calculated from CMS's official nursing home database. The score combines five data categories:
- Health Inspection Results — Recent deficiencies, their severity, and patterns over time
- Staffing Levels — RN hours, total nursing hours, and weekend staffing
- Quality Measures — Clinical outcomes like falls, pressure ulcers, and rehospitalizations
- Penalties — Fines, payment denials, and enforcement actions
- Complaints — Substantiated complaints and their severity
In Elgin, 2 facilities score a B grade or better, indicating they meet quality benchmarks across these categories. We recommend families prioritize these facilities and carefully research any facility rated C or below before visiting.
Staffing: Meeting Standards in Elgin
Staffing levels are among the most important predictors of nursing home quality. Research consistently shows that facilities with more nursing staff—especially registered nurses—have better outcomes for residents.
Elgin facilities average 0.95 RN hours per resident day, which meets the CMS-recommended threshold of 0.75 hours. The typical Elgin resident receives approximately 57 minutes of RN attention daily—compared to the 45 minutes experts recommend.
1 Elgin facilities exceed CMS staffing recommendations. Families prioritizing staffing should look for facilities with the "Top Staffing" badge and ask specifically about RN hours during facility visits.
Ownership: Mix of For-Profit and Non-Profit
Elgin has 1 non-profit nursing homes and 7 for-profit facilities. 5 of 8 facilities are chain-owned, with the remainder independently operated.
Research suggests non-profit facilities often have higher staffing levels and fewer deficiencies on average, though ownership type alone does not guarantee quality. Families should evaluate each facility individually using inspection data, staffing levels, and recent deficiency reports.
Nearby Alternatives Worth Considering
Families may also want to consider nearby Illinois cities for additional options. The following Illinois cities offer multiple nursing home options:
Frequently Asked Questions
How many nursing homes are in Elgin, Illinois?
Elgin has 8 Medicare-certified nursing homes with a total of 881 beds. The city average CMS rating is 3.4 stars, which is above Illinois's state average of 2.5 stars.
What are the best nursing homes in Elgin?
Based on our Trust Score analysis of CMS inspection data, the top-rated nursing homes in Elgin include:
- • Aperion Care Fox River — Grade A+, 95/100 Trust Score
- • Highland Oaks — Grade A, 93/100 Trust Score
- • Avondale Estates Of Elgin — Grade B, 76/100 Trust Score
These facilities have strong inspection records and staffing levels.
Which Elgin nursing homes should I avoid?
We flag 2 facilities in Elgin as high-risk based on patterns of serious deficiencies, substantial fines, or placement on CMS's Special Focus Facility list. These facilities are marked with warning indicators in our listings above.
We recommend avoiding facilities with: Grade D or F, recent "Immediate Jeopardy" citations (indicating serious harm or risk to residents), or those on CMS's Special Focus Facility list.
The Bottom Line on Elgin Nursing Homes
Elgin offers above-average nursing home options compared to the rest of the state. Focus your search on the 2 facilities graded A or B, particularly those with zero fines and strong staffing. Avoid the 2 high-risk facilities flagged in our analysis.