Illinois

Nursing Home Staffing Profile — 2025Q3

658 facilities61,638 residents3.50 avg HPRD

vs National Average

-0.39 HPRD

National avg: 3.90 · Illinois: 3.50

📋

Illinois ranks among the lower-performing states for nursing home staffing, with an average of 3.50 HPRD — 0.39 hours below the national average. Only 43.8% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 0.73 HPRD, with 36.0% of facilities meeting the 0.75 research recommendation.

3.50

Average Total HPRD

All nursing staff combined

▼ 0.39 vs national

0.73

Average RN HPRD

Recommended: 0.75

▲ 0.05 vs national

43.8%

Meet CMS Benchmark

288 of 658 facilities

15.2%

Avg Weekend Drop-off

Staffing reduction on Sat/Sun

5.6%

Avg Agency Staff

Contractor/temp worker hours

—

Had Zero-RN Days

Data unavailable

3.36

Median HPRD

50th percentile (less skewed by outliers)

F-Rated Facilities

Under 2.5 HPRD — critically understaffed

Grade Distribution

How Illinois's 658 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

For-Profit

3.31

avg HPRD

540 facilities (82%)

Non-Profit

4.47

avg HPRD

102 facilities (16%)

Government

4.02

avg HPRD

16 facilities (2%)

💡 Non-profit facilities in Illinois average 1.16 more HPRD than for-profit ones — about 35% higher staffing.

▲ Best Staffed in Illinois

Top 5 by total nurse HPRD

A+

CLINTON MANOR LIVING CENTER

RENAISSANCE CARE CENTER

EDEN VISTA PROSPECT HEIGHTS

BLESSING HOSPITAL SNU

▼ Most Understaffed in Illinois

Bottom 5 by total nurse HPRD

MIDWAY NEUROLOGICAL / REHAB CENTER

AVENUES AT SPRINGFIELD

APERION CARE WEST CHICAGO

CITY VIEW MULTICARE CENTER

CICERO

1.79 HPRD

RN: 0.51

⚖️

Compare Two Facilities Side by Side

Pick any two Illinois nursing homes and see how they stack up across every metric

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County Breakdown

Staffing metrics by county in Illinois — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low

Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%

County	Facilities ↓	Avg HPRD	RN HPRD	Meet Benchmark	Grades
▸Cook	200	3.40	0.80	40.0%	Mixed C/B
▸Du Page	38	3.64	1.08	60.5%	Mixed A/B
▸Kane	25	3.56	0.99	48.0%	Mixed C/B
▸Lake	24	3.77	0.97	45.8%	Mixed C/D
▸Madison	17	3.49	0.51	41.2%	Mixed C/F
▸Will	16	3.38	0.78	31.3%	Mixed C/A
▸St. Clair	15	3.53	0.42	46.7%	Mostly D
▸Winnebago	13	3.75	0.70	53.9%	Mixed B/C
▸Peoria	11	3.53	0.52	45.5%	Mostly D
▸Mc Henry	10	3.94	1.15	50.0%	Mixed C/A
▸La Salle	9	3.59	0.80	66.7%	Mostly B
▸Rock Island	8	3.47	0.45	50.0%	Mixed D/B
▸Tazewell	8	3.45	0.50	50.0%	Mixed C/D
▸Sangamon	8	3.41	0.51	37.5%	Mixed F/A
▸Mc Lean	7	3.56	0.80	42.9%	Mixed A/C
▸Whiteside	7	2.91	0.54	42.9%	Mostly C
▸Livingston	6	3.92	0.84	66.7%	Mixed A/B
▸Woodford	6	3.74	0.59	50.0%	Mixed D/B
▸Kankakee	6	3.36	0.69	33.3%	Mixed C/D
▸De Kalb	6	3.70	0.90	66.7%	Mixed A/B
▸Knox	6	3.73	0.49	83.3%	Mixed C/B
▸Adams	6	4.26	1.48	83.3%	Mixed B/A+
▸Fulton	6	4.43	1.11	66.7%	Mixed C/A+
▸Macoupin	6	3.24	0.35	16.7%	Mostly D
▸Macon	6	3.64	0.31	33.3%	Mostly D
▸Vermilion	5	3.32	0.73	20.0%	Mixed C/D
▸Henry	5	3.29	0.51	40.0%	Mixed B/C
▸Marion	5	3.84	0.53	60.0%	Mostly C
▸Iroquois	5	3.67	0.56	40.0%	Mixed B/C
▸Williamson	5	3.57	0.56	60.0%	Mixed B/C
▸Coles	5	3.31	0.48	20.0%	Mostly C
▸Ogle	5	3.58	0.73	60.0%	Mostly C
▸Stephenson	5	3.89	0.67	80.0%	Mixed A/B
▸Ford	4	3.82	0.62	75.0%	Mixed A/B
▸Bureau	4	3.39	0.68	25.0%	Mixed C/B
▸Champaign	4	4.09	0.78	25.0%	Mixed C/A+
▸Christian	4	2.86	0.28	0.0%	Mixed D/C
▸Clinton	4	4.57	1.03	50.0%	Mixed D/A+
▸Douglas	4	4.17	0.74	50.0%	Mixed C/A+
▸Effingham	4	3.37	0.52	75.0%	Mixed C/B
▸Franklin	4	3.07	0.47	0.0%	Mixed C/D
▸Jefferson	4	3.17	0.45	25.0%	Mixed C/D
▸Mc Donough	4	4.08	0.84	75.0%	Mixed A+/A
▸Montgomery	4	2.62	0.31	0.0%	Mixed D/F
▸Morgan	4	3.44	0.34	25.0%	Mixed C/D
▸Saline	4	3.13	0.44	25.0%	Mixed C/D
▸Jersey	3	3.10	0.38	33.3%	Mostly D
▸Lee	3	4.67	0.76	66.7%	Mostly C
▸Logan	3	3.45	0.50	33.3%	Mostly C
▸Marshall	3	3.46	0.56	66.7%	Mostly C
▸Boone	3	2.85	0.56	0.0%	Mostly D
▸Fayette	3	3.96	0.73	66.7%	Mostly C
▸Edgar	3	3.28	0.52	0.0%	Mostly C
▸Perry	3	3.08	0.41	0.0%	Mostly D
▸Pike	3	3.51	0.41	33.3%	Mostly C
▸Randolph	3	3.25	0.27	33.3%	Mostly F
▸Clark	3	3.93	0.83	100.0%	Mostly B
▸Wayne	3	3.96	1.27	66.7%	Mixed A/B
▸White	3	3.25	0.52	66.7%	Mixed B/C
▸Mason	2	3.20	0.49	0.0%	Mostly C
▸Massac	2	3.05	0.43	0.0%	Mixed C/D
▸Monroe	2	3.92	0.61	100.0%	Mixed A/D
▸Warren	2	3.57	0.65	50.0%	Mixed B/C
▸Moultrie	2	3.32	0.41	50.0%	Mixed C/D
▸Jo Daviess	2	3.40	0.92	50.0%	Mixed B/C
▸Piatt	2	3.62	0.48	50.0%	Mostly C
▸Carroll	2	3.43	0.46	50.0%	Mostly C
▸Richland	2	2.76	0.46	0.0%	Mostly D
▸De Witt	2	3.04	0.44	50.0%	Mostly D
▸Cumberland	2	3.17	0.49	0.0%	Mixed C/D
▸Crawford	2	3.22	0.75	50.0%	Mixed B/D
▸Shelby	2	3.76	0.37	50.0%	Mixed B/F
▸Clay	2	3.12	0.86	0.0%	Mixed C/D
▸Kendall	2	3.21	0.85	50.0%	Mixed B/D
▸Union	2	2.74	0.44	0.0%	Mostly D
▸Jackson	2	4.89	0.51	100.0%	Mostly C
▸Cass	2	3.44	0.42	50.0%	Mixed B/D
▸Grundy	2	2.99	0.65	0.0%	Mixed C/D
▸Mercer	2	3.00	0.46	0.0%	Mixed C/D
▸Menard	1	3.47	0.59	0.0%	Mostly C
▸Schuyler	1	3.30	0.80	0.0%	Mostly C
▸Scott	1	3.56	0.60	100.0%	Mostly B
▸Brown	1	2.63	0.52	0.0%	Mostly D
▸Henderson	1	4.06	0.51	100.0%	Mostly C
▸Stark	1	2.77	0.29	0.0%	Mostly D
▸Washington	1	3.45	0.20	0.0%	Mostly F
▸Hardin	1	3.70	0.51	100.0%	Mostly C
▸Jasper	1	2.83	0.54	0.0%	Mostly D
▸Hamilton	1	2.83	0.43	0.0%	Mostly D
▸Lawrence	1	3.06	0.49	0.0%	Mostly C
▸Johnson	1	2.60	0.58	0.0%	Mostly D
▸Wabash	1	3.39	0.71	0.0%	Mostly C
▸Greene	1	3.49	0.34	100.0%	Mostly D
▸Gallatin	1	3.82	0.53	100.0%	Mostly C
▸Bond	1	3.21	0.51	0.0%	Mostly C
▸Calhoun	1	2.78	0.64	0.0%	Mostly D

HPRD Range in Illinois

The spread between best and worst staffed facilities

2.96

25th pctile

3.36

Median

3.88

75th pctile

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.