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Nursing homes in Elgin, IL

Elgin, IL has 8 Medicare-certified nursing homes. 3 have a 5-star overall rating, and 5 have been fined in the last three years.

Medicare data updated October 2026. Sorted by Medicare's overall rating.

Nursing homeOverall ratingHealth inspectionsStaffingQuality measuresBedsFines
Aperion Care Fox River355 Raymond Street · For profit - Corporation 5 out of 5 stars 5 out of 5 stars 3 out of 5 stars 5 out of 5 stars94None
Avondale Estates of Elgin1754-1760 Capital Street · For profit - Individual 5 out of 5 stars 5 out of 5 stars 5 out of 5 stars 4 out of 5 stars120None
Highland Oaks2750 West Highland Avenue · Non profit - Church related 5 out of 5 stars 5 out of 5 stars 5 out of 5 stars 5 out of 5 stars24None
Crescent Care of Elgin180 South State Street · For profit - Limited Liability company 4 out of 5 stars 4 out of 5 stars 2 out of 5 stars 3 out of 5 stars886 ($44,709)
The Pearl of Elgin2355 Royal Boulevard · For profit - Limited Liability company 4 out of 5 stars 3 out of 5 stars 2 out of 5 stars 5 out of 5 stars1391 ($19,250)
Aperion Care Elgin134 North McLean Boulevard · For profit - Individual 3 out of 5 stars 3 out of 5 stars 1 out of 5 stars 5 out of 5 stars1013 ($56,661)
The Pearl of Fox River Valley1950 Larkin Avenue · For profit - Limited Liability company 3 out of 5 stars 3 out of 5 stars 3 out of 5 stars 4 out of 5 stars1122 ($142,448)
River View Rehab Center50 North Jane · For profit - Partnership Cited for abuse 2 out of 5 stars 2 out of 5 stars 2 out of 5 stars 3 out of 5 stars2034 ($453,490)

How to read the ratings. Medicare's overall rating starts from the health inspection rating, which compares each home with others in Illinois, then moves up or down a star for very high or very low staffing and quality measure ratings. Ratings are one source among several: Medicare suggests visiting too. How to read a nursing home's star ratings

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Recent inspection problems in Elgin

Citations from each home's latest standard inspection and from complaint inspections in the last three years, newest first. What an inspection citation means

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 17, 2026 · The Pearl of Elgin · F0684 · Level of harm: Actual harm · Residents affected: Few
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 24, 2026 · River View Rehab Center · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 2, 2026 · River View Rehab Center · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
  • Respond appropriately to all alleged violations.April 2, 2026 · River View Rehab Center · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 27, 2026 · River View Rehab Center · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 18, 2026 · River View Rehab Center · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.December 31, 2025 · River View Rehab Center · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
  • Provide and implement an infection prevention and control program.December 11, 2025 · Highland Oaks · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 11, 2025 · Highland Oaks · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.December 11, 2025 · Highland Oaks · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Questions about nursing homes in Elgin

Which nursing home in Elgin has the highest Medicare rating?

Aperion Care Fox River, Avondale Estates of Elgin and Highland Oaks share the highest overall rating in Elgin: 5 stars out of 5.

How many nursing homes in Elgin have been fined?

5 of the 8 have been fined in the last three years, $716,558 in all. The most was $453,490, at River View Rehab Center.

Does Medicare flag any nursing homes in Elgin?

River View Rehab Center was cited for abuse. Medicare marks homes with a history of serious problems and homes recently cited for abuse.

Which nursing home in Elgin is the largest?

River View Rehab Center, with 203 certified beds.

Data from Medicare (CMS), updated October 2026, from Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.