Illinois · Nursing Homes
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Nursing Homes & Extended Care in Elgin, IL.

Ranked based on inspection data.

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This is what the inspectors wrote down.

Every score on this page is built from federal CMS inspection results and state licensing records — the same findings a regulator sees. Not brochures, not tours, not what a facility says about itself.

11 licensed nursing homes in Elgin, IL
Updated October 21, 2026
1.4Concerns

CRESCENT CARE OF ELGIN

180 SOUTH STATE STREET, ELGIN, IL 60123

CRESCENT CARE OF ELGIN brings a 4.0-star CMS rating, strong inspection scores (4.0/5), and 0.71 RN hours per resident daily. There are 6 federal fine(s) on record — no date context, so worth asking about directly.

2 flaggedFull record ›
0.0

RIVER VIEW REHAB CENTER

50 NORTH JANE, ELGIN, IL 60123

RIVER VIEW REHAB CENTER has a critical flag: cms has placed an abuse icon on this facility, indicating a substantiated finding of abuse, neglect, or exploitation of a resident. Worth asking: Falls with major injury rate is 1.0% — well below the national median.

2 doing well4 flaggedFull record ›
8.5Strong

APERION CARE FOX RIVER

355 RAYMOND STREET, ELGIN, IL 60120

APERION CARE FOX RIVER brings a 5.0-star CMS rating, strong inspection scores (5.0/5), high quality measure scores (5.0/5), 1.09 RN hours per resident daily, low staff turnover (40%), and no federal fines on record. Worth asking: Long-stay depressive-symptoms rate is 100.0% — above the national median of about 10%.

5 doing well1 flaggedFull record ›
5.0Mixed

The Pearl of Fox River Valley

1950 LARKIN AVENUE, ELGIN, IL 60123

The Pearl of Fox River Valley brings high quality measure scores (4.0/5), and 1.21 RN hours per resident daily. There are 2 federal fine(s) on record — no date context, so worth asking about directly.

2 doing well1 flaggedFull record ›
3.3Concerns

APERION CARE ELGIN

134 NORTH MCLEAN BOULEVARD, ELGIN, IL 60121

APERION CARE ELGIN brings high quality measure scores (5.0/5), and 0.68 RN hours per resident daily. There are 3 federal fine(s) on record — no date context, so worth asking about directly.

1 doing well2 flaggedFull record ›

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5.9Mixed

PEARL OF ELGIN, THE

2355 ROYAL BOULEVARD, ELGIN, IL 60123

PEARL OF ELGIN, THE brings a 4.0-star CMS rating, high quality measure scores (5.0/5), and 0.73 RN hours per resident daily. There are 1 federal fine(s) on record — no date context, so worth asking about directly.

1 doing well2 flaggedFull record ›
8.5Strong

AVONDALE ESTATES OF ELGIN

1754-1760 CAPITAL STREET, ELGIN, IL 60124

AVONDALE ESTATES OF ELGIN brings a 5.0-star CMS rating, strong inspection scores (5.0/5), above-average staffing (5.0/5), high quality measure scores (4.0/5), 1.45 RN hours per resident daily, low staff turnover (31%), and no federal fines on record. Worth asking: Pressure ulcer (bedsore) rate is 10.4% — well above the national median of about 7%.

5 doing well1 flaggedFull record ›
8.5Strong

HIGHLAND OAKS

2750 WEST HIGHLAND AVENUE, ELGIN, IL 60123

HIGHLAND OAKS brings a 5.0-star CMS rating, strong inspection scores (5.0/5), above-average staffing (5.0/5), high quality measure scores (5.0/5), 1.08 RN hours per resident daily, low staff turnover (28%), and no federal fines on record. Worth asking: Long-stay antipsychotic rate is 32% — above the national median of about 14%.

4 doing well1 flaggedFull record ›
Not yet
scored

ADDISON REHABILITATION & LIVING CENTER LLC

1754 CAPITAL STREET, ELGIN, IL 60124

Full record ›
0.0

TOWER HILL HEALTHCARE CENTER

759 KANE STREET, SOUTH ELGIN, IL 60177

TOWER HILL HEALTHCARE CENTER has a critical flag: cms has placed an abuse icon on this facility, indicating a substantiated finding of abuse, neglect, or exploitation of a resident. Worth asking: Registered nurse hours are 0.36 per resident per day — below the recommended minimum of 0.75 hours.

4 flaggedFull record ›
3.6Concerns

SOUTH ELGIN LIVING & REHAB CENTER

746 WEST SPRING STREET, SOUTH ELGIN, IL 60177

SOUTH ELGIN LIVING & REHAB CENTER brings 1.01 RN hours per resident daily, and low staff turnover (24%). There are 2 federal fine(s) on record — no date context, so worth asking about directly.

3 doing well2 flaggedFull record ›

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Common questions

How many licensed nursing homes are in Elgin, IL?
11 licensed nursing homes in Elgin, IL, drawn from federal CMS records and state licensing data.
How does Palmelle rank these nursing homes?
Each facility is ranked using a Clarity Score from 0 to 10, blending federal CMS inspection results and state licensing records. The same numbers regulators use.
What is the Palmelle Clarity Score?
A 0 to 10 transparency score built from federal CMS data and state licensing records. It reflects what inspectors found. Not opinions and not advertising.
Can Palmelle help our family pick the right one?
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