Every one of the 25 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
5 of these hold the top CMS rating of five. 5 sit at one. Registered nurse cover averages 0.96 hours per resident per day across the county. That is the number worth comparing, and it is the one families rarely see.
CMS overall rating first. Ties go to higher registered nurse hours.
| Facility | City | Overall | Health | Staffing | RN hrs | Beds | Fines |
|---|---|---|---|---|---|---|---|
| GREENFIELDS OF GENEVA | Geneva | 5 | 4 | 4 | 1.89 | 43 | $14,203 |
| MICHAELSEN HEALTH CENTER | Batavia | 5 | 4 | 5 | 1.63 | 99 | $9,110 |
| AVONDALE ESTATES OF ELGIN | Elgin | 5 | 5 | 5 | 1.45 | 120 | $0 |
| APERION CARE FOX RIVER | Elgin | 5 | 5 | 3 | 1.09 | 94 | $0 |
| HIGHLAND OAKS | Elgin | 5 | 5 | 5 | 1.08 | 24 | $0 |
| ALDEN COURTS OF WATERFORD | Aurora | 4 | 4 | 3 | 1.25 | 60 | $21,645 |
| AVANTARA AURORA | Aurora | 4 | 4 | 2 | 1.22 | 87 | $0 |
| ASBURY GARDENS NSG & REHAB | North Aurora | 4 | 4 | 3 | 0.96 | 75 | $6,350 |
| GROVE OF FOX VALLEY,THE | Aurora | 4 | 4 | 3 | 0.94 | 158 | $0 |
| JENNINGS TERRACE | Aurora | 4 | 4 | 2 | 0.73 | 60 | $0 |
| PEARL OF ELGIN, THE | Elgin | 4 | 3 | 2 | 0.73 | 139 | $0 |
| CRESCENT CARE OF ELGIN | Elgin | 4 | 4 | 2 | 0.71 | 88 | $44,709 |
| ALDEN OF WATERFORD | Aurora | 3 | 3 | 3 | 1.27 | 99 | $106,499 |
| The Pearl of Fox River Valley | Elgin | 3 | 3 | 3 | 1.21 | 112 | $142,448 |
| APERION CARE ELGIN | Elgin | 3 | 3 | 1 | 0.68 | 101 | $56,661 |
| Batavia Rehabilitation and Health Care Center | Batavia | 3 | 3 | 1 | 0.65 | 63 | $0 |
| BRIA OF GENEVA | Geneva | 3 | 4 | 1 | 0.58 | 107 | $0 |
| Alpine Care of St. Charles LLC | Saint Charles | 2 | 2 | 2 | 1.12 | 120 | $14,015 |
| RIVER VIEW REHAB CENTER ⚑ | Elgin | 2 | 2 | 2 | 0.76 | 203 | $452,802 |
| NORTH AURORA LIVING & REHAB CTR | North Aurora | 2 | 1 | 2 | 0.59 | 129 | $96,800 |
| SOUTH ELGIN LIVING & REHAB CENTER ⚑ | South Elgin | 1 | 1 | 3 | 1.01 | 90 | $230,403 |
| PEARL OF ORCHARD VALLEY ⚑ | Aurora | 1 | 1 | 1 | 0.80 | 203 | $542,423 |
| PEARL OF ST CHARLES, THE | St Charles | 1 | 2 | 1 | 0.73 | 109 | $41,294 |
| La Bella of Aurora ⚑ | Aurora | 1 | 1 | 1 | 0.49 | 68 | $274,921 |
| TOWER HILL HEALTHCARE CENTER ⚑ | South Elgin | 1 | 2 | 1 | 0.36 | 206 | $57,365 |
⚑ marks a facility CMS cited for abuse.
The overall rating folds together inspections, staffing and quality measures. Inspections carry the most weight.
Staffing hours are the number to read on your own. A five-rated home with thin registered nurse cover is a different place at three in the morning.
Visit before you decide. Go without an appointment. The record here tells you where to look, not what you will find.
| Ownership | Facilities |
|---|---|
| For profit - Limited Liability company | 8 |
| For profit - Corporation | 7 |
| For profit - Individual | 3 |
| For profit - Partnership | 3 |
| Non profit - Corporation | 3 |
| Non profit - Church related | 1 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.