Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
170
109 employees · 61 contractors · 56 on an average day Alden of Waterford
Nursing Home & Skilled Nursing · Aurora, IL
ALM Inspection Grade
B+
ALM's inspection grade is 88 / 100, a B+ — 6 points above the Illinois average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 88 / 100, a B+ — 6 points above the Illinois average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Alden of Waterford
Nursing Home & Skilled Nursing · Aurora, IL
ALM Inspection Grade
B+
ALM's inspection grade is 88 / 100, a B+ — 6 points above the Illinois average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 88 / 100, a B+ — 6 points above the Illinois average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Alden of Waterford accepts Medicare, Medicaid, and private pay.
Alden of Waterford provides nursing home and skilled nursing care in Aurora, IL. Licensed nurses are on site around the clock, and the home also provides short term rehabilitation, transitional care, and post acute services. The combination of nursing care and rehabilitation programs may suit someone recovering from an orthopedic, cardiac, neurostroke, or pulmonary condition during a short term stay.
The home has 99 beds, creating a mid sized setting for residents receiving nursing or rehabilitative care. Its comprehensive therapy program includes orthopedic, cardiac, neurostroke, and pulmonary rehabilitation, so these specific recovery needs can be addressed on site. A salon, along with hair and nail services, allows residents to handle personal grooming without arranging an outside appointment.
Total nurse staffing is 3 hours and 6 minutes per resident per day. This represents the daily hands on nursing time allocated to each resident. Payment options include Medicare, Medicaid, and private pay.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 54th out of 152 nursing homes we track in Illinois for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 6m
This nursing home is ranked 54th out of 152 nursing homes we track in Illinois for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 6mStandout metric: Physical therapist is +236% above Illinois average
3 of 6 metrics below Illinois average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 34 total: 25 of the facility's own employees and 9 agency contractors.
34 staff · 9.1-hour shifts
1h 1m
↑ 39% · IL 44mThis facility: 1h 1m per resident per day, 39% above the Illinois average of 44m (among Illinois facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 34 total: 25 of the facility's own employees and 9 agency contractors.
34 staff · 9.1-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 13 total: 8 of the facility's own employees and 5 agency contractors.
13 staff · 8.7-hour shifts
18m
↓ 53% · IL 38mThis facility: 18m per resident per day, 53% below the Illinois average of 38m (among Illinois facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 13 total: 8 of the facility's own employees and 5 agency contractors.
13 staff · 8.7-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 65 total: 64 of the facility's own employees and 1 agency contractor.
65 staff · 7.3-hour shifts
1h 48m
↓ 16% · IL 2h 8mThis facility: 1h 48m per resident per day, 16% below the Illinois average of 2h 8m (among Illinois facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 65 total: 64 of the facility's own employees and 1 agency contractor.
65 staff · 7.3-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
10m
↑ 236% · IL 3mThis facility: 10m per resident per day, 236% above the Illinois average of 3m (among Illinois facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
2h 36m
↓ 15% · IL 3h 5mThis facility: 2h 36m per resident per day, 15% below the Illinois average of 3h 5m (among Illinois facilities reporting a recent figure).
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
58m
↑ 69% · IL 34mThis facility: 58m per resident per day, 69% above the Illinois average of 34m (among Illinois facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
170
109 employees · 61 contractors · 56 on an average day
170 total staff / 82 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.07 : 1
↑ 18% · IL 1.76This facility: 2.07 staff per resident, 18% above the Illinois average of 1.76 (among Illinois facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
170 staff ÷ 82 residents
See full Illinois ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.4 h
↓ 3% · IL 7.6 hThis facility: 7.4 h, 3% below the Illinois average of 7.6 h (among Illinois facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
37,941 staff hours this quarter
See full Illinois ranking →81.9% of staff hours were worked by the facility's own employees
Illinois average: 90.2% · Contractors this quarter: Speech Language Pathologist (14), Registered Nurse (9), Physical Therapy Assistant (8), Physical Therapy Aide (7), Respiratory Therapy Technician (7), Licensed Practical Nurse (5), Qualified Social Worker (3), Medical Director (2), Occupational Therapy Aide (2), Certified Nursing Assistant (1), Administrator (1), Therapeutic Recreation Specialist (1), Other Social Services Staff (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
99
Rank #109 / 167Bed count — State benchmarked This nursing home is ranked 109th out of 167 nursing homes we track in Illinois for bed count. Shows this facility's certified or reported bed count compared to other Illinois facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
99
Rank #109 / 167Bed count — State benchmarked This nursing home is ranked 109th out of 167 nursing homes we track in Illinois for bed count. Shows this facility's certified or reported bed count compared to other Illinois facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #26 / 49Years in operation — State benchmarked This nursing home is ranked 26th out of 49 nursing homes we track in Illinois for years in operation. Shows how long this facility has been in operation compared to other Illinois facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #26 / 49Years in operation — State benchmarked This nursing home is ranked 26th out of 49 nursing homes we track in Illinois for years in operation. Shows how long this facility has been in operation compared to other Illinois facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
18
years
Walk Score
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #99 / 187Walk Score — State benchmarked This nursing home is ranked 99th out of 187 nursing homes we track in Illinois for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Illinois facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #99 / 187Walk Score — State benchmarked This nursing home is ranked 99th out of 187 nursing homes we track in Illinois for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Illinois facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
51
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #46 / 123Occupancy rate — State benchmarked This nursing home is ranked 46th out of 123 nursing homes we track in Illinois for occupancy. Shows this facility's occupancy rate versus the Illinois average, with its Statewide rank out of 123. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #46 / 123Occupancy rate — State benchmarked This nursing home is ranked 46th out of 123 nursing homes we track in Illinois for occupancy. Shows this facility's occupancy rate versus the Illinois average, with its Statewide rank out of 123. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
85.6%
This home usually has limited availability
Based on residents per day and 99 beds.
Higher than the Illinois average: 79.1%
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
85
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
46
days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+
Not Accredited
How BBB ratings workAbout This Community
CMS Certification Number146008
Joint Commission Nursing and Rehabilitation Center Accreditation — The Joint CommissionVoluntary accreditation from The Joint Commission, the nation's largest healthcare standards body. Earning it requires periodic unannounced on-site surveys against published safety and quality-of-care standards - a meaningfully higher bar than state licensure, which is mandatory.
Joint Commission Rehabilitation and Advanced Care Certification — The Joint CommissionVoluntary accreditation from The Joint Commission, the nation's largest healthcare standards body. Earning it requires periodic unannounced on-site surveys against published safety and quality-of-care standards - a meaningfully higher bar than state licensure, which is mandatory.
Profit StatusFor-profit
Resident Council
Short-Term Rehab
Orthopedic Rehabilitation
Cardiac RehabilitationA supervised program that helps people regain strength and endurance after heart problems or procedures, often including exercise and risk-factor education.
Neurorehabilitation
Stroke & Neurological Rehabilitation
Pulmonary Rehabilitation
Dietitian
Home Medical Equipment and Supply Arrangement
Discharge Planning
Insurance Benefits Verification
Pets not allowed
Wi-Fi
AviaryAn enclosure where residents can watch birds.
Ice Cream Parlor
Beauty Salon
CMS Health Inspection History
ALM Inspection Grade
88 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
6 points above the Illinois average for CMS-certified facilities (82/100)
Category breakdown
Citations
Typical
87 severity-weighted points (30 deficiencies) · 7% lower than the typical CMS-certified IL facility (median: 93)
Enforcement
Concern
$106,499 in fines · 1 enforcement action
Persistence
Strong
10 days to fix issues · faster than the typical CMS-certified IL facility (median: 15)
Total health inspections
11
↓ 4% · IL 11.5This facility: 11, 4% below the Illinois average of 11.5 (among Illinois facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
30
Rank #74 / 154Health citations — State benchmarked This nursing home is ranked 74th out of 154 nursing homes we track in Illinois for health citations. Shows this facility's total health deficiency citations benchmarked to the Illinois State average, with a ranking across all 154 IL facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 21% · IL 38.2This facility: 30, 21% below the Illinois average of 38.2 (among Illinois facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
2.73
Rank #35 / 154Citations per inspection — State benchmarked This nursing home is ranked 35th out of 154 nursing homes we track in Illinois for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Illinois mean across 154 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 21% · IL 3.46This facility: 2.73, 21% below the Illinois average of 3.46 (among Illinois facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
30 of 30 citations corrected
Critical
J–L
1
↑ 43% · IL 0.7This facility: 1, 43% above the Illinois average of 0.7 (among Illinois facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · IL 3.8This facility: 0, 100% below the Illinois average of 3.8 (among Illinois facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
29
↓ 13% · IL 33.2This facility: 29, 13% below the Illinois average of 33.2 (among Illinois facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · IL 0.5This facility: 0, 100% below the Illinois average of 0.5 (among Illinois facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Jan 26, 2026 · 2 citations, all corrected
Most cited category: Quality of Life & Care, 12 of 30 citations · 7 categories in total
Citations history
Most recent first
Jan 26, 2026
2 citations
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Jan 12, 2026
1 citation
Pharmacy moderate citation
Corrected
Corrected
Nov 16, 2025
1 citation
Quality of Care moderate citation
Corrected
Corrected
Sep 04, 2025
1 citation
Abuse/Neglect moderate citation
Corrected
Corrected
May 30, 2025
2 citations
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Mar 27, 2025
8 citations
Administration moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Mar 25, 2025
1 citation
Pharmacy moderate citation
Corrected
Corrected
Dec 11, 2024
1 citation
Quality of Care moderate citation
Corrected
Corrected
Dec 05, 2024
1 citation
Quality of Care moderate citation
Corrected
Corrected
Apr 04, 2024
8 citations
Quality of Care critical citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Feb 03, 2023
4 citations
Infection Control moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Top deficiency categories
Share of 30 citations
Quality of Life & Care
12 deficiencies (40%)
Pharmacy Services
8 deficiencies (27%)
Infection Control
3 deficiencies (10%)
Nutrition & Dietary
3 deficiencies (10%)
Resident Rights
2 deficiencies (7%)
Administration
1 deficiency (3%)
Abuse, Neglect & Exploitation
1 deficiency (3%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
20 of 30 citations resulted from standard inspections; and 10 of 30 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Oct 2026
1 penalty in the past 3 years
Latest: Apr 4, 2024 · $106,499 civil money penalty
Apr 4, 2024 · $106,499 civil money penalty
Total fines
$106,499
↓ 29% · IL $150KThis facility: $106,499, 29% below the Illinois average of $149,918. Average among the 484 Illinois facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #118 / 154Federal fines — State benchmarked This nursing home is ranked 118th out of 154 nursing homes we track in Illinois for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Illinois average among facilities with fines, and where it ranks among 154 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 67% · IL 3.01This facility: 1, 67% below the Illinois average of 3.01. Average among the 484 Illinois facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
IL avg 1.02Illinois average: 1.02. Average among the 484 Illinois facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Apr 4, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$106,499
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$106,499Fine amount comparison
This facility
$106,499
Illinois average
$149,918
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Illinois and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Illinois average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
↓ 44% · IL 3.6This facility: 2.0, 44% below the IL average of 3.6 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
3
/ 5
Average
↑ 31% · IL 2.3This facility: 3.0, 31% above the IL average of 2.3 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
8.1
Score · lower is better
↑ 2% · IL 7.9This facility: 8.1, 2% above the IL average of 7.9 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
14.3
Score · lower is better
↓ 7% · IL 15.3This facility: 14.3, 7% below the IL average of 15.3 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 5 better, 6 worse, 2 near IL average
8 short-stay measures: 2 better, 2 worse, 1 near IL average, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
10.0%
↓ 23% · IL 13.0This facility: 10.0, 23% below the IL average of 13.0 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
10.0%
↓ 23% · IL 13.0This facility: 10.0, 23% below the IL average of 13.0 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
9.9%
↓ 23% · IL 12.8This facility: 9.9, 23% below the IL average of 12.8 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
9.9%
↓ 23% · IL 12.8This facility: 9.9, 23% below the IL average of 12.8 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.0%
↑ 16% · IL 19.8This facility: 23.0, 16% above the IL average of 19.8 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.0%
↑ 16% · IL 19.8This facility: 23.0, 16% above the IL average of 19.8 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
5.1%
↑ 244% · IL 1.5This facility: 5.1, 244% above the IL average of 1.5 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
5.1%
↑ 244% · IL 1.5This facility: 5.1, 244% above the IL average of 1.5 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
↑ 34% · IL 3.0This facility: 4.0, 34% above the IL average of 3.0 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
↑ 34% · IL 3.0This facility: 4.0, 34% above the IL average of 3.0 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
9.8%
↑ 107% · IL 4.8This facility: 9.8, 107% above the IL average of 4.8 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
9.8%
↑ 107% · IL 4.8This facility: 9.8, 107% above the IL average of 4.8 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
6.5%
↑ 7% · IL 6.1This facility: 6.5, 7% above the IL average of 6.1 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
6.5%
↑ 7% · IL 6.1This facility: 6.5, 7% above the IL average of 6.1 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
4.6%
↓ 92% · IL 55.8This facility: 4.6, 92% below the IL average of 55.8 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
4.6%
↓ 92% · IL 55.8This facility: 4.6, 92% below the IL average of 55.8 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
16.7%
↓ 23% · IL 21.7This facility: 16.7, 23% below the IL average of 21.7 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
16.7%
↓ 23% · IL 21.7This facility: 16.7, 23% below the IL average of 21.7 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
69.0%
↓ 24% · IL 90.5This facility: 69.0, 24% below the IL average of 90.5 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
69.0%
↓ 24% · IL 90.5This facility: 69.0, 24% below the IL average of 90.5 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.2%
≈ 0% · IL 91.7This facility: 91.2, level with the IL average of 91.7 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.2%
≈ 0% · IL 91.7This facility: 91.2, level with the IL average of 91.7 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.95
↓ 5% · IL 2.05This facility: 1.95, 5% below the IL average of 2.05 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.95
↓ 5% · IL 2.05This facility: 1.95, 5% below the IL average of 2.05 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.26
≈ 0% · IL 2.25This facility: 2.26, level with the IL average of 2.25 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.26
≈ 0% · IL 2.25This facility: 2.26, level with the IL average of 2.25 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
64.3%
↑ 20% · US 53.7This facility: 64.3, 20% above the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
64.3%
↑ 20% · US 53.7This facility: 64.3, 20% above the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
59.2%
↑ 17% · US 50.6This facility: 59.2, 17% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
59.2%
↑ 17% · US 50.6This facility: 59.2, 17% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
↑ 57% · US 0.8This facility: 1.2, 57% above the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
↑ 57% · US 0.8This facility: 1.2, 57% above the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
↓ 32% · IL 2.2This facility: 1.5, 32% below the IL average of 2.2 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
↓ 32% · IL 2.2This facility: 1.5, 32% below the IL average of 2.2 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
45.0%
↓ 36% · IL 70.1This facility: 45.0, 36% below the IL average of 70.1 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
45.0%
↓ 36% · IL 70.1This facility: 45.0, 36% below the IL average of 70.1 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
47.5%
↓ 25% · IL 63.3This facility: 47.5, 25% below the IL average of 63.3 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
47.5%
↓ 25% · IL 63.3This facility: 47.5, 25% below the IL average of 63.3 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.1%
↑ 3% · IL 26.2This facility: 27.1, 3% above the IL average of 26.2 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.1%
↑ 3% · IL 26.2This facility: 27.1, 3% above the IL average of 26.2 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
12.5%
↓ 11% · IL 14.0This facility: 12.5, 11% below the IL average of 14.0 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
12.5%
↓ 11% · IL 14.0This facility: 12.5, 11% below the IL average of 14.0 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Alden of Waterford’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 146 Illinois nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Breaking even on care
2.1% operating margin
+5.8 pts vs prior year
Positive margin in 3 of the last 8 reported years. Net income $0.3M after other income.
Does it invest in staff?
Spends less on payroll than most Illinois homes
43.1% payroll share of revenue
IL average 58.7%Rank #119 / 146Payroll % of net patient revenue — State benchmarked This nursing home is ranked 119th out of 146 nursing homes we track in Illinois for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Illinois average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.3M while revenue rose $1.1M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Illinois homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | IL median | Compared with IL homesRank in IL | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $13.3M | +$1.1M | Trend 20172024 | IL median $13.3M | Rank in IL Rank #73 / 146Net patient revenue — State benchmarked This nursing home is ranked 73rd out of 146 nursing homes we track in Illinois for net patient revenue. Shows this facility's net patient revenue compared to the Illinois average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 50% of homes | Above IL median Higher net patient revenue than 50% of IL homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $13.1M | +$0.4M | Trend 20172024 | IL median $14.8M | Rank in IL Rank #84 / 146Operating expenses — State benchmarked This nursing home is ranked 84th out of 146 nursing homes we track in Illinois for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Illinois homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 43% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.3M | +$0.7M | Trend 20172024 | IL median −$0.5M | Rank in IL Rank #37 / 146Net patient income — State benchmarked This nursing home is ranked 37th out of 146 nursing homes we track in Illinois for net patient income. Shows net patient revenue minus operating expenses, compared with other Illinois homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 75% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 2.1% | +5.8 pts | Trend 20172024 | IL median −4.5% | Rank in IL Rank #35 / 146Operating margin — State benchmarked This nursing home is ranked 35th out of 146 nursing homes we track in Illinois for operating margin. Shows net patient income as a share of net patient revenue, compared with other Illinois homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 77% of homes | Thin margin A margin from 0% to 5% of revenue leaves little room for unexpected costs. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | IL median $0.2M | Rank in IL Rank #130 / 136Other income — State benchmarked This nursing home is ranked 130th out of 136 nursing homes we track in Illinois for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Illinois homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 4% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.3M | +$0.6M | Trend — | IL median −$0.0M | Rank in IL Rank #58 / 146Net income — State benchmarked This nursing home is ranked 58th out of 146 nursing homes we track in Illinois for net income. Shows the bottom line after other income, compared with other Illinois homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 61% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Illinois homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | IL median | Compared with IL homesRank in IL | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $5.8M | +$0.3M | Trend 20172024 | IL median $7.1M | Rank in IL Rank #99 / 146Payroll costs — State benchmarked This nursing home is ranked 99th out of 146 nursing homes we track in Illinois for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Illinois average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 32% of homes | Below IL median Higher payroll than 32% of IL homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 43.1% | −1.9 pts | Trend 20172024 | IL median 52.0% | Rank in IL Rank #119 / 146Payroll % of net patient revenue — State benchmarked This nursing home is ranked 119th out of 146 nursing homes we track in Illinois for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Illinois average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 19% of homes | 15.6 pts under IL average The IL average is 58.7% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · IL benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Illinois payroll average.
% of net patient revenue
Payroll share Operating margin IL payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $10.2M | $11.3M | $11.4M | $10.2M | $11.2M | $11.7M | $12.2M | $13.3M |
| Operating expenses | $10.5M | $11.0M | $10.8M | $11.2M | $11.9M | $12.2M | $12.7M | $13.1M |
| Net patient income | −$0.3M | $0.4M | $0.7M | −$1.0M | −$0.6M | −$0.5M | −$0.5M | $0.3M |
| Operating margin | −3.1% | 3.3% | 5.7% | −9.7% | −5.8% | −3.9% | −3.7% | 2.1% |
| Net income | −$0.3M | $0.4M | $0.7M | −$1.0M | $1.2M | −$0.2M | −$0.3M | $0.3M |
| Payroll costs | $4.1M | $4.3M | $4.2M | $4.9M | $4.8M | $4.9M | $5.5M | $5.8M |
| Payroll share of revenue | 40.0% | 37.8% | 36.8% | 47.5% | 42.6% | 41.9% | 45.0% | 43.1% |
| Beds | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 |
| Gross revenue | $10.2M | $11.3M | $11.4M | $10.5M | $11.3M | $11.9M | $12.4M | $13.5M |
| Salaries | $3.6M | $3.7M | $3.7M | $4.2M | $4.2M | $4.3M | $4.8M | $5.1M |
| Wage-related costs | $0.5M | $0.5M | $0.5M | $0.7M | $0.6M | $0.6M | $0.7M | $0.7M |
| Contract labor | — | — | — | — | — | — | — | — |
| Other operating costs | $6.4M | $6.7M | $6.6M | $6.4M | $7.1M | $7.3M | $7.2M | $7.3M |
| Net patient revenue per day | $359 | $372 | $377 | $404 | $444 | $433 | $429 | $454 |
| Cost per day | $370 | $360 | $355 | $443 | $470 | $450 | $445 | $444 |
| Average length of stay | 47.3 days | 50.1 days | 49.0 days | 46.6 days | 41.7 days | 44.5 days | 40.5 days | 45.7 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
657 admissions · FY2024
Residents admitted during the year.
Medicare
241 · 37%
Medicaid
123 · 19%
Private pay & other
293 · 45%
Resident snapshot
82 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
27 · 33%
Medicaid
40 · 49%
Private pay & other
15 · 18%
Leaving
644 discharges · FY2024
Residents discharged during the year.
Medicare
241 · 37%
Medicaid
116 · 18%
Private pay & other
287 · 45%
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Places of interest near Alden of Waterford
3.0 miles from city center
Estimated distance in miles from Aurora's city center to Alden of Waterford's address, calculated via Google Maps.
— 0.67 miles to nearest hospital (Rush Copley Medical Center)
Calculate Travel Distance to Alden of Waterford
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Compare Nursing Homes around Aurora
Info below is compiled from CMS reports & the IL Dept. of Public Health (IDPH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Illinois average is: 58.7% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| The Grove Fox Valley | NH MC SNF | Farnsworth Aurora | 158
Facility
158
IL AVG
136
Rank
#52 / 167 | A+ |
80.6%
Facility
80.6%
IL AVG
79.1%
Rank
#64 / 123 | +2% | 2.49
Facility
2.49
IL AVG
3.05
Rank
#104 / 152 | -6% | -19% | $17.0k
Facility
$17.0k
IL AVG
$156.7k
Rank
#76 / 154 | 25
Facility
25
IL AVG
38.2
Rank
#56 / 154 | 4.2
Facility
4.2
IL AVG
3.5
Rank
#118 / 154 | 2 | 127 | A+ |
49
Facility
49
IL AVG
54
Rank
#105 / 187 | Doros Generation Trust U/A/D 1/3/12 | $15.0MFiscal year ending 12/2024
Facility
$15.0MFiscal year ending 12/2024
IL AVG
$14.5M
Rank
#58 / 146 | $8.1MFiscal year ending 12/2024
Facility
$8.1MFiscal year ending 12/2024
IL AVG
$8.0M
Rank
#63 / 146 | 53.8%Fiscal year ending 12/2024
Facility
53.8%Fiscal year ending 12/2024
IL AVG
58.7%
Rank
#62 / 146 | 145006 | ||||
| Thrive of Fox Valley | NH MC SNF | Aurora | 68
Facility
68
IL AVG
136
Rank
#142 / 167 | A- |
92.5%
Facility
92.5%
IL AVG
79.1%
Rank
#14 / 123 | +17% | 3.03
Facility
3.03
IL AVG
3.05
Rank
#61 / 152 | +60% | -1% | $0
Facility
$0
IL AVG
$156.7k
Rank
#1 / 154 | 26
Facility
26
IL AVG
38.2
Rank
#59 / 154 | 2.2
Facility
2.2
IL AVG
3.5
Rank
#15 / 154 | - | 63 | - |
79
Facility
79
IL AVG
54
Rank
#37 / 187 | Ih Fox Valley LLC | $14.3MFiscal year ending 12/2024
Facility
$14.3MFiscal year ending 12/2024
IL AVG
$14.5M
Rank
#66 / 146 | $7.1MFiscal year ending 12/2024
Facility
$7.1MFiscal year ending 12/2024
IL AVG
$8.0M
Rank
#71 / 146 | 50.2%Fiscal year ending 12/2024
Facility
50.2%Fiscal year ending 12/2024
IL AVG
58.7%
Rank
#82 / 146 | 146194 | ||||
| Jennings Terrace | NH HOS RC SNF | Aurora | 60
Facility
60
IL AVG
136
Rank
#148 / 167 | A- |
66.3%
Facility
66.3%
IL AVG
79.1%
Rank
#102 / 123 | -16% | 3.51
Facility
3.51
IL AVG
3.05
Rank
#50 / 152 | +3% | +15% | $0
Facility
$0
IL AVG
$156.7k
Rank
#1 / 154 | 22
Facility
22
IL AVG
38.2
Rank
#47 / 154 | 4.4
Facility
4.4
IL AVG
3.5
Rank
#129 / 154 | 1 | 40 | - |
80
Facility
80
IL AVG
54
Rank
#36 / 187 | Jomarie Silver | $5.5MFiscal year ending 06/2025
Facility
$5.5MFiscal year ending 06/2025
IL AVG
$14.5M
Rank
#139 / 146 | $3.6MFiscal year ending 06/2025
Facility
$3.6MFiscal year ending 06/2025
IL AVG
$8.0M
Rank
#138 / 146 | 65.6%Fiscal year ending 06/2025
Facility
65.6%Fiscal year ending 06/2025
IL AVG
58.7%
Rank
#29 / 146 | 146197 | ||||
| Alden Courts of Waterford | NH AL MC RC SNF | Aurora | 60
Facility
60
IL AVG
136
Rank
#148 / 167 | C- |
91.2%
Facility
91.2%
IL AVG
79.1%
Rank
#18 / 123 | +15% | 3.89
Facility
3.89
IL AVG
3.05
Rank
#42 / 152 | +3% | +28% | $14.1k
Facility
$14.1k
IL AVG
$156.7k
Rank
#72 / 154 | 19
Facility
19
IL AVG
38.2
Rank
#37 / 154 | 3.2
Facility
3.2
IL AVG
3.5
Rank
#67 / 154 | 1 | 55 | A+ |
58
Facility
58
IL AVG
54
Rank
#83 / 187 | Steven Kroll | $7.3MFiscal year ending 12/2024
Facility
$7.3MFiscal year ending 12/2024
IL AVG
$14.5M
Rank
#132 / 146 | $4.2MFiscal year ending 12/2024
Facility
$4.2MFiscal year ending 12/2024
IL AVG
$8.0M
Rank
#132 / 146 | 56.9%Fiscal year ending 12/2024
Facility
56.9%Fiscal year ending 12/2024
IL AVG
58.7%
Rank
#55 / 146 | 146182 | ||||
| Alden of Waterford | NH SNF | Aurora | 99
Facility
99
IL AVG
136
Rank
#109 / 167 | B+ |
85.6%
Facility
85.6%
IL AVG
79.1%
Rank
#46 / 123 | +8% | 3.10
Facility
3.10
IL AVG
3.05
Rank
#54 / 152 | +41% | +2% | $106.5k
Facility
$106.5k
IL AVG
$156.7k
Rank
#118 / 154 | 30
Facility
30
IL AVG
38.2
Rank
#74 / 154 | 2.7
Facility
2.7
IL AVG
3.5
Rank
#35 / 154 | 1 | 85 | A+ |
51
Facility
51
IL AVG
54
Rank
#99 / 187 | Alden Of Waterford Investments LLC | $13.3MFiscal year ending 12/2024
Facility
$13.3MFiscal year ending 12/2024
IL AVG
$14.5M
Rank
#73 / 146 | $5.8MFiscal year ending 12/2024
Facility
$5.8MFiscal year ending 12/2024
IL AVG
$8.0M
Rank
#99 / 146 | 43.1%Fiscal year ending 12/2024
Facility
43.1%Fiscal year ending 12/2024
IL AVG
58.7%
Rank
#119 / 146 | 146008 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other IL nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial assistance
Get financial aid guidance Programs that may help with care and living costs in Illinois
Alden of Waterford is in Aurora, Illinois. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
Supportive Living Program (SLP)
Illinois Medicaid Supportive Living Program
Eligibility
- General
- Low-income older adults and adults with physical disabilities who meet Illinois Supportive Living Program requirements and are accepted at a participating setting.
- IL specifics
- This is a Medicaid waiver alternative to nursing-home care.
What it provides
- Personal care; homemaking; laundry; medication assistance; activities and staff support. Residents remain responsible for room and board.
VA Aid and Attendance (A&A) and Housebound Benefits
VA Pension Aid and Attendance and Housebound Benefits (Federal)
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- No single monthly income cutoff. VA compares countable annual income, after permitted deductions, with the applicable Maximum Annual Pension Rate for the household and benefit category.
- Asset limit
- Net-worth limit is $163,699 from December 1, 2025 through November 30, 2026. Net worth includes countable assets plus annual income; exclusions and transfer rules apply.
Eligibility
- General
- Veterans or eligible survivors who qualify for VA Pension or Survivors Pension and meet the additional Aid and Attendance or Housebound criteria. Service, discharge, family status and pension eligibility rules also apply.
- IL specifics
- A federal VA pension benefit; Aid and Attendance and Housebound enhancements cannot be received together.
What it provides
- A higher pension ceiling for eligible Aid and Attendance or Housebound recipients. Actual pension equals the applicable annual maximum minus countable income; the two enhancements cannot be paid together.
Community Care Program
Illinois CCP
- Asset limit
- Nonexempt assets of $17,500 or less; the home, car and personal furnishings are exempt.
Eligibility
- General
- Illinois residents age 60 or older with assessed long-term care need; citizenship/eligible noncitizen requirements apply; apply for Medicaid and enroll if eligible.
What it provides
- In-home assistance; adult day services and emergency home response; authorized services depend on assessment.
Family Caregiver Support Program
Family Caregiver Support Program (Illinois)
- Who it is for
- Family or informal caregivers of an adult 60+ or of someone of any age with dementia
Eligibility
- General
- Adult family or informal caregivers of adults age 60 or older or people of any age with Alzheimer's disease or a related disorder. The federal program also supports specified older-relative caregiver categories.
What it provides
- Caregiver information and access assistance; counseling and training; support groups; respite and limited supplemental services under the federal caregiver-support framework.
Persons Who Are Elderly Waiver
Illinois Medicaid Elderly Waiver
Eligibility
- General
- Illinois residents age 60 or older who are Medicaid-eligible, meet the DON assessment standard for risk of nursing-facility placement, can be safely supported in the community and meet cost-effectiveness rules.
- IL specifics
- The current eligibility minimum is age 60.
What it provides
- In-home homemaker service; adult day service; emergency home response and automated medication dispenser services.
Medicare Savings Program (MSP)
Illinois Medicare Savings Program
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
Eligibility
- General
- Medicare beneficiaries meeting the applicable state Medicare Savings Program eligibility rules.
- IL specifics
- Applications are administered by the state Medicaid program.
What it provides
- Assistance with Medicare premiums and; for qualified QMB beneficiaries; Medicare-covered deductibles and coinsurance. The qualifying category determines which costs are paid.
Know before you visit
Frequently Asked Questions about Alden of Waterford
Quick answers from public records and the community's own listing.01 Is Alden of Waterford in a walkable area?
Alden of Waterford has a walk score of 51. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
02 What is the occupancy rate at Alden of Waterford?
Alden of Waterford's occupancy is 85.6%.
03 How long has Alden of Waterford been in business?
Alden of Waterford has been operating for approximately 18 years, based on available licensing and registration records.
04 Are pets allowed at Alden of Waterford?
No, Alden of Waterford has a no-pet policy.
05 Does Alden of Waterford operate as a for-profit or non-profit?
Alden of Waterford is registered as a for-profit in IL.
06 What is the overall rating for Alden of Waterford?
Alden of Waterford received a 3-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
07 How many beds does Alden of Waterford have?
Alden of Waterford has 99 beds.
Updated on
