5/5
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.
5/5
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.
The Elms is a nursing home in Macomb, IL, offering skilled nursing and rehabilitation. Promoting a nurturing and home-like environment, the community ensures older adults are well-cared for during their stay. Residents also experience a maintenance-free lifestyle with 24-hour care, housekeeping, laundry, and nutritious meals. The community also strives to help residents live to their potential through personalized care plans.
Holiday celebrations, music therapy, and games provide residents with more opportunities to learn and gain meaningful experiences. With paved walking paths and spacious gathering areas, residents can rest and move around comfortably. McDonough District Hospital and bus stops are also located nearby, providing residents with convenient access to healthcare and other needs. This nursing home is a great choice for senior living in Illinois, especially with its commitment to improving older adults’ well-being.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 24th out of 172 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 1h 8m per day | ▲ 58% State avg: 43m per day · National avg: 41m per day |
|
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.
| 32m per day | ▼ 17% State avg: 39m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 3h 21m per day | ▲ 58% State avg: 2h 7m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 4h 25m per day | ▲ 42% State avg: 3h 6m per day · National avg: 3h 27m per day |
|
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.
| 5m per day | ▲ 69% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
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.
| 46m per day | ▲ 38% State avg: 33m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
63% more staff per resident than Illinois average
0% compared with Illinois average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
33 total: 15 full-time employees and 18 contractors.
33
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursAssists with medical care and medications.
21 total: 8 full-time employees and 13 contractors.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursHelps with daily care and mobility.
123 total: 55 full-time employees and 68 contractors.
123
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,968 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 55 | 68 | 123 | 19,539 | 92 | 100% | 7.6 |
| Registered Nurse | 15 | 18 | 33 | 5,985 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 8 | 13 | 21 | 3,145 | 92 | 100% | 7.7 |
| Speech Language Pathologist | 0 | 3 | 3 | 514 | 66 | 72% | 5.6 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 500 | 66 | 72% | 4.5 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 472 | 58 | 63% | 8.1 |
| Dietitian | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 448 | 57 | 62% | 7.9 |
| Physical Therapy Assistant | 0 | 4 | 4 | 438 | 63 | 68% | 5 |
| Dental Services Staff | 1 | 0 | 1 | 428 | 55 | 60% | 7.8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 356 | 55 | 60% | 6.5 |
| Nurse Practitioner | 2 | 0 | 2 | 180 | 23 | 25% | 7.8 |
| Other Physician | 0 | 14 | 14 | 174 | 49 | 53% | 2.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 42 | 6 | 7% | 7 |
| Physical Therapy Aide | 0 | 1 | 1 | 34 | 11 | 12% | 3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 32 | 14 | 15% | 2.3 |
| Feeding Assistant | 0 | 1 | 1 | 12 | 3 | 3% | 4 |
| Qualified Social Worker | 0 | 2 | 2 | 11 | 3 | 3% | 3.7 |
| Medical Director | 0 | 1 | 1 | 7 | 7 | 8% | 1 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.6
51% worse than Illinois averageIllinois average: 9.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.8
39% worse than Illinois averageIllinois average: 18.6
Percent of long-stay residents whose need for help with daily activities has increased
22.6%
46% worse than Illinois averageIllinois average: 15.5%
Percent of long-stay residents whose ability to move independently worsened
25.6%
39% worse than Illinois averageIllinois average: 18.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.2%
35% worse than Illinois averageIllinois average: 21.6%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
In line with Illinois averageIllinois average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
3.2%
40% better than Illinois averageIllinois average: 5.3%
Percent of long-stay residents with a urinary tract infection
7.0%
288% worse than Illinois averageIllinois average: 1.8%
Percent of long-stay residents who lose too much weight
18.5%
184% worse than Illinois averageIllinois average: 6.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Illinois averageIllinois average: 48.1%
Percent of long-stay residents who received an antipsychotic medication
8.8%
57% better than Illinois averageIllinois average: 20.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.7%
In line with Illinois averageIllinois average: 89.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
9% better than Illinois averageIllinois average: 91.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.4%
32% better than Illinois averageIllinois average: 68.3%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Illinois averageIllinois average: 2.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
79.4%
26% better than Illinois averageIllinois average: 63.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
32% of new residents, usually for short-term rehab.
42% of new residents, often for short stays.
26% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
74Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for The Elms from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 11/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #103 / 171Payroll — State benchmarkedThis home is ranked 103rd out of 171 homes in Illinois. Shows total annual staff payroll benchmarked to the Illinois average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Illinois that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #46 / 171Payroll % — State benchmarkedThis home is ranked 46th out of 171 homes in Illinois. Shows payroll as a percentage of revenue versus the Illinois average. Well-run Illinois facilities typically land around 54–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Illinois that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Building Type: Single-story
On-site Medical Care and Health Services
Rehabilitative Support
Beauty Services
Housekeeping Services
Social and Recreational Activities
Transportation Services
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (42% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.6 miles from city center
Estimated distance in miles from Macomb's city center to The Elms's address, calculated via Google Maps.
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The information below is reported by the Illinois Department of Public Health, Office of Health Care Regulation.
| Wesley Village Retirement Center | NH AL IL MC | Macomb | 73
Facility
73
IL AVG
86
Rank
#203 / 426 |
65.9%
Facility
65.9%
IL AVG
69.3%
Rank
#135 / 204 | -5% | 5.31
Facility
5.31
IL AVG
3.10
Rank
#10 / 172 | +18% | +71% | $0
Facility
$0
IL AVG
$151.3k
Rank
#1 / 173 | 8
Facility
8
IL AVG
36.8
Rank
#8 / 172 | 2.0
Facility
2.0
IL AVG
3.7
Rank
#10 / 172 | - | 48 | - |
5
Facility
5
IL AVG
51
Rank
#618 / 648 | Raymond Bunch | $5.2M
Facility
$5.2M
IL AVG
$12.2M
Rank
#124 / 171 | $5.7M
Facility
$5.7M
IL AVG
$4.8M
Rank
#109 / 171 | 108.5%
Facility
108.5%
IL AVG
44.3%
Rank
#52 / 171 | 146047 | ||||
| The Elms | NH NC | Macomb | 98
Facility
98
IL AVG
86
Rank
#129 / 426 |
69.1%
Facility
69.1%
IL AVG
69.3%
Rank
#124 / 204 | 0% | 4.58
Facility
4.58
IL AVG
3.10
Rank
#24 / 172 | +7% | +48% | $0
Facility
$0
IL AVG
$151.3k
Rank
#1 / 173 | 14
Facility
14
IL AVG
36.8
Rank
#21 / 172 | 2.8
Facility
2.8
IL AVG
3.7
Rank
#37 / 172 | 1 | 63 | - |
10
Facility
10
IL AVG
51
Rank
#595 / 648 | County Of Mcdonough Mcdonough County Clerk | $9.0M
Facility
$9.0M
IL AVG
$12.2M
Rank
#126 / 171 | $6.0M
Facility
$6.0M
IL AVG
$4.8M
Rank
#103 / 171 | 67%
Facility
67%
IL AVG
44.3%
Rank
#46 / 171 | 146033 | ||||
| Macomb Post Acute Care Center | NH | Macomb | 80
Facility
80
IL AVG
86
Rank
#177 / 426 |
53.4%
Facility
53.4%
IL AVG
69.3%
Rank
#175 / 204 | -23% | 3.17
Facility
3.17
IL AVG
3.10
Rank
#64 / 172 | -26% | +2% | $0
Facility
$0
IL AVG
$151.3k
Rank
#1 / 173 | 32
Facility
32
IL AVG
36.8
Rank
#91 / 172 | 3.6
Facility
3.6
IL AVG
3.7
Rank
#91 / 172 | 3 | 55 | - |
11
Facility
11
IL AVG
51
Rank
#591 / 648 | Etn Family Holdings LLC | $5.5M
Facility
$5.5M
IL AVG
$12.2M
Rank
#161 / 171 | $2.7M
Facility
$2.7M
IL AVG
$4.8M
Rank
#167 / 171 | 48.3%
Facility
48.3%
IL AVG
44.3%
Rank
#95 / 171 | 145021 | ||||
| Countryside Care Center | NH NC | Macomb | 62
Facility
62
IL AVG
86
Rank
#244 / 426 |
62.9%
Facility
62.9%
IL AVG
69.3%
Rank
#143 / 204 | -9% | 3.09
Facility
3.09
IL AVG
3.10
Rank
#67 / 172 | -42% | 0% | $317.9k
Facility
$317.9k
IL AVG
$151.3k
Rank
#169 / 173 | 67
Facility
67
IL AVG
36.8
Rank
#155 / 172 | 5.2
Facility
5.2
IL AVG
3.7
Rank
#150 / 172 | 8 | 45 | - |
24
Facility
24
IL AVG
51
Rank
#535 / 648 | - | $3.1M
Facility
$3.1M
IL AVG
$12.2M
Rank
#170 / 171 | $1.7M
Facility
$1.7M
IL AVG
$4.8M
Rank
#171 / 171 | 55.4%
Facility
55.4%
IL AVG
44.3%
Rank
#58 / 171 | 146080 |
The Elms is located in Macomb, Illinois.
Here are the financial assistance programs available to residents in Illinois.
The Elms has a walk score of 10. Car-dependent. Most errands require a car, with limited nearby walkable options.
The Elms's occupancy is 69.1%.
The Elms is a government-operated nursing facility.
Yes — there are 7 photos of The Elms in the photo gallery on this page.
The Elms is located at 1212 Madelyn Ave, Macomb, IL 61455.
(309) 837-5482 will put you in contact with the team at The Elms.
Yes — The Elms is a CMS-certified provider of Medicare and Medicaid.
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