Illinois Skilled Nursing
Distress & Acquisition Radar

What this report answers

Which skilled nursing facilities in Illinois are under enough operational, regulatory and financial pressure that a sale, a management change or a closure becomes materially more likely, and which corporate families those facilities belong to.

Built from Payroll Based Journal staffing and census data, CMS health inspection citations, civil monetary penalties, provider information, and the ownership graph reconstructed from CMS enrollment filings. No purchased data is used anywhere in this report.

Illinois at a glance

Highest-scoring facility — complete analysis

The purchased report carries this level of detail for every qualifying facility. The drivers listed are the specific conditions that produced the score, not generic commentary.

Further elevated facilities — abbreviated examples

Ranked table — sample of 5

41 additional elevated facilities are included in the full report, together with all 224 watch-tier facilities: the purchased report ranks every one of the 270 facilities scoring 40 or above, with all four component scores and the drivers behind each.

What the purchased CSV contains

One row per scored facility. Field groups, each documented in the data dictionary delivered with the file:

• Identity — facility name, CCN, county, certified beds
• Scores — total distress score, severity tier, operational, regulatory, financial and corporate component scores, and the specific drivers behind each
• Operational — census trend, nurse hours per resident day by discipline, RN coverage, agency-labour share, weekend staffing gap, day-to-day staffing volatility, annual nursing turnover, administrator departures
• Regulatory — deficiency counts by scope and severity, penalty dates and amounts, star ratings, special focus status, abuse flag
• Financial — occupancy against certified beds, HCRIS operating margin and trend, contract-labour share, payer mix
• Ownership — resolved corporate family attribution and the full recorded ownership chain for each facility, with family portfolio size, recent family divestitures, and whether the facility changed hands in the last 12 months

Sample vs full report

Method

Operational (30%) resident census trend within the quarter, total nurse hours per resident day, RN hours per resident day, share of nursing hours filled by contract staff, day-to-day staffing volatility, annual nursing turnover, administrator departures.

Regulatory (30%) health deficiency count, deficiencies at scope/severity G or above (actual harm or immediate jeopardy), civil monetary penalty dollars, overall and health inspection star ratings, special focus status, abuse icon.

Financial (20%) occupancy against certified beds, and contract-labour dependence as a margin proxy — agency hours typically cost roughly double employed hours.

Corporate (20%) size of the controlling corporate family, share of that family's facilities deteriorating simultaneously, facilities the family has sold in the last 24 months, and whether this facility itself changed hands in the last 12 months.

Limits, stated plainly

Payroll Based Journal covers nursing staff only and is self-reported by providers. Census is the MDS count, which can differ from billed days. Star ratings lag inspection activity. Corporate family attribution is our analysis derived from overlapping ownership portfolios, not a CMS designation. A high score is a screening signal, not a finding about quality of care, and not a prediction that any facility will be sold.

Sources

• Home Health Agency Enrollments — HHA_Enrollments_2026.07.17.csv, published 2026-07-27
• Home Health Agency All Owners — HHA_All_Owners_2026.07.17.csv, published 2026-08-19
• Hospice Enrollments — Hospice_Enrollments_2026.07.17.csv, published 2026-07-27
• Hospice All Owners — Hospice_All_Owners_2026.07.17.csv, published 2026-08-19
• Skilled Nursing Facility Change of Ownership — SNF_CHOW_2026.07.17.csv, published 2026-07-27
• Skilled Nursing Facility Change of Ownership - Owner Information — SNF_CHOW_Owners_2026.07.17.csv, published 2026-07-27
• Skilled Nursing Facility Enrollments — SNF_Enrollments_2026.07.31.csv, published 2026-08-17
• Skilled Nursing Facility All Owners — SNF_All_Owners_2026.07.31.csv, published 2026-08-17

All source data published by the Centers for Medicare & Medicaid Services under usa.gov/government-works — United States Government works, public domain.