Many rural counties in Illinois face the same lack of choice when it comes to high-quality nursing homes. Rural nursing homes are buffeted with a number of issues that often lead to understaffing and low quality of care. In addition, some nursing homes in rural areas are closing because of financial challenges.
There are 52 counties in Illinois with a population of under 30,000, according to the 2010 U.S. Census, and 45 of which has three or fewer nursing homes. Pope, Pulaski and Putnam, three counties with over 16,000 people in total, have no nursing homes within the counties.