A new report from the Health Care Council of Illinois says the state ranks 49th in the nation for Medicaid reimbursement rates, and homes lose about $15,000 per year — or an average of $41 per day — for each Medicaid-funded patient. SPRINGFIELD — Since March 2014, 20 state-licensed skilled-care nursing homes have closed for financial reasons, while many of those continuing to serve the state's neediest elderly populations face staff shortages and operating deficits caused by diminishing state-government investment. read more