481 of the 667 Medicare-certified nursing homes in Illinois (72%) are chain-owned, and all are listed below. 13 of the 480 graded homes earn an A and 122 earn a D or F. They average 3.3 nursing hours per resident per day, 0.15 hours below the 3.45 for every home in Illinois. Springs At Monarch Landing, The in Naperville grades highest at A (96 out of 100).
How chain-owned homes in Illinois compare
This group set against every nursing home in Illinois, from the current CMS release.
Manor Court of Maryville is a nonprofit home with 132 beds, and its nurse staffing sits at 4.37 hours per resident day, roughly 13% above the national average of 3.86. That sounds good until you notice weekends run about 15% thinner than weekdays, and turnover lands at 46.5%, basically matching the national rate of 45.8%.
The inspection record is where things get more mixed. Eighteen deficiencies are on file, including two at the harm or jeopardy level and two tied to abuse. A 4-out-of-5 health inspection rating and a recent November 2024 survey help offset that, but the 2-out-of-5 quality measure rating drags the other direction.
Elevate Care Palos Heights runs 111 beds under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag. At 3.54 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 16% below its own weekday coverage, that's when families tend to visit and notice. Turnover at 44% is close to the national figure, so that's not the outlier here. What stands out is the inspection record: 21 deficiencies, four serious enough to reach harm or jeopardy, and seven tied to abuse. Two fines totaling $57,370, with the most recent inspection in January 2025. The quality measure score looks good on paper, but I'd ask directly about those abuse deficiencies before deciding.
Alden Of Waterford runs 99 certified beds in Aurora under corporate ownership, and its nurse staffing sits at 3.64 hours per resident day, roughly 6% under the national average of 3.86. Weekends are thinner still, about 16% below the home's own weekday coverage, which matters when falls and infections don't check the calendar. Staff turnover of 43.5% is slightly better than the 45.8% national figure, though still high enough that familiar faces are not a given. The current record carries 30 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $106,499. Its last inspection was March 27, 2025.
Marshall Rehab & Nursing runs 75 certified beds under for-profit partnership ownership, and the staffing numbers tell a mixed story. At 3.78 nurse hours per resident day, it sits just under the national average, and weekends drop roughly 19% below its own weekday coverage, worth asking about if you're planning visits or worrying about Saturday care. Turnover at 40% is better than the 45.8% national figure, which matters for continuity. What stands out more is the record: 42 deficiencies, 14 of them abuse-related, though none reached harm or jeopardy level. Inspections were last done in April 2024, and all three CMS star ratings sit at 2 out of 5.
Carrier Mills Nsg & Rehab Ctr runs 99 certified beds as a for-profit corporation, and its nurse staffing sits at 2.74 hours per resident day, roughly 29% under the national average of 3.86. Weekends dip about 14% below its own weekday coverage, so the hours thin out right when families tend to visit. Turnover lands at 30.2%, better than the 45.8% national figure, and inspectors gave the place a 5/5 health inspection rating as recently as September 2025. But seven deficiencies sit on the current record, one at harm or jeopardy level, with a single $12,735 fine. Quality measures score 1/5, staffing stars 2/5. Good inspections, thin daily coverage.
Twin Lakes Extended Care runs 56 beds in Paris under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends drop roughly 12% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover at 41% is actually a bit better than the 45.8% national figure, but the inspection record is where things get heavy: 29 deficiencies, three of them serious enough to endanger residents, five tied to abuse, and a $71,455 fine. The last full inspection was in June 2024, so that record is fairly current. Quality measures score well; staffing is the weak point.
Nokomis Hc & Senior Living runs 92 certified beds under corporate for-profit ownership, and the staffing numbers are where families should focus first. A one-star staffing rating against the national average means nurse aide and RN hours per resident are well below what most homes provide, and thin coverage is the kind of thing that shows up in daily care long before it shows up in a survey. The inspection record backs that up: 27 deficiencies on file, including three serious enough to put residents in harm's way and four tied to abuse. Two fines totaling $34,418 have been issued, and the last full inspection was in November 2024.
Montgomery Nursing & Rehab Center runs about 2.99 nursing hours per resident per day, well under the national average of 3.86, roughly a quarter less hands-on time than typical. Weekends dip even further, about 6% below the home's own weekday staffing, and the 38.1% annual turnover, while lower than the national 45.8%, still means more than a third of the staff leaves each year. The current record shows 16 deficiencies, three at harm or jeopardy level and one abuse-related, plus a $12,048 fine. A March 2025 inspection is recent, and the 4-star health inspection rating suggests the survey itself went reasonably well, but the 1-star staffing rating and 2-star quality measures tell a different story about daily care.
Elevate Care Des Plaines runs 275 beds under for-profit LLC ownership, and its inspection record is the part that should get your attention. Thirty-six deficiencies on file, ten of them serious enough to put residents in harm's way, plus two abuse-related findings and $246,873 in federal fines across four separate penalties. Staffing sits at 3.80 nurse hours per resident day, just under the national average, and weekends drop roughly 11% below what the home staffs on weekdays. Annual turnover of 44.6% tracks close to the national figure, so that's not the outlier here. The last full inspection was in August 2024, and the state's most recent health inspection rating came in at 2 out of 5.
Celebrate Sr Living Of Moline runs a lean nursing floor: 3.01 nurse hours per resident day, roughly 22% under the national average, with weekends about 10% thinner than weekdays. Staff turnover sits at 41.9%, a bit better than the 45.8% national figure, so the people who are there tend to stay. Inspections tell a different story than daily coverage. The home's record shows 17 deficiencies, two at the harm level, one fine of $21,684, and a survey as recent as May 2025. The federal inspection and quality ratings disagree sharply, which is worth asking about directly before you decide.
Momence Meadows runs about 2.52 nurse hours per resident each day, roughly a third below the national figure of 3.86, and weekends dip below even that. Staff turnover sits near 51%, higher than the 45.8% national average, so the people providing care keep changing. The inspection record is the harder read: 53 deficiencies, four of them serious enough to put residents in harm's way and eleven tied to abuse. That's what sits behind the low marks on health inspections, quality measures, and staffing. With 140 beds under individual for-profit ownership and a November 2024 inspection on the books, this is a home where you'd want to visit unannounced, ask who actually covers weekends, and look closely at how complaints get handled.
Helia Healthcare Of Newton runs on 2.82 nurse hours per resident day, roughly 27% below the national average of 3.86, that's a real gap in daily coverage, not a rounding difference. The 33 deficiencies on the current record include one at the harm level, though none are abuse-related, and the last inspection was September 2024. Staff turnover sits at 45.2%, almost exactly the national figure, so retention isn't the problem here; the thin staffing is. Weekend hours dip only about 1% below weekdays, so the shortage is steady rather than a weekend-specific hole. Ownership is for-profit corporate. With quality and staffing each rated 2 of 5, the numbers point to a home that's staying in compliance but running lean.
Pearl Of Montclare runs 96 certified beds on Chicago's northwest side under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.35 hours per resident day against a national average of 3.86, and weekends drop roughly 11% below what the home schedules on weekdays, that gap matters most when families visit and see fewer aides on the floor. Staff turnover runs 50.5%, above the 45.8% national figure, which means roughly half the caregiver workforce turns over in a year. The current inspection record carries 56 deficiencies, including four at the harm or jeopardy level and four tied to abuse, plus $53,336 in fines across three events. The last inspection was March 2025.
Alden Long Grove runs 248 beds in Lake County, and its nurse staffing sits at 2.74 hours per resident day, roughly 29% under the national average of 3.86. Weekends drop about 11% below its own weekday coverage, so the quietest shifts get the thinnest help. Turnover is 41%, a bit better than the 45.8% national figure, but that's the one number here that reads favorably. The current inspection record carries 30 deficiencies, five at harm or jeopardy level and two tied to abuse, with $183,548 in fines across three penalties. The last inspection was January 2026. If you're weighing this one, ask specifically how they cover weekends and what changed since those harm-level findings.
Dixon Rehab & Hcc runs about 3.46 nursing hours per resident per day, roughly 11% under the national average, and weekends drop another 12% below its own weekday staffing. Turnover sits at 33.3%, which is actually better than the 45.8% national figure, so the problem here isn't retention, it's sheer hours on the floor. The inspection record is the bigger concern: 21 deficiencies, six serious enough to involve harm or jeopardy, plus one abuse-related finding, and two fines totaling $34,753. The last inspection was October 2024, so the record is fairly current. Quality and staffing scores both land at 2 out of 5.
Aperion Care Burbank sits right around the national average for total nurse staffing, 3.88 hours per resident day versus 3.86, but that average hides a problem: weekend coverage drops about 6% below what the home staffs on weekdays, and CMS gives the place just 2 of 5 stars for staffing overall. The inspection record is where things get more serious. Twenty-five deficiencies are on file, seven of them serious enough to involve harm or jeopardy, three tied to abuse. Five fines totaling $90,114 have been levied. Turnover at 41.4% is slightly better than the 45.8% national figure, but it's still a lot of churn. Corporate-owned, 56 beds, last inspected August 2024.
Silver Foxes runs a 60-bed for-profit home in Mcleansboro with a strong inspection record, six deficiencies on file, none tied to abuse, and its most recent state visit came in November 2024. The staffing side tells a different story. At 2.53 nurse hours per resident day, it sits about a third under the national average of 3.86, and weekends dip slightly below its own weekday level. Annual turnover hits 63% against a national 45.8%, meaning most of the people caring for residents this year won't be there next year. One deficiency rose to the harm level. Good surveys don't staff the floor.
Cedar Ridge runs on thin nurse coverage. At 3.12 hours per resident per day it sits about 19% under the national average, and weekends drop roughly another 19% below its own weekday level, so the leanest shifts are the ones families tend to visit. Staff turnover is 59.1% against a national 45.8%, which means the people caring for your relative are often new. Inspections look better: a recent visit, 20 deficiencies with two at harm level, and a $15,483 fine. But the pattern underneath the health rating is a building that has trouble holding onto nurses while asking fewer of them to cover more.
Hickory Vlg Nrsg & Rhb runs lean on nursing hours, 2.67 per resident per day against a national average of 3.86, and weekends drop roughly another 23% below its own weekday coverage. That thinner weekend floor is where problems tend to surface. The home's current record carries 23 deficiencies, including 4 at the harm or jeopardy level and 7 tied to abuse, with three fines totaling $350,672. Turnover sits at 27.9%, better than the 45.8% national figure, so the same faces are largely staying. Its last inspection was in March 2025, so the record is recent rather than stale. A for-profit LLC with this staffing pattern and that deficiency history is the picture worth weighing.
Serenity Estates of Lena runs 92 certified beds under individual for-profit ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average, with weekends about 15% thinner than weekdays. That gap is what drives its one-star staffing rating, and the pattern shows up in the inspection record too: 36 deficiencies, including two at the harm or jeopardy level and two tied to abuse. The inspection star of four suggests surveyors found a decent baseline when they last visited in March 2025, and quality measures land at two stars. If you're weighing this one, ask directly how weekends get covered and what changed since those abuse findings.
Frequently asked questions
How many chain-owned nursing homes are there in Illinois?
There are 481 chain-owned Medicare-certified nursing homes in Illinois, 72% of the 667 nursing homes there.
Are chain-owned nursing homes better staffed?
In Illinois they average 3.3 total nursing hours per resident per day, against 3.45 for all nursing homes in Illinois, a difference of -0.15 hours. Staff turnover averages 44.9% against 44.5%.
Which chain-owned nursing home grades best in Illinois?