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.
Alden Lincoln runs 96 beds on Chicago's North Side, and the numbers that stand out first are the ones about people. Nurse staffing sits at 2.98 hours per resident per day, about a quarter below the national average, and weekends dip roughly 14% below what the home itself provides Monday through Friday. That's the stretch when families often visit and when coverage thins.
The inspection record carries 36 deficiencies, four of them serious enough to put a resident in harm's way and two tied to abuse. The most recent state visit was July 2024, so the picture is current, and one fine totaling $8,512 has been levied.
Staff turnover of 41.3% is slightly better than the 45.8% national figure, not a strong point, but not the worst of it either.
Lakeland Rehab runs 154 beds in Effingham under corporate ownership, and its staffing is the weak spot: 3.39 nurse hours per resident day, roughly 12% under the national average, with weekends about 12% thinner than weekdays. The inspection history is the real concern, 27 deficiencies on record, including 4 at the harm or jeopardy level and 7 tied to abuse, plus three fines totaling $86,553. Turnover at 38.6% is actually better than the national 45.8%, and the 4-star health inspection and July 2025 visit are recent positives. But thin daily staffing against that deficiency record is what pulls this home's overall picture down.
Aperion Care Wilmington runs on 2.15 nursing hours per resident day, roughly 44% under the national average of 3.86, and weekends dip about 10% below its own weekday numbers. That thin coverage shows up in the inspection record: 47 deficiencies, including 5 at harm or jeopardy level and 13 tied to abuse, with four fines totaling $293,067. Turnover sits at 43.3%, slightly better than the 45.8% national figure, but stable-ish staffing doesn't offset a 1-out-of-5 CMS staffing rating or a 2-out-of-5 on health inspections. The most recent inspection was April 2025, so the record is current. For-profit, limited liability ownership.
Accolade Hc Of Paxton On Pells carries a for-profit, limited-liability ownership and a record that should give any family pause before signing. The home has 59 deficiencies on file, including 10 at the harm or jeopardy level and 6 tied to abuse, plus seven fines totaling $153,560, and its most recent health inspection earned a single star out of five. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, with weekends about 3% leaner than weekdays. Annual turnover of 48% tops the national 45.8% figure, meaning the people caring for your relative are likely to keep changing. Ask hard questions about that abuse history and what's changed since January 2025.
Pearl of Elk Grove runs 190 beds under corporate ownership, and its nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record is where the real weight sits: 56 deficiencies, 10 of them at harm or jeopardy level and 7 tied to abuse, plus five fines totaling $144,133. Staff turnover of 47.3% runs slightly above the national 45.8%. The most recent inspection was December 19, 2025. Quality measures score well; staffing and inspections do not.
St. Clara's runs leaner than most homes on the floor: 2.95 nurse hours per resident day, roughly a quarter below the national average, and weekends dip further below its own weekday numbers. That thin coverage is the core issue behind its low staffing rating, and it's worth asking how the home handles a Saturday night. Turnover is better than average at 34.6%, and there are no abuse deficiencies, which matters. But 19 deficiencies with two at harm level, two fines totaling nearly $71,000, and a February 2025 inspection point to real compliance problems. The nonprofit owner doesn't change what the numbers show.
The Grove of Northbrook runs lean on nurses, 2.20 hours per resident day against a national average of 3.86, roughly 43% below. Weekend coverage barely dips from its own weekday level, so the thinness is consistent rather than a weekend problem. What stands out in the other direction is turnover: 18.8% against a national 45.8%, meaning the staff who are there tend to stay. Inspections, though, are where this home gets exposed. Nineteen deficiencies on the current record, four of them at harm or jeopardy level and two tied to abuse, plus three fines totaling $83,860. The most recent inspection was June 2024, so that record is current.
Pearl of Hillside runs 198 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 19% under the national average of 3.86. Weekends drop another 12% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection record is where the real weight sits: 52 deficiencies, six of them at harm or jeopardy level and two tied to abuse, plus three fines totaling $131,810. Turnover at 41.1% is slightly better than the 45.8% national figure, but that's the one number working in its favor. The most recent inspection was March 2025.
Alden Estates of Orland Park runs 200 beds under corporate ownership, and the staffing numbers are the first thing worth noticing. At 3.65 nurse hours per resident day it sits about 5% under the national average, and weekends drop roughly 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 50.3% runs above the 45.8% national figure, which means the aides and nurses caring for residents are often new to the building. The inspection record backs that up: 53 deficiencies, seven serious enough to reach harm or jeopardy level, one tied to abuse, and five fines totaling $87,510.
Elevate Care Country Club Hill runs 200 certified beds in Cook County under corporate ownership, and its nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record is the bigger concern: 54 deficiencies, 14 of them serious enough to put residents at harm or jeopardy, six tied to abuse, and seven fines totaling $436,375. Turnover, at 45.1%, is basically average. Quality measures score well, but staffing and inspections don't.
Elevate Care Windsor Park is a 240-bed for-profit home on Chicago's southwest side, and the number that stands out is nurse staffing: 2.97 hours per resident day, roughly 23% under the national average of 3.86. Weekends run about 14% thinner than weekdays, so coverage gets lightest exactly when families tend to visit. Turnover sits at 42.1%, a bit better than the national 45.8%, but that's cold comfort next to 72 deficiencies on the current record, 8 at harm or jeopardy level and 3 abuse-related, plus four fines totaling $84,764. The last inspection was April 3, 2026, and the health inspection rating is 2 out of 5. Ask about weekday-to-weekend staffing and how abuse-related issues were resolved.
Loft Rehab of Rock Springs carries 94 deficiencies on its current record, six of them serious enough to involve actual harm or jeopardy, and eight tied to abuse. Those aren't paperwork problems. The health inspection rating sits at 1 out of 5, and the staffing rating matches it, 2.85 nurse hours per resident per day against a national average of 3.86, roughly a quarter less hands-on time. Weekend coverage drops another 11% below the home's own weekday numbers. Turnover at 43.7% is marginally better than the 45.8% national figure, which is the only number here that isn't working against it. A $17,870 fine and a March 2025 inspection round out the picture.
Monmouth Rehab and Nursing is a 58-bed for-profit home in Warren County, and the numbers that matter most here are the inspection ones. Its current record carries 48 deficiencies, including 7 at the harm or jeopardy level and 6 tied to abuse, a pattern serious enough that CMS has issued 4 fines totaling $233,350, with the most recent inspection dated March 20, 2026. Staffing sits at 3.33 nurse hours per resident day, roughly 14 percent under the national average, and weekends run about 9 percent thinner than weekdays. Annual turnover, at 45.5 percent, is essentially the national rate.
Pinckneyville Nursing & Rehab is a for-profit, LLC-owned home with 60 certified beds in Perry County. Nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average, and weekends run about 13% thinner than weekdays, so coverage tends to dip right when families are most likely to visit. Annual turnover hits 50%, above the 45.8% national figure. Inspectors last visited in April 2025 and cited 19 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with $100,864 in fines on record. The 4/5 inspection rating doesn't carry the rest: the 1/5 quality measure score is the deeper concern.
Pine Crest runs on about 2.48 nurse hours per resident day, roughly a third below the national average, and weekends drop another 18% under its own weekday level. Nine of the 53 deficiencies on record sit at harm or jeopardy level, and there are ten abuse-related citations plus four fines totaling nearly $120,000. The one bright spot is turnover, 30.3% against a national 45.8%, so the staff who are there tend to stay. But with a 1-star inspection rating and a 199-bed for-profit partnership, the numbers suggest a building where the care depends heavily on which shift your relative happens to get.
Aperion Care Wesley runs 108 beds on Chicago's South Side under corporate for-profit ownership, and the numbers show a building stretched thin on the people side. Nurse staffing sits at 3.74 hours per resident day, slightly under the national average, but the bigger issue is consistency: weekends run about 16% leaner than weekdays, and annual turnover hits 56.7% against a national 45.8%. Inspectors have logged 48 deficiencies, three serious enough to put residents in harm's way, with $63,832 in fines and a January 2025 inspection. The quality measure score looks strong, but that reflects charted care, not the staffing that delivers it.
Axiom Healthcare of Flora runs 99 certified beds under corporate ownership, and its nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86. Weekends thin out further, dropping about 21% below the home's own weekday levels, and staff turnover lands near 43.6%, slightly better than the 45.8% national figure.
What stands out more is the inspection record: 23 deficiencies on file, including two at the harm or jeopardy level and five tied to abuse, plus $9,110 in fines. The last inspection came in October 2024, and the quality measure rating sits at 1 out of 5. A 4-star health inspection rating looks decent on its own, but it doesn't erase that deficiency list.
Alden Town Manor runs 249 beds in Cicero, and the staffing numbers are the first thing I'd want you to see. At 3.21 nurse hours per resident day, it sits roughly 17% under the national average, and weekends drop about 16% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The inspection record backs that up: 49 deficiencies, nine of them at the harm or jeopardy level, nine tied to abuse, and six fines totaling $270,515. Turnover at 40.3% is a little better than the national 45.8%, but that's the one number here working in its favor.
Hillview Senior Living & Rehab runs about 2.85 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip another 10% below its own weekday coverage, that thin margin is where the staffing picture gets its lowest marks. The good news sits on the inspection side: six deficiencies on record, none causing harm or involving abuse, and a survey completed in June 2025, so the home's last look from regulators is recent and clean. What pulls the overall picture down is the split between how the place is run and how residents are actually doing, state inspectors found little to fault, but the clinical quality measures and the day-to-day staffing numbers tell a quieter story worth asking about directly.
Arcadia Care Rock Island runs 177 beds under for-profit LLC ownership, and its staffing numbers tell a mixed story. Total nurse coverage sits at 4.05 hours per resident day, modestly above the national average, but weekends run about 16% thinner than weekdays, a gap families often feel when they visit. The bigger concern is the inspection record: 31 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus three fines totaling $105,810. Turnover at 46.4% is essentially the national rate. The most recent inspection was August 2024. A 1-out-of-5 health inspection rating alongside a 4-out-of-5 quality measure score suggests the clinical measures look better on paper than the day-to-day oversight does.
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?