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.
Abbington Vlge runs about 2.96 nursing hours per resident each day, roughly a quarter below the national average of 3.86, and weekends drop another 20% below its own weekday coverage. Staff turnover sits at 58.3%, well above the 45.8% national figure, which means the aides and nurses your family member sees are changing often. The home carries 37 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with a 3/5 inspection rating and 2/5 ratings for both quality measures and staffing. Owned by a for-profit corporation and last inspected in April 2026, it clears the safety bar but runs lean on people. Ask how they cover a weekend callout.
Loft Rehab & Nursing Of Normal carries 83 deficiencies on its current record, and 14 of those reached the harm or jeopardy level. Seven are abuse-related, which is the category families tend to care about most. The home is licensed for 116 beds under a for-profit limited liability company, and its last inspection was in October 2024. Nurse staffing sits at 3.07 hours per resident day against a national average of 3.86, and weekends run about 8% thinner than weekdays. Annual turnover is 56.3%, well above the 45.8% norm. Five fines totaling $406,595 round out the record. Compare that against the quality measure rating of 5, a number that looks better than the inspection and staffing picture around it.
Arcadia Care Bloomington runs a 115-bed for-profit home, and the staffing numbers are the place to start: 2.59 nurse hours per resident per day, roughly a third below the national average, with weekends running about 7% thinner than weekdays. That shortfall lines up with a 1-out-of-5 staffing rating from CMS. Turnover sits at 39.1%, which is actually better than the 45.8% national figure, so the issue isn't retention, it's how few hands are on the floor per resident. The inspection record is heavy: 58 deficiencies, five at harm or jeopardy level, 14 abuse-related, and three fines totaling $179,825, with the most recent inspection in April 2025.
The Citadel of Bourbonnais runs a 107-bed for-profit operation where the staffing numbers are the real story. At 3.46 nurse hours per resident day, it sits about 10% under the national average, and weekends dip another 13% below its own weekday levels, meaning the thinnest coverage lands exactly when families tend to visit. Annual turnover of 58.1% is well above the 45.8% national figure, so the people providing care are cycling through faster than average.
Inspectors last visited in September 2024 and turned up 21 deficiencies, two serious enough to involve harm or jeopardy, though none abuse-related. The 4/5 inspection rating and 2/5 quality measures don't offset a 1/5 staffing score.
You're looking at a 120-bed for-profit home in Cook County where the nursing hours don't stretch far. At 2.93 per resident day, staffing sits roughly a quarter below the national average of 3.86, and weekends run about 10% thinner than weekdays, that's when families tend to visit, so it's worth asking who's actually on the floor then. The inspection record is the harder part: 36 deficiencies, four serious enough to involve harm or jeopardy, five tied to abuse, and two fines totaling $53,141. Turnover at 38.2% is better than the 45.8% national figure, which helps some, but the state came in as recently as July 2025. Go see it, and ask specifically about those abuse-related findings.
Hallmark Healthcare of Pekin runs 71 beds and staffs nurses at 3.03 hours per resident day, roughly 22 percent under the national average, with weekends running about 11 percent thinner than weekdays. Turnover hits 56.7 percent against a national 45.8 percent, so the people caring for your relative keep changing. The inspection record shows 43 deficiencies, five serious enough to put residents in harm's way and six tied to abuse, plus four fines totaling $49,745. The most recent inspection was October 2024. Corporate-owned and for-profit, this home's quality scores look better on paper than its staffing and inspection history support.
Carlyle Healthcare & Sr Living runs 109 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.21 nurse hours per resident per day, it sits about 17% under the national average of 3.86, and weekends drop roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 42.4% is slightly better than the 45.8% national figure, but that's a small comfort. What concerns me more is the record: 21 deficiencies, four at harm or jeopardy level and four abuse-related, with a 2/5 inspection rating, a 1/5 quality measure rating, and a July 2024 inspection that's now well behind you. Ask about the abuse citations directly.
Alta Rehab at Fairmont runs 186 beds on Chicago's West Side, and its nurse staffing sits at 4.06 hours per resident day, about 5% above the national average, though weekends drop roughly 12% below its own weekday levels. The bigger problem is its record: 71 deficiencies, four of them at the harm or jeopardy level and four abuse-related, plus three fines totaling $98,784. Staff turnover of 46.5% is essentially the national rate, so continuity isn't a strength either. Ownership is corporate for-profit, and its last inspection was September 2025. That volume and severity of findings, paired with a 2/5 staffing and inspection rating, is what drives the low grade.
Warren Barr Lincoln Park runs about 109 beds on the city's North Side, and the numbers that stand out are the staffing ones. Nurses give residents roughly 3.31 hours of care per day against a national average of 3.86, and weekends run thinner than weekdays by about 7%, that's when families often notice less help on the floor. Staff turnover sits at 51.2%, well above the 45.8% national figure, so the people caring for your relative may be new fairly often. The current inspection record carries 36 deficiencies, including 2 at the harm level and 3 tied to abuse, along with a $117,488 fine. The most recent inspection was in November 2025, so the picture is current.
Tri-State Village runs lean on nursing hours, 3.29 per resident day against a national average of 3.86, and weekends dip about 14% below its own weekday coverage, so care gets thinnest exactly when families tend to visit. Its inspection record is heavier than you'd want: 56 deficiencies, 12 of them at the level where harm or jeopardy to residents is possible, three tied to abuse, and five fines totaling $279,810. The one genuine bright spot is turnover at 25.8%, well under the national 45.8%, meaning the staff who are there tend to stay. A for-profit limited liability company operates the 84-bed home, last inspected April 30, 2025.
Aliya On 87Th carries 75 deficiencies on its current record, ten of them serious enough to cause harm or jeopardy and five tied to abuse. That's an unusual concentration of high-severity findings for a single home. Nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average, and it thins further on weekends. Staff turnover matches the national rate, so retention isn't the outlier here, the shortfall in hands-on hours is. The 5/5 quality measure rating contrasts sharply with a 1/5 on both inspections and staffing, and $343,276 in fines across five penalties tells you regulators have acted more than once.
Allure of Galesburg runs on thin nursing coverage: 3.12 hours per resident day against a national average of 3.86, with weekends about 5% leaner than weekdays, so the gaps families notice tend to show up on Saturdays and Sundays. Staff turnover sits at 45.2%, essentially the national rate, meaning the aides and nurses cycling through are not unusually transient, but the low staffing star reflects fewer hands overall. The inspection record is the harder read: 60 deficiencies, 7 of them at harm or jeopardy level and 17 tied to abuse, plus two fines totaling $271,833. Quality measures score well, but the last inspection was July 2025 and the health inspection star remains 1 out of 5.
Aliya Of Palos Park runs a for-profit corporate operation with 129 certified beds, and the numbers there are worth a close look. Nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average, and weekends dip about 3 percent below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover hits 54.8 percent against a national 45.8 percent, meaning more than half the nursing staff leaves each year. The inspection record shows 50 deficiencies, 10 at harm or jeopardy level and 2 abuse-related, with four fines totaling $354,885. Quality measures score well, but staffing and inspection results tell a different story.
Greenup Rehab and Nursing runs 54 beds under individual for-profit ownership, and its staffing is the number that stands out: 2.76 nurse hours per resident per day, roughly 28% under the national average of 3.86. Weekends drop another 11% below its own weekday level, and annual turnover sits at 57.7% against a national 45.8%, so the people who remain are stretched thin and the roster keeps churning. The inspection record shows 37 deficiencies, 5 of them abuse-related, with the most recent inspection in September 2024. Federal staffing and health inspection ratings both come in at 1 out of 5; the quality measure rating is 3.
Goldwater Care Marseilles is run by a hospital district, and its record shows real strain. Nurse staffing sits at 3.37 hours per resident day, roughly 13 percent under the national average, and weekends drop about 17 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is 52.3 percent, well above the 45.8 percent national figure.
The inspection history is the bigger concern: 59 deficiencies on record, including 8 at the harm or jeopardy level and 5 tied to abuse. Three fines total $227,365, and the most recent inspection was June 14, 2024. Resident outcome measures look better than the staffing picture, but that gap rarely holds up without enough consistent hands on site.
Harmony Park Ridge runs 298 beds under for-profit LLC ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17 percent under the national average of 3.86. Weekends dip slightly further below its own weekday levels. The inspection record is the bigger concern: 52 deficiencies, 11 of them at harm or jeopardy level and 10 abuse-related, with five fines totaling $223,201. Federal inspectors last visited in March 2025 and rated health inspections 2 out of 5. For a building this size, that many serious findings points to problems that persist between surveys rather than one bad week.
Pearl Of Joliet runs 214 beds under for-profit LLC ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 16% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 57 deficiencies, including 5 at harm or jeopardy level and 3 tied to abuse; CMS has fined the home four times for $109,368 total. Turnover at 42.6% is slightly better than the 45.8% national figure, which is one of the few numbers here that isn't working against it.
Haven Of Champaign runs 60 beds under limited-liability, for-profit ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average, and weekends drop about 17% below what the home itself provides on weekdays, so coverage thins out exactly when families tend to visit. The inspection history is heavier: 75 deficiencies on the current record, including two at the harm or jeopardy level and five tied to abuse, plus $12,425 in fines. Staff turnover, at 42.6%, actually comes in slightly under the national rate, which suggests the problems here aren't mainly about keeping people.
Serenity Estates At Morris runs on 3.01 nurse staffing hours per resident day, roughly 22% under the national average of 3.86, and weekends dip about 11% below the home's own weekday level. That thin coverage shows up in the CMS staffing star rating of 1 out of 5, and the quality measure score matches it at 1 out of 5. The inspection record carries 44 deficiencies, including one at the harm or jeopardy level, though none are abuse-related, and the last inspection was December 18, 2025. This is a for-profit limited liability company with 142 certified beds, and the health inspection rating of 3 out of 5 is the strongest number on the page.
The Grove of Elmhurst runs 180 beds under corporate ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. That gap shows up on weekends too, when coverage dips about 2% below the home's own weekday level, and nearly half the nursing staff turned over in the past year, above the 45.8% national figure. Its inspection record carries 51 deficiencies, including three at the harm or jeopardy level and six tied to abuse, plus a $61,031 fine. The last full inspection was May 2025.
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?