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.
Gilman Healthcare Center runs 99 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.12 hours per resident per day, roughly 19% under the national average of 3.86. Weekends dip about 10% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Turnover at 44.2% is close to the national 45.8%, so retention isn't the standout problem; the inspection record is. Twenty-six deficiencies are on file, six at harm or jeopardy level and four abuse-related, with four fines totaling $167,929. The most recent inspection was May 2024.
Accolade Healthcare of Savoy runs 213 certified beds under for-profit LLC ownership, and the nursing hours show it: 3.30 per resident day against a national average of 3.86, with weekends running about 7% leaner than weekdays already are. Staff turnover sits at 55.2%, well above the 45.8% national figure, so the people at the bedside keep changing.
The inspection record is the harder part. CMS has logged 107 deficiencies here, 12 of them at harm or jeopardy level and 10 abuse-related, plus four fines totaling $196,659. The last inspection was December 2024, so the record is recent, not stale. Families weighing this one should ask what those harm-level findings involved and how the home has changed since.
La Bella Of Alton runs on thin staffing: 2.75 nurse hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday levels. That shows up in the numbers, a one-star CMS staffing rating and 49.6% annual turnover, slightly worse than the 45.8% national figure. The 180-bed for-profit home carries 53 deficiencies on its current record, including five at the harm or jeopardy level and three tied to abuse, plus five fines totaling $85,546. Its last inspection was March 25, 2024. A four-star quality measure rating doesn't offset what the inspection and staffing data show, so ask hard questions before considering this one.
Avantara Chicago Ridge runs 203 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, and annual turnover hits 68.9% against a national 45.8%, so the people caring for residents are cycling out fast. The inspection record shows 41 deficiencies, five at harm or jeopardy level and one tied to abuse, with three fines totaling $137,658; the most recent inspection was January 10, 2025. Its quality measure score looks strong, but that reflects charted clinical outcomes, not the staffing and safety picture a family actually walks into.
Thryve Of Crestwood runs 297 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 3.08 nurse hours per resident day, it sits about 20 percent under the national average of 3.86, and weekend coverage drops roughly another 13 percent below its own weekday level. The inspection record raises harder questions: 46 deficiencies, nine of them at harm or jeopardy level and six tied to abuse, with five fines totaling $298,926 and a 2-out-of-5 health inspection rating. Annual turnover of 48.2 percent edges past the national 45.8 percent, so even the staff who are there keep changing.
Park View Rehab Center runs on 2.32 nurse hours per resident per day, roughly 40% under the national average, and weekends drop another 13% below its own weekday staffing. That thin coverage sits behind a record of 68 deficiencies, including 10 at the harm or jeopardy level and 15 tied to abuse, plus seven fines totaling $597,010. Staff turnover is 39.7%, slightly better than the national 45.8%, and the last inspection was September 2025. The for-profit LLC structure and 2/5 inspection and staffing ratings round out the picture.
Generations At Applewood runs 154 certified beds in Matteson under for-profit LLC ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average, with weekends running about 12% thinner than its own weekdays. Staff turnover is 55.9%, well above the 45.8% national figure, which means the people providing that already-stretched care are cycling out faster than average. The inspection record is where it gets serious: 62 deficiencies, 16 at harm or jeopardy level, three tied to abuse, and six fines totaling $518,939. A quality measure score of 4 out of 5 sits oddly beside a 1 out of 5 on health inspections, but the survey history and the money owed tell the more reliable story.
Hilltop Skilled Nsg & Rehab runs 108 beds as a for-profit LLC, and its nurse staffing sits around 3.36 hours per resident day, roughly 13% under the national average. Weekends dip about 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. That staffing picture lines up with a 1-out-of-5 CMS staffing star. Turnover at 44.6% is essentially the national rate, meaning the home isn't churning workers faster than average, it's just running lean. What stands out more is the inspection record: 60 deficiencies, 8 at harm or jeopardy level, 8 abuse-related, and $177,262 in fines across three penalties. The most recent inspection was October 18, 2024.
Complete Care At The Boulevard carries 84 deficiencies on its current record, and 11 of those rose to the level where a resident was actually harmed or put in immediate jeopardy. Another 14 are abuse-related. Those aren't paperwork problems. Six fines total $378,581, and the most recent inspection, in February 2025, is recent enough to reflect how the place runs now.
Nurse staffing sits at 2.97 hours per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays. Turnover is 53.4%, meaning more than half the nursing staff leaves each year. For-profit corporate ownership at 156 beds.
The quality measure score looks good. Staffing and inspections do not. When families ask me where to start, I tell them the inspection record.
Arcadia Care Aledo runs about 3.42 nurse hours per resident per day, roughly 11% under the national average, and weekends dip even lower. That thin coverage shows up in the inspection record: 67 deficiencies, 9 at harm or jeopardy level, 11 abuse-related, and four fines totaling $193,582, with the most recent inspection in March 2025. Staff turnover is 38.7%, better than the 45.8% national figure, so the problem isn't retention so much as how few hands are on deck and how often care has fallen short.
Landmark At 95Th Rehabilitation And Nursing Center carries 228 certified beds on Chicago's South Side, and the staffing numbers are where the trouble starts. At 2.61 nurse hours per resident day, it runs roughly a third below the national average of 3.86, and weekends dip about 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover at 40.8% is actually a bit better than the 45.8% national figure, but it doesn't offset much given the hours on the floor. The inspection record is the heavier concern: 98 deficiencies, 14 tied to abuse, 10 at harm or jeopardy level, and six fines totaling $505,715.
Pearl of St Charles runs on thin staffing: 3.33 nurse hours per resident day against a national average of 3.86, and weekends drop about 10% below what the home already provides on weekdays. That gap shows up in turnover, too, 59.1% of staff leave each year, well above the 45.8% national figure, which means caregivers are continually new to residents who need consistency. The record backs this up: 51 deficiencies, five serious enough to involve harm or jeopardy, one tied to abuse, and $41,294 in fines across three penalties. A February 2025 inspection is recent, so the picture isn't stale. For-profit LLC ownership, and a 2/5 on health inspections. Worth asking hard questions before choosing this one.
Symphony Maple Crest runs on 2.85 nurse hours per resident day, roughly a quarter below the national average, and weekends dip about 10% below what the home staffs during the week. More than half its nurses left in the past year, 53.4% turnover against a national 45.8%, so the people providing care keep changing. The inspection record shows 46 deficiencies, six of them serious enough to put residents at risk of harm, two tied to abuse, and four fines totaling $373,007. Ownership is a for-profit limited liability company. Whatever the quality measures say, they're being produced by thin, unstable staffing, and that combination is what families should weigh when they visit.
Archer Heights Healthcare runs 249 certified beds on Chicago's Southwest Side, and the staffing numbers tell you a lot: 2.43 nurse hours per resident per day, roughly 37% under the national average, with weekends about 13% thinner than weekdays. Turnover sits at 53.5%, well above the 45.8% national figure, so the people left are often covering for the ones who left. The inspection record is the harder problem, 124 deficiencies, 18 at harm or jeopardy level, 16 tied to abuse, and five fines totaling $596,515. A 4/5 on quality measures can coexist with all of that because those measures come from resident assessments, not from how the place is actually run.
La Bella At Clifton runs on 2.94 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop about 14% below what the home itself staffs on weekdays. That thin coverage sits behind a one-star CMS staffing rating. The inspection record is heavy: 53 deficiencies, five at harm or jeopardy level, six tied to abuse, and four fines totaling $146,139. The last inspection was May 2025, so the picture is current. Ownership is a for-profit LLC. Turnover at 37.7% is actually below the national average, which means the problem isn't retention so much as how few hours each resident gets.
Bria Of Geneva runs 107 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. Nurses give 3.76 hours per resident day against a national average of 3.86, and weekends drop roughly 15% below the home's own weekday coverage, so the thinnest shifts land when families visit and outside oversight is quietest. Annual turnover sits at 61.5% versus 45.8% nationally, meaning most of the people caring for your relative are new to the building. The health inspection rating is solid at 4 of 5, but the current record carries 32 deficiencies, including one at harm or jeopardy level and two tied to abuse.
Avantara Joliet runs 154 certified beds under for-profit LLC ownership, and its staffing is the number that stands out most: 3.71 nurse hours per resident day, a bit under the national average, with weekends running about 5% lighter than weekdays. Annual turnover sits at 70% against a national 45.8%, which means the people caring for your relative are, more often than not, new to the building. The inspection record shows 40 deficiencies, six serious enough to involve harm or jeopardy, plus three fines totaling $33,535. The most recent inspection was December 24, 2025. Nothing here is abuse-related, but a staffing rating of 1 out of 5 alongside that turnover rate tells you where the strain lives.
Aliya Of Oak Lawn runs 191 beds under for-profit LLC ownership, and the numbers tell a hard story. Nurse staffing sits at 3.46 hours per resident day, about 10% under the national average of 3.86, and weekend coverage dips roughly 3% below its own weekday level, meaning help is thinnest exactly when families tend to visit. Staff turnover is 62% against a national average of 45.8%. On the inspection side, CMS records 81 deficiencies, 16 at harm or jeopardy level and 13 abuse-related, with three fines totaling $299,044; the most recent inspection was January 16, 2025. Quality measure scores look strong, but that's the one bright spot in an otherwise difficult picture.
Aperion Care Lakeshore runs 313 beds on Chicago's South Side, and the numbers that matter most here are the ones about hands on residents. At 2.45 nurse hours per resident day, staffing sits roughly 37% under the national average, and weekends run about 11% thinner than the home's own weekdays. Turnover is genuinely low at 22.2%, well under the national 45.8%, but steady staff can't offset a schedule this thin. The inspection record is the harder read: 96 deficiencies, 8 at harm or jeopardy level, 7 abuse-related, and $249,799 in fines across five penalties. The last inspection was February 2025. If you're considering this one, ask specifically how many nurses are on the floor on a Saturday night.
Doctors Nursing & Rehab Center runs 120 beds in Salem under for-profit LLC ownership, and the numbers paint a rough picture. Nurse staffing sits at 3.40 hours per resident day, roughly 12 percent under the national average, and weekends dip about 4 percent below what the home already provides on weekdays. Staff turnover is 53.3 percent against a national average of 45.8 percent, so more than half the nursing team turns over in a year.
The inspection record is where things get serious: 35 deficiencies, five at harm or jeopardy level, eight tied to abuse, and three fines totaling $107,564. The most recent inspection was March 13, 2026. If you're considering this home, ask directly what's changed since then.
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?