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.
Ambassador Nursing & Rehab Center runs on 2.58 nurse hours per resident per day, roughly a third below the national average, and weekend coverage drops about 8% below its own weekday level, so the thinnest shifts land when families tend to visit. Turnover sits at 20.2%, well under the national 45.8%, which means the staff who are there tend to stay. The record is where the trouble shows: 62 deficiencies, 5 at harm or jeopardy level, 8 abuse-related, and $134,388 in fines. A 190-bed for-profit LLC in Chicago, inspected most recently in August 2025, with middling marks on health, quality, and staffing. Ask about weekend coverage and how those abuse citations were resolved.
Highland Health Care Center runs on thin staffing: 3.31 nurse hours per resident day, about 14% under the national average, with weekends even leaner than weekdays. That's the number behind its one-star staffing rating, and it matters more than the four-star quality measure score, which reflects a narrower set of clinical metrics.
The inspection record is where the real weight sits. Twenty-six deficiencies, four of them serious enough to put residents in harm's way, three tied to abuse, and a $35,875 fine. The most recent state visit was in September 2024, so the picture is current, not stale.
Ownership is a for-profit limited liability company, and turnover runs at 66.7% against a national 45.8%. That churn makes consistent care hard to sustain.
Loft Rehab & Nursing of Canton runs 90 beds as a for-profit corporation, and the numbers that stand out most are on the staffing side. At 2.92 nurse hours per resident day, it's roughly a quarter below the national average of 3.86, and weekends dip about 9% below its own weekday coverage, meaning the thinnest shifts get thinner. Turnover sits at 47.5%, a bit above the national 45.8%. The inspection record shows 26 deficiencies, three of them at harm or jeopardy level, with $134,115 in fines across three penalties; the most recent inspection was August 2024. No abuse deficiencies are on record.
Evergreen Nursing & Rehab Center runs 120 certified beds in Effingham under corporate ownership, and its recent inspection history isn't the problem, a 4-out-of-5 health inspection rating with 15 deficiencies on record, four of them serious enough to cause harm, and no abuse findings. The trouble sits in the staffing numbers. At 2.78 nurse hours per resident day, it runs about 28% below the national average of 3.86, weekends dip another 4% below its own weekday levels, and annual turnover hits 68.5% against a national 45.8%. One fine totaling $10,542 is on the books. People are being cared for here, but the floor is thin and the faces change often.
Country Health runs lean on nurses: 3.08 hours per resident day against a national average of 3.86, and weekends drop about 9% below its own weekday pace. That thin coverage shows up in the inspection record, 53 deficiencies, eight serious enough to involve harm or jeopardy, 13 tied to abuse. Staff turnover sits at 53.6%, well above the 45.8% national figure, meaning the people providing daily care keep changing. This nonprofit campus in Gifford has been fined twice, totaling $150,053, and its last inspection was September 24, 2025. The quality measure score of 3 out of 5 is the strongest part of the file; staffing and health inspection scores both land at 2.
Oak Park Oasis runs 204 beds under for-profit partnership ownership, and the staffing numbers are the first thing that stand out. At 2.98 nurse hours per resident day, it sits roughly 23% under the national average of 3.86, and weekends drop about another 15% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover at 32.1% is actually better than the national 45.8%, which suggests the problem isn't retention so much as how many hands are scheduled. The inspection record is harder to explain away: 52 deficiencies, including five at harm or jeopardy level and six tied to abuse, plus seven fines totaling $244,182. The most recent inspection was October 2024.
Timber Point runs on 2.70 nurse hours per resident day, roughly 30 percent under the national average of 3.86, and weekend coverage drops about 13 percent below its own weekday level. That thin bench shows up in the numbers: 51.7 percent annual turnover against a national 45.8 percent, a 1-out-of-5 staffing rating from CMS, and a chain of 35 deficiencies, five serious enough to reach harm or jeopardy, three tied to abuse. Two fines totaling $131,617 sit on the record, and the most recent inspection, in June 2025, is recent enough to assume it reflects how things run now. With a 2-out-of-5 inspection rating and corporate for-profit ownership, the pattern is consistent rather than a single bad month.
Continental runs 208 beds on Chicago's West Side with a corporate for-profit owner, and the staffing math is thin: 2.70 nurse hours per resident day, roughly 30% under the national average, and weekends drop about 11% below its own weekday levels. Turnover at 31.8% is better than the 45.8% national figure, so the people who stay tend to stay. What stands out more is the inspection record, 97 deficiencies, nine serious enough to put residents in harm's way, eleven tied to abuse, and twelve fines totaling $305,887. The most recent inspection was May 2025, so it's current. If you're considering this one, go visit on a weekend and ask directly how they staff then.
Aperion Care Dolton runs 88 certified beds under corporate for-profit ownership, and its staffing sits at 3.14 nurse hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 13% below the home's own weekday coverage, which matters when needs don't pause on Saturdays. Turnover at 31.9% is actually better than the 45.8% national figure, so retention isn't the main problem here; the raw hours and inspection record are.
The March 2024 inspection left 32 deficiencies on the current record, including four at the harm or jeopardy level and three tied to abuse. Four fines total $168,629. With staffing star at 1 out of 5 and inspection at 2, the numbers point to thin coverage and repeated serious findings rather than one bad survey.
Evercare Of Lebanon runs 90 certified beds under for-profit LLC ownership, and the staffing picture is the first thing that stands out: 3.06 nurse hours per resident day, about 21% under the national average of 3.86, with weekends running roughly 12% lighter than weekdays. That thin coverage shows up in the inspection record, 37 deficiencies, seven at harm or jeopardy level, six abuse-related, and four fines totaling $303,529, with the most recent inspection in December 2024. Staff turnover at 33.3% is actually better than the 45.8% national figure, so the instability here isn't primarily about people leaving; it's about too few hours on the floor relative to what residents need.
Coulterville Rehab & Hcc runs on 3.11 nurse hours per resident per day, roughly 19% under the national average, and weekends drop another 10% below its own weekday staffing. That thin coverage shows up in the inspection record: 12 deficiencies, two of them at harm or jeopardy level and two abuse-related, plus a $113,818 fine. Turnover sits at 47.1%, slightly above the national 45.8%, so caregivers are cycling through. The last inspection was August 2024. Corporate-owned and certified for 75 beds, it earns middling marks on quality measures but the lowest tier for staffing. If you're considering this one, ask directly how many nurses are on the floor on a Saturday night.
Countryside Care Center runs on 2.90 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops another 10% beneath its own weekday level. More than six in ten staff left over the past year, 62.5% turnover against a national 45.8%, so the people showing up are often new. Its inspection history is the harder problem: 61 deficiencies on the current record, seven serious enough to put residents in harm's way, five tied to abuse, and $317,916 in fines across seven penalties. The five-star quality measure score reflects charted care, not whether enough hands are there to deliver it.
Alden Debes runs 268 certified beds in Rockford under corporate ownership, and its staffing is the first thing to look at: 3.39 nurse hours per resident day against a national average of 3.86, with weekends about 11% thinner than weekdays. Turnover sits at 56.1% against a national 45.8%, so aides and nurses cycle through faster than typical, and CMS gives staffing 1 out of 5 stars. The inspection record is the harder problem, 44 deficiencies, five at harm or jeopardy level and six abuse-related, with $129,985 in fines and a 2-star inspection rating. Quality measures score 4 out of 5, but recent inspections still found serious problems.
Landmark of Richton Park runs 294 beds in Cook County under for-profit LLC ownership, and the numbers behind its record are worth sitting with. Nurse staffing sits at 2.58 hours per resident day, roughly a third below the national average, and weekends drop about 14% below what the home itself staffs on weekdays, with turnover at 54.2% against a national 45.8%. The inspection history shows 70 deficiencies on the current record, 14 of them at harm or jeopardy level and 9 tied to abuse, plus six fines totaling $519,652. Its last inspection was in March 2025, and CMS rates staffing 1 out of 5 stars.
Allure Of Zion runs 5.03 nurse hours per resident day, roughly 30% above the national average of 3.86, and weekend staffing dips only about 8% below its weekday level. That's real coverage on paper. But 53.5% of staff turned over in a year, against a 45.8% national average, so the people delivering those hours keep changing. The inspection record is where the story turns: 66 deficiencies, 8 at harm or jeopardy level, 10 abuse-related, four fines totaling $255,454, and a health inspection rating of 1 out of 5. The last inspection was July 2024. High staffing hours and a troubled inspection history can coexist, one measures presence, the other measures what happens.
The Pearl of Downers Grove runs on thin staffing: 3.60 nurse hours per resident day, about 7% under the national average, and weekends drop roughly 8% below its own weekday levels. Turnover sits at 64.9% against a national 45.8%, meaning most of the people caring for your relative likely weren't there a year ago. The current record carries 58 deficiencies, three of them at harm or jeopardy level and two tied to abuse, plus a $30,794 fine. The last inspection was April 14, 2025. For-profit corporate ownership, 145 beds. The pattern here is understaffing, instability, and a documented history of serious problems.
Princeton Rehab & Hcc runs 225 certified beds on Chicago's south side, and the staffing numbers are the first thing that stands out. At 2.64 nurse hours per resident day, it sits about a third below the national average, and weekends drop roughly another 10% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The inspection record is heavy: 49 deficiencies, four serious enough to involve harm or jeopardy, three tied to abuse, and two fines totaling $32,136 from a February 2025 inspection. Staff turnover, at 47.1%, runs slightly above the national rate, which means new faces are constant.
Nurse staffing at Arc At Normal runs 2.81 hours per resident day, roughly 27 percent under the national average of 3.86, and weekends dip below even that. The current record carries 72 deficiencies, including 8 at the harm or jeopardy level and 16 tied to abuse. Two fines total $62,192, and the last inspection was February 2025. Turnover sits at 40 percent, a bit better than the 45.8 percent national figure, but that one comparatively decent number doesn't offset a 1-out-of-5 staffing rating or the inspection and quality scores both at 2. This is a for-profit limited liability company operating 141 certified beds, and the pattern across these numbers is consistent.
Bria Of Chicago Heights runs 112 certified beds under for-profit LLC ownership, and its nurse staffing sits at 2.71 hours per resident day, roughly 30 percent under the national average of 3.86. Weekends drop about 15 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 33 deficiencies, seven of them at the harm or jeopardy level, six tied to abuse, with four fines totaling $165,764 and a survey as recent as May 2025. Turnover at 41.9 percent is slightly better than the 45.8 percent national figure, but that's the one number here working in its favor.
Wabash Senior Living runs 156 certified beds in Carmi under for-profit LLC ownership, and its staffing numbers are the first thing worth understanding: 3.21 nurse hours per resident per day against a national average of 3.86, with weekends running about 7% leaner than weekdays. Annual turnover sits at 61.1% while the national figure is 45.8%, meaning roughly six in ten caregivers left within the year. The health inspection side looks stronger, a 4-out-of-5 rating and a recent survey date, but 15 deficiencies sit on the current record, five at harm or jeopardy level and one abuse-related, plus a single fine of $93,679. Quality measure and staffing ratings both land near the bottom of CMS's five-point scale.
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?