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.
The Haven of Tuscola runs on 2.94 nursing hours per resident day, roughly a quarter below the national average, and weekends dip about 14% under its own weekday level. That thin coverage shows up in the inspection record: 87 deficiencies, five at harm or jeopardy level and five abuse-related, with three fines totaling $68,631. Staff turnover sits at 46.7%, slightly above the national rate. Federal ratings give this for-profit LLC one star each for health inspections and staffing, two for quality measures, and the most recent inspection was January 28, 2025. When a building carries that many citations alongside that few staff hours, families should ask hard questions before admitting anyone.
Manor Court of Carbondale runs a nonprofit operation with 120 certified beds, and its nurse staffing comes in at 4.42 hours per resident day, which is roughly 14 percent above the national average. That's a real strength on paper, though weekend coverage drops about 15 percent below the home's own weekday level, and staff turnover sits at 52.1 percent against a national average of 45.8 percent, meaning the people delivering that care are cycling out faster than is typical elsewhere. The inspection record is where things get harder to explain: 38 deficiencies currently on file, six of them serious enough to involve harm or jeopardy, three tied to abuse, plus three fines totaling $126,274. The most recent inspection was June 2025.
Nature Trail Health And Rehab runs about 3.33 nursing hours per resident day, roughly 14% under the national average, and weekends drop another 17% below its own weekday staffing. That thin coverage sits behind 28 deficiencies on the current record, including three at the harm or jeopardy level and two tied to abuse, along with one fine of $28,620. Inspectors were last in the building in December 2025, and the health inspection rating came back at 4 out of 5, so the state's most recent look wasn't the problem. Staff turnover is 49.2%, above the national 45.8%, which matters in a building this size.
Aliya of Glenwood runs 184 beds in Cook County under for-profit LLC ownership, and its nurse staffing sits right at the root of its problems. At 2.69 hours per resident day, it's about 30% under the national average of 3.86, and weekend coverage dips roughly 5% below its own weekday levels. Staff turnover lands at 48.7%, a few points above the national figure. The inspection record is heavy: 63 deficiencies, 8 at harm or jeopardy level, 6 abuse-related, and seven fines totaling $226,122. Its last inspection was April 2025. If you're weighing this one, ask specifically how they cover weekends and what's changed since those abuse findings.
Briar Place runs on 1.90 nurse hours per resident per day, roughly half the national average of 3.86. Weekends drop about another 10% below its own weekday numbers, and 54.1% of staff turned over last year against a national rate of 45.8%. The inspection record shows 50 deficiencies, nine of them at harm or jeopardy level and nine abuse-related, with five fines totaling $147,914; the last visit was November 2024. For-profit, limited liability ownership, 232 beds, a two-star health inspection rating and one star for staffing. When a building carries that many harm-level findings and that thin a floor staff, families should ask who is actually on the unit overnight and on weekends.
Complete Care at Margate Park runs 310 beds on Chicago's far North Side, and the staffing numbers are the first thing worth knowing: 3.01 nurse hours per resident per day against a national average of 3.86, with weekends running roughly 10% thinner than weekdays. That shortage shows up in the inspection record, 100 deficiencies, nine of them at harm or jeopardy level and 19 tied to abuse, plus five fines totaling $155,687. Annual turnover sits at 47.4%, slightly above the national figure, at a for-profit limited liability company. One thing in the home's favor: it was inspected recently, in late February 2026, so the record you're reading reflects current conditions rather than a stale survey.
Aperion Care Forest Park is a 232-bed for-profit home in Cook County with 71 deficiencies on its current record, 12 of those at the harm or jeopardy level, 8 involving abuse. That's an unusually heavy enforcement history, and it shows in the fines: six penalties totaling $387,772. The government's health inspection rating sits at 1 out of 5 stars.
Staffing tells a similar story. At 3.26 nurse hours per resident day, the home runs about 16 percent below the national average, and weekends dip another 16 percent below its own weekdays. Turnover is 38.2 percent, which is actually better than the 45.8 percent national figure, the one number here that isn't a red flag, though it doesn't offset the rest. Its last inspection was in January 2025.
Aspyre Of Bronzeville runs 204 beds on Chicago's South Side under corporate ownership, and its nurse staffing sits at 2.58 hours per resident day, roughly a third below the national average of 3.86. Weekends drop about 18% below its own weekday levels, so coverage thins out exactly when families tend to visit.
The inspection record is the part that would worry me most: 59 deficiencies, including 5 at the harm or jeopardy level and 4 tied to abuse. Three fines totaling $107,000, and the last inspection was August 2024. Turnover at 25% is actually better than the 45.8% national average, which matters, but it doesn't offset a 2/5 staffing rating and 2/5 inspection rating. Ask about weekend coverage and the abuse-related citations specifically.
Allure of Pinecrest runs 125 certified beds, and its nurse staffing sits at 3.52 hours per resident per day, about 9% under the national average of 3.86. Weekends run roughly 9% thinner than weekdays, so the coverage gaps aren't evenly spread. The inspection record is the bigger concern: 38 deficiencies, eight of them at harm or jeopardy level, four tied to abuse, and $188,633 in fines across four penalties. Staff turnover of 37.4% is actually below the national 45.8%, which suggests the problem isn't retention so much as how the place is run. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 2 out of 5, and the most recent inspection was April 30, 2025.
Pearl Pointe runs on 2.76 nursing hours per resident per day, roughly 28% under the national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thin coverage sits alongside 67 deficiencies on the current record, including 7 at the harm or jeopardy level and 6 tied to abuse, plus three fines totaling $168,767. Staff turnover, at 43.8%, is actually slightly better than the national 45.8%, so the problem here isn't retention, it's how few hands are on the floor and what inspectors keep finding. The most recent inspection was November 19, 2025.
Arcadia Care Morton runs a 106-bed for-profit home where nurse staffing sits at 2.81 hours per resident day, roughly 27% below the national average of 3.86, and weekend coverage dips about 4% below its own weekday level. The inspection record is the harder problem: 57 deficiencies, seven of them serious enough to put residents in harm's way and seven flagged as abuse-related, plus seven fines totaling $366,357. Annual turnover of 54% means more than half the staff leaves every year, against a national 45.8%. The most recent inspection was February 2025, so the picture isn't stale. Ask about direct-care staffing on weekends and how the abuse-related findings were resolved.
Hope Creek runs 245 beds in East Moline under for-profit LLC ownership, and the numbers there deserve a careful look before you tour. Nurse staffing sits around 3.29 hours per resident day, roughly 15% under the national average, and weekends dip about 9% below what the home itself staffs on weekdays, so coverage thins exactly when families tend to visit. The inspection record is the bigger concern: 59 deficiencies on file, nine of them at harm or jeopardy level and nine tied to abuse, with five fines totaling $386,400 and a health inspection rating of one star out of five. Last full inspection was August 2024. Turnover, at 41.1%, is actually a bit better than the 45.8% national figure, but it doesn't offset the rest.
Symphony Northwoods runs 2.97 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends drop about 12% below what the building already provides on weekdays. That thin coverage shows up in the workforce itself: 63% annual turnover against a national 45.8%, with a CMS staffing rating of 1 out of 5. The inspection record carries 37 deficiencies, eight of them at harm or jeopardy level and two abuse-related, plus four fines totaling $126,193; the most recent inspection was January 7, 2026. Quality measures score well at 4 out of 5, but a for-profit corporate owner with this staffing pattern and this deficiency history is the fuller picture.
Three Springs Sr Living & Rhab runs about 2.91 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 7% below its own weekday level. Staff turnover sits at 65.1% against a national average of 45.8%, so a lot of the people caring for residents are still new to the building. The current record shows 21 deficiencies, one serious enough to reach harm or jeopardy, though none abuse-related, and the last inspection was September 2025. It's a for-profit limited liability company, 83 beds, with a 1-out-of-5 staffing rating and 2-out-of-5 on quality measures.
The Citadel at Saint Joseph Village runs a 124-bed nonprofit home in Freeport, and the staffing numbers are where I'd start. At 3.26 nurse hours per resident day, it sits about 16% under the national average, weekends drop roughly 11% below its own weekday level, and turnover is 64.9% against a national 45.8%. Inspections back that up: 48 deficiencies on record, seven at harm or jeopardy level, two abuse-related, and six fines totaling $125,824. The last inspection was December 2024, so the record is current rather than stale. Quality measures score well, but that's a narrower slice than staffing and inspection history.
Landmark of Hyde Park runs 318 certified beds, and its nurse staffing sits at 2.05 hours per resident day, roughly 47% under the national average of 3.86. Weekend coverage drops another 14% below its own weekday level, so the thinnest shifts are the ones families tend to visit. The inspection record is where the real weight sits: 70 deficiencies, including five at the harm or jeopardy level and nine tied to abuse, with two fines totaling $118,855 and a health inspection rating of 1 out of 5. Staff turnover at 37.5% is actually lower than the 45.8% national average, which is the one number here working in the home's favor.
Integrity Hc Of Herrin runs 49 certified beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.50 nurse hours per resident day, it sits about 9% under the national average, and weekends drop roughly 13% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 72.9% is well above the 45.8% national figure, meaning aides and nurses cycle through constantly. On the current record: 31 deficiencies, including 4 tied to abuse and 1 serious enough to cause harm. The last inspection was September 2024.
Arc At Hickory Point reports 4.50 nurse hours per resident day, which is genuinely above the national average of 3.86, but that number comes with an asterisk. Weekend staffing drops about 10% below weekday levels, and annual turnover sits at 72.5%, well above the 45.8% national figure, so the aides and nurses at the bedside keep changing. The inspection record is where things get harder to explain away: 45 deficiencies, 13 of them at harm or jeopardy level, one abuse-related, and four fines totaling $355,296. A for-profit corporation runs this 64-bed home in Forsyth. Roughly 72 cents of every dollar in fines here went toward penalties tied to serious resident harm.
Bria Of Belleville runs 140 certified beds as a for-profit corporation, and its nurse staffing comes in at 4.27 hours per resident day, roughly 11% above the national average of 3.86. But that headline number hides a gap: weekend staffing drops about 20% below the home's own weekday level, and annual turnover sits at 53.4% against a national 45.8%, so the people providing that care are cycling out faster than average.
The inspection record is where the real weight sits. Sixty-six deficiencies are on file, thirteen of them at the harm or jeopardy level and eight abuse-related, with eight fines totaling $375,242. The last inspection was May 2025, and the health inspection rating is 1 out of 5.
Elevate Care South Holland runs 171 certified beds, and the staffing numbers are the place to start. At 3.24 nurse hours per resident day, it sits about 16% under the national figure of 3.86, and weekends dip another 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Half the nursing staff turned over in a year, above the 45.8% national rate. The inspection record carries 45 deficiencies, 10 of them at harm or jeopardy level and 2 involving abuse, with six fines totaling $240,240. The last state visit was December 13, 2024. For-profit, individually owned.
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?