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.
Axiom Gardens Of Nashville is a for-profit partnership home with 120 beds, and the numbers behind it are hard to read past. Nurse staffing sits at 3.46 hours per resident day, about 10% under the national average, and it thins out further on weekends, dropping roughly 13% below the home's own weekday level, so the coverage gaps aren't just theoretical. Staff turnover is 63.6% a year against a national average of 45.8%, which means the people doing the work keep changing. The current record shows 53 deficiencies, 13 at harm or jeopardy level and 11 abuse-related, plus $541,045 in fines across three cases. CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems.
Grove Health & Rehab Center in Jacksonville runs 175 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.57 hours per resident per day, roughly 8% under the national average, and it thins out further on weekends, dropping about 12% below the home's own weekday levels. Annual turnover hits 50.7%, well above the 45.8% national figure, so the people providing care keep changing.
The inspection record shows 31 deficiencies, eight of them serious enough to involve harm or jeopardy, three tied to abuse. Three fines total $76,577. The most recent inspection was in August 2025, so the picture is current, and CMS rates health inspections, staffing, and quality measures at 1, 1, and 2 stars respectively.
Sandwich Living & Rehab Center runs short on nursing hours, about 3.34 per resident per day, roughly 14% under the national average, and weekend coverage dips another 8% below its own weekday levels. That thin staffing shows up against a 56.3% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses caring for residents are frequently new or on their way out. The inspection record is the harder read: 71 deficiencies on file, 12 serious enough to cause harm or jeopardy, 10 tied to abuse, and five fines totaling $285,025. One star each for staffing and health inspections, with a state survey as recent as December 2024.
Axiom Healthcare of Rosiclare runs 62 certified beds under corporate ownership, and the staffing picture is the first thing worth knowing: 3.65 nurse hours per resident day sits about 5% under the national average, and weekends drop roughly 19% below what the home staffs on weekdays. Turnover at 42.1% is slightly better than the national figure, which helps, but it doesn't offset a record with 33 deficiencies, three at harm or jeopardy level, two tied to abuse, and $132,266 in fines across two penalties. The most recent inspection closed in December 2025, so the findings are current rather than stale. Quality measures score low, and staffing scores lowest of all.
Aperion Care Oak Lawn runs on thin staffing, about 3.08 nurse hours per resident each day, roughly a fifth below the national average, and weekends drop even further below its own weekday levels. That's a problem when you consider the inspection record: 62 deficiencies, seven of them serious enough to put residents at risk of harm, and 13 tied to abuse. More than half the nursing staff turns over in a year, well above the national rate of 45.8%, which makes consistent care hard to sustain. Federal fines total just over $52,000 across four penalties, and the most recent inspection was in January 2026. For-profit ownership under a limited liability company rounds out a picture where the numbers consistently point the same direction.
Helia Southbelt Healthcare runs 156 certified beds in Belleville under individual for-profit ownership, and the numbers behind its record are hard to read any other way. Nurse staffing sits at 3.14 hours per resident per day, roughly 19% under the national average, with weekends about 3% thinner than weekdays, so coverage is stretched before you even get to the harder measures. Inspectors have cited 65 deficiencies, including 6 at harm or jeopardy level and 7 tied to abuse, and the fines total $240,982. Staff turnover of 37.8% is actually below the national figure, which may be the one bright spot; the last inspection was in September 2025.
Quincy Healthcare & Sr Living runs 89 certified beds under for-profit LLC ownership, and the numbers worth knowing are the staffing ones. Nurses provide 3.38 hours per resident day, about 12% under the national average, and weekends drop roughly 13% below what the home itself staffs on weekdays, so care thins out exactly when families tend to visit. Annual turnover of 57.6% sits well above the 45.8% national figure. The current inspection record carries 39 deficiencies, four of them at harm or jeopardy level, plus three fines totaling $61,926. The last inspection was July 9, 2025. Ownership and staffing together explain more here than any single rating.
Hillside runs lean on nursing hours, 2.77 per resident day against a national average of 3.86, roughly 28% below, and weekends dip even further below its own weekday levels. The inspection record shows 35 deficiencies, three of them at the harm or jeopardy level and three tied to abuse, with $158,570 in fines across three penalties; the last inspection was in May 2026. Ownership is for-profit through a limited liability company, and staff turnover sits at 44.7%, essentially matching the national rate rather than improving on it. Quality measure and staffing ratings both land at the low end, and the health inspection rating is middling at best.
Mount Vernon Countryside Manor runs on 2.92 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip even lower than its own weekday levels. The staffing star rating sits at 1 out of 5, and turnover runs 49.4% against a national 45.8%, nearly half the nursing staff cycling out in a year. On inspections, the record shows 22 deficiencies, four at harm or jeopardy level and three tied to abuse, with $126,387 in fines across four penalties. The most recent inspection was January 2025. For-profit corporate ownership. If you're weighing this one, ask hard questions about weekend coverage and how they've corrected the abuse-related findings.
Fair Oaks runs leaner than most. At 3.43 nurse hours per resident per day, it sits about 11 percent under the national average, and weekends drop roughly another 12 percent below its own weekday numbers, so the thinnest coverage lands when families tend to visit. Staff turnover is the bigger issue: 61.3 percent a year against a national average of 45.8 percent, meaning most of the people caring for residents are still learning the building.
The inspection record backs that up. Thirty-six deficiencies, four serious enough to cause harm, two tied to abuse, and three fines totaling $71,124. The most recent inspection was September 2025, so the picture is current, not stale. For-profit corporate ownership, 78 beds.
Bria Of River Oaks runs 309 beds in Burnham, and the number that should give you pause is 2.86 nursing hours per resident per day, roughly a quarter below the national average, with weekends thinner still. Turnover sits at 35.6%, which is actually better than average, so the problem isn't a churning workforce; it's that there don't appear to be enough hands scheduled. The inspection record is heavy: 38 deficiencies, 13 of them at harm or jeopardy level, seven tied to abuse, and eight fines totaling $270,248. Its last inspection was July 2024. For-profit corporate ownership. Ask about weekend coverage and the abuse plan before you tour.
Austin Oasis is a 216-bed for-profit home in Chicago, and the federal numbers on it are grim. Staffing earns one star out of five, meaning residents here get fewer caregiving hours than the national average, and that gap is where falls, sores, and missed medications tend to happen. The inspection record shows 68 deficiencies, including 8 that put residents in immediate harm and 13 tied to abuse. Seven fines totaling $607,298 have piled up, with the most recent inspection in March 2025. Low staffing plus a harm-level deficiency pattern is the combination families should weigh hardest. If you're considering this one, ask to see the current plan of correction and how the home is fixing its staffing shortfall.
Shelbyville Healthcare & Senior Living runs well under the national staffing average, 2.87 nurse hours per resident day against 3.86, and it thins out further on weekends, when coverage drops about 9% below its own weekday level. That shortfall shows up in the numbers: 44 deficiencies on the current record, including 2 at the harm level and 4 tied to abuse, with the last inspection in August 2024.
Staff turnover sits at 60% against a national average of 45.8%, meaning roughly six in ten workers left over the year. Federal ratings put staffing and quality measures at 1 out of 5 stars each, with health inspections at 2. All of this sits under a for-profit corporate owner.
Vandalia Healthcare & Senior Living runs 116 certified beds under for-profit LLC ownership, and its staffing is the number to sit with first: 3.06 nurse hours per resident day against a national average of 3.86, roughly a fifth below, with weekends about 8% thinner than weekdays. Turnover sits at 59.5%, well above the 45.8% national figure, so the aides and nurses in the building keep changing. The inspection record backs that up: 35 deficiencies, two at harm or jeopardy level, no abuse findings, and one fine of $14,720, with the most recent survey dated November 20, 2025. Quality and staffing each scored one star out of five; health inspections scored three. Families should ask how the home covers weekends and how long its current staff have actually been there.
Arcadia Care Peoria Heights runs on 2.94 nurse hours per resident per day, roughly a quarter below the national average, and weekend coverage dips about 6% below its own weekday pace. Staff turnover sits at 52.1%, above the national figure, which matters for a building where 70 deficiencies sit on the current record, including five at the harm level and 13 tied to abuse. Three CMS fines total $259,968, and the home is in the Special Focus Facility program, a designation reserved for the lowest performers. The most recent inspection was January 2026. For-profit ownership through a limited liability company rounds out the picture.
Prairie Oasis runs 3.26 nurse hours per resident per day, roughly 16% under the national average, and weekends drop about 18% below its own weekday staffing. The inspection record backs that up: 67 deficiencies, 12 of them at harm or jeopardy level, 13 abuse-related, and six fines totaling $302,164. Turnover sits at 44.1%, marginally better than the 45.8% national figure but hardly a bright spot given everything else. All three CMS star ratings, health inspections, quality measures, staffing, come in at 1 out of 5, and the last inspection was September 12, 2025. This is a for-profit, individually owned home where the numbers point the same direction.
Rose Garden Of Pana runs 105 beds as a for-profit, individually owned home, and the staffing numbers are the first thing I'd flag: 2.71 nurse hours per resident day, about 30% under the national average of 3.86. Weekends drop roughly another 12% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The record shows 29 deficiencies, including 3 at harm or jeopardy level and 3 tied to abuse, plus two fines totaling $120,442. Turnover sits at 45%, essentially matching the national rate. The last inspection was February 2026. With a 1/5 staffing rating and 1/5 quality measures against a 3/5 inspection score, the pattern is consistent: this home has real problems, and staffing is where they start.
Loft Rehabilitation & Nursing runs 92 certified beds in Eureka under corporate for-profit ownership, and the numbers that stand out most aren't close calls. Nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average, and weekends drop about 5 percent below its own weekday level. Annual turnover hits 65.1 percent against a national 45.8 percent, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is heavy: 61 deficiencies, 13 at harm or jeopardy level, 11 abuse-related, and four fines totaling $438,940. The last inspection was August 2024. A 4/5 quality measure score doesn't offset a 1/5 on both health inspections and staffing.
Jerseyville Nsg & Rehab Center runs on 2.65 nursing hours per resident per day, roughly a third below the national average of 3.86, and weekend coverage drops about 9% below its own weekday level. Annual turnover sits at 64.9% against a national 45.8%, so the people caring for residents are frequently new. The inspection record is where things get serious: 49 deficiencies, 13 of them at harm or jeopardy level, 7 tied to abuse, and seven fines totaling $413,648. Ownership is for-profit, through a limited liability company. Staffing and health inspection scores each land at 1 out of 5 stars, despite a 3 out of 5 on quality measures. If you're considering this home, ask directly how they're addressing the harm-level findings and what weekend coverage actually looks like.
Taylorville Care Center runs on 2.71 nurse staffing hours per resident day, roughly 30% under the national average of 3.86, and weekend coverage dips about 7% below its own weekday level. The inspection record is heavy: 42 deficiencies, including 8 at the harm or jeopardy level and 6 tied to abuse, with two fines totaling $247,115. Staff turnover sits at 36.4%, better than the 45.8% national figure, so retention isn't the core problem here, the numbers point to thin coverage and a long, serious citation history. The last inspection was August 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?