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.
Nurse staffing at Effingham Healthcare runs 2.92 hours per resident day against a national average of 3.86, roughly a quarter less time with a caregiver than the typical home. Weekends are thinner still, about 14% below what the building itself staffs on weekdays. Turnover sits at 39.4%, a bit better than the 45.8% national figure, and it's the only number here that reads favorably.
The inspection record is the harder part: 46 deficiencies, seven serious enough to involve harm or jeopardy, five tied to abuse, and three fines totaling $132,532. The last inspection was September 2024, so that record is recent. For-profit corporate ownership, 62 beds.
If you're considering Bria of Cahokia for a family member, the numbers tell a hard story. Nurse staffing sits at 3.25 hours per resident day, about 16 percent under the national average, and drops further on weekends. Staff turnover runs 51 percent, above the national rate, which means the people caring for your relative are likely to keep changing. The inspection record is the part that worries me most: 89 deficiencies, 23 of them serious enough to put residents in harm's way, and 20 tied to abuse. Seven fines totaling just under $687,000 have piled up, with the most recent inspection in April 2025. For-profit, limited liability ownership.
Allure Of Sterling runs 130 beds under corporate ownership, and its staffing sits right at the national average, 3.88 nurse hours per resident day against 3.86, so the raw coverage number looks fine until you notice weekends dip about 3% below the home's own weekday level. Turnover is the harder fact: 52.6% of staff leave annually, well above the 45.8% national figure, which means the people showing up are often new. The inspection record carries 39 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, plus a $118,360 fine. The most recent inspection was December 2025, so the picture is current, not stale.
Arcadia Care Morris runs leaner than most homes, and the numbers show it. Nurse staffing sits at 3.42 hours per resident day against a national average of 3.86, and weekends drop another 5% below its own weekday level, so the thinnest coverage lands when families tend to visit. Half the staff turned over in a year, above the 45.8% national figure, which matters because unfamiliar aides miss changes in a resident's condition. Its inspection record carries 37 deficiencies, six serious enough to involve harm or jeopardy, plus $96,340 in fines; the last full inspection was October 2024. A for-profit limited liability company owns the 123-bed building.
Loft Rehab Of Peoria runs 120 beds under for-profit LLC ownership, and the numbers behind its record are worth knowing. Nurse staffing sits at 3.23 hours per resident per day, roughly 16% under the national average, and weekends run about 15% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Staff turnover is 61.5% against a national 45.8%, meaning the people caring for residents are, more often than not, new to the building.
The inspection record is heavier still: 68 deficiencies on file, including 5 at the harm or jeopardy level and 9 tied to abuse, plus three fines totaling $235,553. The most recent inspection was August 2024. Ask about weekend staffing and turnover before you decide.
Arcadia Care Havana runs on thinner nursing coverage than most homes in the country, 3.17 nurse hours per resident day against a national average of 3.86, and weekends drop even further below its own weekday level. That shortfall shows up in the numbers: a 57.4% annual turnover rate, well above the national 45.8%, and 95 deficiencies on the current record, 12 of them serious enough to put residents in harm's way and 19 tied to abuse. Three fines totaling $412,962 have accumulated, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the poorest performers. The last inspection was March 21, 2025.
La Bella Of Edwardsville runs on 2.91 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage drops about 13% below its own weekday level. That thin staffing shows in the numbers: 71.7% annual turnover, against 45.8% nationally, and 1 out of 5 stars from CMS on staffing. The inspection record carries 40 deficiencies, eight at harm or jeopardy level and five tied to abuse, with $138,697 in fines across five penalties; the last inspection was May 2024. Ownership is for-profit, a limited liability company. The 4-star quality measure rating reflects resident assessment data, not the hands available to deliver care.
Arcadia Care Jacksonville runs on 2.67 nurse hours per resident per day, roughly a third below the national average, and weekends drop even further below its own weekday numbers. That thin coverage shows up in the inspection record: 39 deficiencies, three of them at the harm or jeopardy level, including two tied to abuse, and $84,491 in fines. Staff turnover sits at 50.9%, higher than the 45.8% national figure, which means caregivers are leaving faster than residents can get to know them. The last inspection was in November 2024, so the picture is current. Corporate-owned and 113 beds, this is a home where the numbers themselves tell you to ask hard questions before trusting the care.
Aperion Care International runs 218 beds on the South Side, and the staffing numbers are where the trouble starts: 3.14 nurse hours per resident day, roughly 19% under the national average, with weekends about 12% thinner than weekdays. A 48.1% annual turnover rate sits slightly above the national figure of 45.8%, which means the people providing that already-lean care are frequently new. The inspection record is heavy, 71 deficiencies, eight at harm or jeopardy level, seven tied to abuse, and five fines totaling $106,504. State inspectors last visited in May 2024. With a for-profit limited liability company at the helm, the pattern suggests a building where corners get trimmed at the bedside.
Helia Healthcare Of Energy runs 98 certified beds as a for-profit corporation, and the nurse staffing number is the first thing I'd flag: 2.88 hours per resident day, roughly a quarter below the national average of 3.86. Weekend coverage dips about 6% under its own weekday level, and annual turnover sits at 61.3% against a national 45.8%, that's a lot of churn on top of thin coverage. The inspection record backs it up: 64 deficiencies, 11 at harm or jeopardy level, 8 abuse-related, and 7 fines totaling $293,967. With a 1-out-of-5 inspection rating and the most recent survey dated January 2026, ask hard questions before touring.
Mt Zion Health & Rehab runs on thinner nursing coverage than most homes in the country, 3.22 nurse hours per resident day against a national average of 3.86, and weekends get even leaner, dropping roughly 12% below its own weekday staffing. That strain shows up in the workforce itself: 56.3% annual turnover means more than half the nursing staff leaves each year, well above the 45.8% national figure. The inspection record backs it up, with 51 deficiencies on file, including three at the level that put residents in harm's way and seven tied to abuse, plus a $47,700 fine. State surveyors last visited in February 2024.
Mason City Area Nursing Home runs on 3.18 nurse hours per resident per day, roughly 18% under the national average, with weekends about 9% thinner than its own weekdays. Staff turnover sits at 47.7%, slightly worse than the 45.8% national figure. The inspection record shows 17 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus a $157,310 fine, all on a nonprofit's watch. CMS rates staffing and quality measures 1 out of 5 stars each, with inspections at 3. The most recent survey was December 4, 2024. Families weighing this home should ask how weekend coverage and recent turnover affect daily care.
Bria Of Godfrey runs on 3.25 nurse hours per resident per day, about 16 percent under the national average, and weekends drop another 13 percent below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and fewer hands are on the floor. Annual turnover sits at 77.4 percent against a national 45.8 percent, so the aides and nurses caring for residents are, more often than not, new to the building.
The inspection record backs that up: 44 deficiencies, 13 serious enough to cause harm or jeopardy, three tied to abuse, and five fines totaling $209,961. The last inspection was August 2024, recent enough to reflect current conditions.
Fairview Rehab runs 2.80 nurse hours per resident day, well under the national average of 3.86, roughly a quarter less hands-on time than the typical home. Weekend coverage dips about 4% below its own weekday levels, and more than half the nursing staff turns over each year, above the national rate. Inspectors have cited six deficiencies, two of them serious enough to put a resident in harm's way, with fines reaching $30,972. The most recent inspection was in May 2024. A for-profit limited liability company operates the 76-bed building.
Arcadia Care Watseka runs 123 beds in Iroquois County under for-profit LLC ownership, and the staffing numbers are thin: 3.40 nurse hours per resident day, roughly 12% under the national average, with weekends about 10% below its own weekdays. Turnover sits at 55.4% against a 45.8% national rate, so the people caring for residents keep changing. The current record shows 74 deficiencies, 9 at harm or jeopardy level and 19 abuse-related, plus five fines totaling $421,200. CMS has placed it in the Special Focus Facility program, and the most recent inspection was February 2026. If you're considering this one, ask hard questions about who's actually on the floor nights and weekends.
Forest City Rehab has 213 beds and a for-profit LLC owner, and the numbers behind its record are hard to read as anything but trouble. Nurse staffing sits at 2.39 hours per resident day, roughly 38% under the national average, and weekends drop about 16% below its own weekday level, so the thinnest coverage happens when families tend to visit. Inspectors have cited 65 deficiencies, including 10 at harm or jeopardy level and 11 tied to abuse, with four fines totaling $192,920. Staff turnover at 41% is actually a touch better than the 45.8% national figure, but that's the lone bright spot in an otherwise rough record, and the most recent inspection closed in November 2025.
Fairfield Senior Living & Rehabilitation runs 104 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 3.05 nurse hours per resident day, it's about a fifth below the national average of 3.86, and weekend coverage dips even further below its own weekday level. The inspection record is heavier than that gap alone suggests: 45 deficiencies, eight of them serious enough to put residents at harm or jeopardy, four tied to abuse, and eight fines totaling $126,045. The most recent inspection was July 2025, so this is current, not stale. When resident care measures and staffing both sit at the low end, the pattern usually reflects how the building is run day to day.
Eastview runs lean on nurses: 3.30 hours per resident day against a national average of 3.86, and weekends drop roughly 17% below what the home staffs on weekdays. That gap matters most when families visit on Saturdays and Sundays. The inspection record shows 60 deficiencies, including five at the harm level and 13 tied to abuse, plus four fines totaling $139,731, the state last inspected in November 2024. Turnover at 43.2% is slightly better than average, so the problem isn't retention so much as how few hands are scheduled. This is a for-profit limited liability company with 63 certified beds, and the staffing and quality scores both sit at the bottom of CMS's scale.
Crystal Pines runs 110 beds in Crystal Lake under corporate ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.15 hours per resident day, roughly 18 percent under the national average, and it thins out further on weekends, so coverage is lightest exactly when families tend to visit. Staff turnover is 55.7 percent against a national 45.8, meaning more than half the nursing crew turns over in a year. The inspection history shows 47 deficiencies, seven at harm or jeopardy level and six tied to abuse, plus five fines totaling $152,720; the most recent inspection was June 2024. Ask about weekend coverage and how they've addressed the abuse-related findings before you decide.
Shelbyville Manor runs a nonprofit operation with 109 certified beds, and its nurse staffing sits at 4.28 hours per resident day, about 11% above the national average of 3.86. That's the strongest number here. The rest is harder to swallow: weekend staffing drops roughly 8% below its own weekday level, and annual turnover hits 60% against a national average of 45.8%, so the people providing that care are cycling through fast.
The inspection record is the real concern. Forty-three deficiencies are on file, six of them at the harm or jeopardy level and six abuse-related, with two fines totaling $77,985 and a May 2025 inspection that rated 2 out of 5 stars. Quality measures came in at 1 out of 5.
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?