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481 Chain-Owned Nursing Homes in Illinois

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.

Nursing hours per resident per day

3.3

All homes in Illinois: 3.45

Worse than the local average

Nurse staff turnover

44.9%

All homes in Illinois: 44.5%

Worse than the local average

Average ElderGrade score

62.7/100

All homes in Illinois: 64.8/100

Worse than the local average

Grade spread

B
C
D

13 grade A, 106 grade B, 239 grade C, 122 grade D,

The best-graded chain-owned home in Illinois is Springs At Monarch Landing, The in Naperville, IL — grade A, 96/100.

Every chain-owned nursing home in Illinois

Showing 481–481 of 481, best-graded first.

–

Not graded

Axiom Gardens Of Mount Vernon

Mount Vernon, IL · Jefferson County

106 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Axiom Gardens Of Mount Vernon carries 18 deficiencies on its current record, and three of those are abuse-related, a category families should ask about directly. Two more were serious enough to be cited at the harm or jeopardy level, meaning an inspector determined residents were actually endangered, not just at risk. The 106-bed home is run by a for-profit corporation, inspected last on March 17, 2025, and it's been fined three times for a combined $37,500. That pattern of repeat fines alongside abuse citations suggests problems that inspections have flagged before and that the home hasn't fully corrected. When you tour, ask what changed after those abuse findings and who supervises residents with behavioral needs.

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?
Springs At Monarch Landing, The in Naperville, IL — grade A, 96 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 480 graded chain-owned homes in Illinois, 13 grade A and 122 grade D or F.
Do chain-owned nursing homes in Illinois accept Medicaid?
474 of the 481 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Illinois