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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 81 to 100 of 481, best-graded first.

B

73.5/100

Litchfield Health & Rehab Center

Litchfield, IL · Montgomery County

CMS 4/592 bedsFor-profitMedicaid
Nurse hours
2.89 /day
Staff turnover
34%
Serious cites
0

Litchfield Health & Rehab Center runs 92 beds under for-profit LLC ownership, and its staffing is the weak spot: 2.89 nurse hours per resident day, roughly a quarter below the national average of 3.86, with weekends dipping about 16% below its own weekday levels. Turnover sits at 34.1%, better than the 45.8% national figure, so the people who stay tend to stay. Inspections look solid, a 4/5 health inspection rating, most recent visit in March 2025, and no abuse deficiencies, though the record does show nine deficiencies total, one serious enough to reach harm or jeopardy level. Families weighing this one should ask specifically how the weekend floor is covered.

B

73.5/100

Loft Rehab Of East Peoria, The

East Peoria, IL · Tazewell County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
3.35 /day
Staff turnover
45%
Serious cites
0

Loft Rehab Of East Peoria runs 3.35 nurse hours per resident day, about 13 percent under the national average of 3.86, and weekends drop roughly 15 percent below its own weekday coverage. That thin staffing is the main reason its CMS staffing rating sits at 1 out of 5, even though inspections (5/5) and quality measures (5/5) look strong, with the last inspection in October 2024. The current record shows 19 deficiencies, none at the harm or jeopardy level, but one is abuse-related. Turnover at 45% is essentially the national rate. For-profit corporate ownership. If your family member needs steady hands on weekends, ask how the floor is actually covered.

B

73/100

Pearl Of Elgin, The

Elgin, IL · Kane County

CMS 4/5139 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
40%
Serious cites
0

The Pearl of Elgin runs on 3.18 nurse hours per resident day, about 18 percent under the national average, and weekends drop roughly 13 percent below its own weekday numbers. That thin coverage is the main reason its staffing rating sits at 2 out of 5, even though resident outcomes look strong on paper with a 5 out of 5 quality measure score. Turnover of 40.2 percent is actually better than the national 45.8 percent, so the issue isn't retention so much as how many hands are scheduled at once. The inspection record shows 36 deficiencies, including one at harm level and two tied to abuse, with the last state visit in August 2024.

B

72/100

Grove Of Fox Valley,The

Aurora, IL · Kane County

CMS 4/5158 bedsFor-profitMedicaid
Nurse hours
3.38 /day
Staff turnover
41%
Serious cites
0

The Grove Of Fox Valley runs 158 certified beds in Aurora under individual for-profit ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekend coverage dips about 4% below what the home manages on weekdays, so the thinnest shifts get thinner. Turnover is 40.5%, better than the 45.8% national figure, which suggests some stability in the workforce even if raw hours run light. The inspection record is mixed: 26 deficiencies on file, including two at harm or jeopardy level and two abuse-related, but the most recent inspection came back in March 2026 and earned 4 of 5 stars on health inspections. Quality measures score 3 of 5.

B

72/100

Arc At Chillicothe

Chillicothe, IL · Peoria County

CMS 2/5106 bedsFor-profitMedicaid
Nurse hours
2.84 /day
Staff turnover
42%
Serious cites
0

Arc At Chillicothe runs on 2.84 nurse hours per resident per day, roughly 27% under the national average of 3.86, and weekends dip about 8% below its own weekday numbers. The 106-bed for-profit home has 30 deficiencies on record, including one at harm or jeopardy level and three tied to abuse. Turnover sits at 41.5%, a bit better than the national 45.8%. CMS gave it three stars for inspections and four for quality measures, but one star for staffing. That staffing number is the story here, it's the piece families feel most directly, in call-button response times and help at meals.

B

72/100

Pana Health And Rehab Center

Pana, IL · Christian County

CMS 5/5128 bedsFor-profitMedicaid
Nurse hours
2.78 /day
Staff turnover
27%
Serious cites
0

Pana Health and Rehab runs lean on nursing hours, 2.78 per resident day against a national average of 3.86, and weekends dip roughly 9% below its own weekday staffing. That thin coverage is the main tension in the numbers, because the home otherwise looks solid on paper: a 5/5 inspection rating, a clean record of zero harm-level deficiencies, and turnover at 26.9% that's well below the national 45.8%, suggesting a staff that tends to stay. Two abuse-related deficiencies out of 14 total are worth asking about directly, and the 2/5 staffing star is the clearest signal that daily coverage, not inspection history, is where the risk sits.

B

72/100

Gillespie Health & Rehab Ctr

Gillespie, IL · Macoupin County

CMS 4/5100 bedsFor-profitMedicaid
Nurse hours
2.94 /day
Staff turnover
13%
Serious cites
0

Gillespie Health & Rehab runs about 2.94 nurse hours per resident per day; the national average is 3.86, so that's roughly a quarter less hands-on time than most homes. Weekends drop another 11% below its own weekday staffing, which matters because that's when families often visit and problems surface with fewer people on the floor. The trade-off is that turnover sits at 12.5% against a national 45.8%, staff here tend to stay, which helps continuity even if the raw hours are thin. The current record shows 12 deficiencies, none at harm level and none abuse-related, and the last inspection was in April 2025.

B

72/100

Alden Estates Of Naperville

Naperville, IL · Du Page County

CMS 3/5203 bedsFor-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
28%
Serious cites
0

Alden Estates of Naperville runs 203 beds under corporate ownership, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national average, with weekends about 9% leaner than its own weekdays. Turnover is the bright spot: 28.1% against a national 45.8% means aides and nurses tend to stay, which matters for residents who need consistent hands. But the inspection record cuts the other way: 52 deficiencies on file, including two at the harm or jeopardy level and two tied to abuse, plus a $9,256 fine, all from a June 2024 inspection. Three stars across staffing, quality measures, and health inspections tells you it's adequate, not exceptional.

B

72/100

St James Wellness Rehab Villas

Crete, IL · Will County

CMS 2/5110 bedsFor-profitMedicaid
Nurse hours
3.04 /day
Staff turnover
35%
Serious cites
0

St. James Wellness Rehab Villas runs on 3.04 nurse hours per resident per day, roughly a fifth below the national average, and weekends dip another 11% under its own weekday levels. That thin coverage is the main reason its staffing rating sits at the bottom of the federal scale, even though turnover at 34.8% is better than the 45.8% national figure. The 35 deficiencies on record include none flagged for harm or abuse, and the last inspection was recent, in December 2024. It's a for-profit limited liability company with 110 beds, and the quality and inspection scores land mid-range.

B

72/100

Aliya Of Palatine

Palatine, IL · Cook County

CMS 4/569 bedsFor-profitMedicaid
Nurse hours
2.87 /day
Staff turnover
45%
Serious cites
0

Aliya Of Palatine runs 69 certified beds in Cook County under corporate for-profit ownership, and its staffing is the number that stands out: 2.87 nurse hours per resident day against a national average of 3.86, roughly a quarter below. Weekends drop another 9 percent below its own weekday levels, so coverage thins out right when families tend to visit. Staff turnover sits at 45.3 percent, essentially matching the national rate, so this isn't a retention crisis, there just aren't enough hours scheduled. Inspections from July 2024 produced 18 deficiencies, none at the harm level but one abuse-related. Strong marks on health inspection and quality measures coexist with that thin staffing line.

B

72/100

Waterford Care Center, The

Chicago, IL · Cook County

CMS 3/5141 bedsFor-profitMedicaid
Nurse hours
2.96 /day
Staff turnover
25%
Serious cites
0

Waterford Care Center runs on 2.96 nurse hours per resident day, about a quarter below the national average, and weekends drop roughly another 10% beneath its own weekday level. That thin coverage shows up in the federal staffing rating, which sits at 2 out of 5. The inspection record lists 40 deficiencies, including one at the harm level and two tied to abuse, though the most recent inspection was in January 2026, so that picture is current rather than stale. Turnover is the one bright spot at 25.3%, well under the 45.8% national figure. For-profit corporate ownership, 141 beds, and a recent inspection make this a home to ask hard questions about.

B

72/100

Lakewood Nrsg & Rehab Center

Plainfield, IL · Will County

CMS 3/5131 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
39%
Serious cites
0

Lakewood runs lean on nursing hours, 3.33 per resident day against a national average of 3.86, and weekends get thinner still, dropping roughly 12% below its own weekday coverage. That staffing pattern sits behind a two-star CMS staffing rating, and the inspection record is heavier than most: 35 deficiencies, three of them serious enough to put residents at risk of harm, plus a single $84,925 fine. Staff turnover at 38.7% is actually better than the national 45.8%, so retention isn't the weak spot here. The five-star quality measure score reflects reported clinical metrics, but it's worth asking how those numbers hold up when the floor is short-staffed.

B

72/100

Lemont Nursing & Rehab Center

Lemont, IL · Cook County

CMS 4/5173 bedsFor-profitMedicaid
Nurse hours
2.80 /day
Staff turnover
46%
Serious cites
0

The numbers here pull in two directions. On the care side, Lemont Nursing & Rehab scores well, a 4 out of 5 on health inspections with its most recent visit in January 2026, and a perfect 5 on quality measures. Where it falls apart is staffing: 2.80 nurse hours per resident day, roughly 27% under the national average of 3.86, and weekends run about 9% thinner than weekdays. That staffing shortfall is the main reason the home lands at a C despite the strong inspection and quality scores. Turnover sits at 45.5%, essentially matching the national rate, so retention isn't the outlier, raw hours per resident are. The 38 deficiencies on record, one at harm level, add weight.

B

72/100

Goldwater Pontiac Nursing Home

Pontiac, IL · Livingston County

CMS 2/590 bedsFor-profitMedicaid
Nurse hours
3.24 /day
Staff turnover
43%
Serious cites
0

Goldwater Pontiac runs 90 beds under corporate ownership, and its biggest problem shows up in the staffing numbers: 3.24 nurse hours per resident day, roughly 16 percent under the national average, with weekends running about 10 percent thinner than weekdays. That thin coverage anchors its one-star staffing rating, even as its quality measures score well and turnover, at 43.3 percent, sits slightly better than the national rate. The inspection record is where families should look hardest, 30 deficiencies, including one at the harm level and five tied to abuse, with the last state visit in May 2024. Quality numbers can look steady while daily coverage stays lean. Ask about weekend nurse coverage and how those abuse deficiencies were resolved.

B

72/100

Citadel Of Northbrook, The

Northbrook, IL · Cook County

CMS 4/5158 bedsFor-profitMedicaid
Nurse hours
3.55 /day
Staff turnover
32%
Serious cites
0

Citadel of Northbrook runs 158 beds under for-profit LLC ownership, and its nursing hours come in around 3.55 per resident day, roughly 8% under the national average of 3.86, with weekends dipping about 9% below its own weekday coverage. That thin weekend margin matters more than the headline number, since it's when families tend to visit and when problems surface. Staff turnover sits at 32.4%, which is actually better than the 45.8% national figure, so retention isn't the weak spot here. The inspection record is: 26 deficiencies, five at harm or jeopardy level, one abuse-related, and $25,126 in fines across two penalties. The most recent inspection was February 2025, so the picture is current.

B

72/100

Manor Court Of Peru

Peru, IL · La Salle County

CMS 4/5130 bedsNon-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
34%
Serious cites
0

Manor Court of Peru runs about 3.53 nursing hours per resident per day, roughly 9% under the national average of 3.86, and weekend staffing dips about 8% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover sits at 34.3%, which is meaningfully better than the 45.8% national figure, and that stability matters for residents who need consistent caregivers. The inspection record shows nine deficiencies, one serious enough to involve harm or jeopardy, plus two fines totaling $39,245; the last inspection was in August 2025. A non-profit corporation owns the 130-bed home. The staffing numbers and that one high-level deficiency are the main things pulling the picture down.

B

71/100

Accolade Healthcare Of Peoria

Peoria, IL · Peoria County

CMS 3/5138 bedsFor-profitMedicaid
Nurse hours
3.64 /day
Staff turnover
42%
Serious cites
0

Accolade Healthcare Of Peoria runs 138 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.64 hours per resident day, about 6% under the national average of 3.86. Weekends drop roughly 13% below the home's own weekday level, so coverage thins exactly when families tend to visit. Annual turnover is 42%, slightly better than the 45.8% national figure. The inspection record shows 34 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in September 2024. CMS gives it 3 stars for health inspections, 3 for quality measures, and 2 for staffing.

B

71/100

Glenview Terrace

Glenview, IL · Cook County

CMS 3/5314 bedsFor-profitMedicaid
Nurse hours
3.68 /day
Staff turnover
38%
Serious cites
0

Glenview Terrace runs 314 beds in Cook County under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.68 nurse hours per resident day, it sits about 5% under the national average, and weekends drop another 6% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover is actually better than average at 37.9%, so the issue isn't churn so much as raw hours on the floor. The inspection record carries 17 deficiencies, including 3 at harm or jeopardy level and 2 tied to abuse, with one $67,830 fine and a survey completed in June 2025. Quality measures score well; the staffing and inspection side is what pulls the overall picture down.

B

71/100

Warren Barr Gold Coast

Chicago, IL · Cook County

CMS 4/5271 bedsFor-profitMedicaid
Nurse hours
3.87 /day
Staff turnover
52%
Serious cites
0

Warren Barr Gold Coast runs 271 beds on Chicago's Near North Side, and its nurse staffing sits at 3.87 hours per resident day, essentially dead even with the national average of 3.86, which is thin for a building this size. Weekend coverage dips about 3% below its own weekday levels, so the hours get leaner exactly when families tend to visit. Staff turnover is the bigger issue: 51.5% annually against a national 45.8%, meaning roughly half the nursing workforce leaves each year. The inspection record shows 44 deficiencies, three serious enough to put residents in harm's way, plus $24,962 in fines and a December 2024 inspection.

B

71/100

Alta Rehab At Oak Brook

Oak Brook, IL · Du Page County

CMS 2/5156 bedsFor-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
45%
Serious cites
0

Alta Rehab At Oak Brook runs 156 certified beds under corporate for-profit ownership, and the staffing is genuinely better than most: 4.53 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 11% below its own weekday level, though, so the weekday-to-Saturday gap is worth asking about directly. The record is where the concern sits, 45 deficiencies, four of them serious enough to involve harm or jeopardy, plus two fines totaling $52,813, with the last inspection in July 2024. Turnover at 44.9% is essentially the national rate, so continuity isn't unusually bad. Family and resident reports from the most recent survey would tell you more than the quality star does.

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