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.
Du Quoin Nursing & Rehab is a 72-bed for-profit home in Perry County, and its inspection record looks better than the rest of its file. The most recent state visit came in August 2025 and produced a 4-out-of-5 inspection rating, but 18 deficiencies sit on the current record, including two that rose to the level of actual harm or jeopardy and four tied to abuse. Staffing runs about 12% below the national average at 3.39 nurse hours per resident day, and weekends dip slightly below the home's own weekday level. Turnover of 41.3% is better than the 45.8% national figure, though the quality measure rating of 1 out of 5 suggests residents' clinical outcomes are not tracking with that stability.
Staunton Health and Rehab runs 23 deficiencies on its current record, none at harm or jeopardy level, but three tied to abuse, which is the kind of thing worth asking about directly. The inspection history itself is recent and decent, a 4 out of 5 on CMS health inspections, and the last survey was April 2025. What drags the picture down is staffing: 3.35 nurse hours per resident day, about 13% under the national average, with weekends running roughly 11% thinner than weekdays. Annual turnover hits 54.2% against a national 45.8%, meaning more than half the nursing staff leaves each year. Corporate-owned and for-profit, 90 beds. Ask who's on the floor on Sunday.
Pekin Manor runs a nonprofit operation with 130 beds, and its nurse staffing sits at 4.23 hours per resident day, roughly 10% above the national average. That's a real strength, though weekend coverage dips about 5% below weekday levels, and annual turnover of 51.6% tops the national figure of 45.8%, so the faces around residents change more than you'd like. The inspection record shows 23 deficiencies, two serious enough to involve harm or jeopardy and one tied to abuse, with a $9,110 fine on file. The most recent state visit was September 2024. Quality and staffing measures both land at 2 out of 5 stars despite the decent hours per resident.
Elevate Care North Branch runs 212 beds in Niles, and its nurse staffing sits at 3.41 hours per resident day, roughly 12 percent under the national average of 3.86. Weekends drop about 15 percent below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is 41.4 percent, a bit better than the 45.8 percent national figure. The inspection record is the heavier problem: 56 deficiencies, 11 of them at harm or jeopardy level, two tied to abuse, and four fines totaling $234,006. The most recent inspection was April 18, 2025.
Robinson Rehab and Nursing runs 3.51 nursing hours per resident day against a national average of 3.86, and weekends dip about 14% below its own weekday coverage. That thin weekend margin matters most when a resident needs help on a Saturday night. Staff turnover sits at 47.6%, slightly above the 45.8% national figure, and the 19 deficiencies on record include three at the harm or jeopardy level. One fine totaling $14,015 has been levied. The for-profit partnership was inspected most recently on November 21, 2025, so the record is current rather than stale. Ask about weekend coverage and how long direct-care staff tend to stay.
The Grove Of Skokie runs a five-star health inspection record with its most recent survey in May 2025, and only 10 deficiencies on file, two of them serious enough to cause harm. That inspection performance is genuinely strong. The problem sits elsewhere: nurse staffing at 2.44 hours per resident day runs about 37 percent under the national average, and the quality measure score is weak too. One thing that stands out is turnover, 16.7 percent against a national average near 46 percent, which suggests the aides and nurses who are there tend to stay. Weekend coverage holds close to weekday levels, so the shortfall isn't a weekend problem. It's a staffing number that stays low all week.
Allure Of Prophetstown runs on thinner nursing coverage than most homes, 3.71 nurse hours per resident day against a national average of 3.86, and weekends drop about 5% below what it manages during the week, when families often visit. The inspection record is the heavier problem: 34 deficiencies, five of them serious enough to put residents at harm or jeopardy, three tied to abuse, and a $45,133 fine. Staff turnover of 35.7% actually beats the national figure of 45.8%, so the people who stay may know the building. But a for-profit corporation, a recent September 2025 inspection, and low marks across health, quality, and staffing tell you where the trouble sits.
Helia Healthcare of Benton runs on thin staffing: 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekends dip about 6% below its own weekday coverage. The 47.8% turnover rate is a bit worse than the national figure, and CMS gives staffing a single star. Inspections are the bright spot, a five-star health inspection rating, a clean record on abuse, and the last visit came in May 2025. Still, five deficiencies sit on the current record, one serious enough to involve harm or jeopardy. Corporate ownership, a low staffing score, and that one high-level citation are what hold the overall picture back.
Heather Health Care Center runs on 2.36 nurse hours per resident per day, roughly 39% under the national average of 3.86, and weekend coverage dips about 10% below its own weekday level, so the thinnest shifts are also the least supervised. That staffing shortfall sits alongside 36 deficiencies on the current record, including 10 at the harm or jeopardy level and 5 tied to abuse, plus four fines totaling $308,658. Turnover at 35.1% is better than the 45.8% national figure, and the quality measure rating is strong, but a 1/5 inspection rating with a March 2026 survey that recent tells you the problems are current rather than historical.
Carlton At The Lake runs 244 beds on Chicago's South Side under for-profit LLC ownership, and the staffing numbers are the first thing worth knowing: 3.28 nurse hours per resident day, roughly 15 percent under the national average. Weekends drop about 5 percent below the home's own weekday level. Turnover sits at 33.1 percent, better than the 45.8 percent national figure, so the problem isn't retention so much as how few hands are scheduled at once.
The inspection record is heavier. Sixty-two deficiencies, six serious enough to reach harm or jeopardy, eight tied to abuse, and four fines totaling $241,131. The most recent inspection was April 2025. Ask about staffing on weekends and how the abuse citations were resolved.
The Pearl of Fox River Valley runs about 10% leaner on nurse staffing than the national average, and weekends dip roughly 7% below its own weekday levels, the stretch when families typically visit and problems surface. Turnover sits at 48.5%, a few points above the national rate, so the people caring for your relative are often new to the building. Its record shows 30 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with two fines totaling $142,448. The last inspection was in September 2025, so the picture is current.
The Pavilion of Logan Square runs 222 beds under for-profit LLC ownership, and its 3.12 nurse hours per resident day sits well under the national 3.86, with weekends dipping about 12% below its own weekday levels. That thin coverage likely explains the one-star CMS staffing rating. What's interesting is the 20.8% turnover, less than half the national average, so the staff who are there tend to stay. The clinical record is the bigger problem: 52 deficiencies, four at harm or jeopardy level, two tied to abuse, and $67,360 in fines. The last inspection was August 2025. Steady workers, thin hours, and a long citation history.
Nurse staffing at Countryside runs about 2.58 hours per resident day, roughly a third below the national average of 3.86, and it thins out further on weekends, which tells you the weakest coverage lands when families are most likely to visit. The inspection record is heavy: 53 deficiencies, including two at the harm or jeopardy level and nine tied to abuse. Staff turnover of 42.3% is slightly better than the national figure, so the problem looks more like too few hands than constant churn. This individually owned, 197-bed home draws a 1 out of 5 on CMS's staffing rating, and with its last inspection in July 2025, ask directly what has changed since.
Warren Barr Orland Park runs 275 certified beds under for-profit LLC ownership, and the staffing numbers are where the story sits. At 3.71 nurse hours per resident day, it lands about 4% under the national average, and weekends dip another 4% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 51.2% outpaces the national 45.8%, which matters more than a single day's census because it means unfamiliar hands on repeat. The current record shows 35 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus three fines totaling $60,348. The last inspection was April 2025, so that record is recent. Quality measures score well; staffing is the weak point.
Greenville Nursing & Rehab runs 90 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.34 hours per resident day, roughly 13% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record is the strong point: a 4-out-of-5 health inspection rating with the last survey in August 2024. But 17 deficiencies are on file, including two at harm or jeopardy level and one abuse-related, plus a $10,874 fine. Quality and staffing each rate 2 out of 5, and turnover of 45.6% tracks the national average almost exactly, meaning staffing stability isn't better here, just typical.
Alhambra Rehab & Healthcare runs on 2.87 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip about 9% below its own weekday level. That thin coverage shows up in the staffing rating, which sits at the bottom of CMS's scale, though turnover at 41.7% is actually a little better than the 45.8% national figure. Inspections tell a different story: a 5/5 health inspection rating and no deficiencies at the harm or jeopardy level, with the last visit in May 2025. But 13 total deficiencies and two abuse-related findings sit on the record, and the quality measure rating is only 2/5.
Allure Of Peru runs a 127-bed for-profit home in La Salle County, and its staffing sits slightly above the national average at 3.96 nurse hours per resident day, though weekends drop roughly 9% below its own weekday levels, which is when coverage gets thinnest. Turnover at 40.4% is better than the 45.8% national figure, and the most recent inspection in April 2025 produced a 4-star health inspection rating. The concern is elsewhere: 30 deficiencies on record, including two at harm or jeopardy level and two tied to abuse, plus a $10,059 fine. Its quality measure rating sits at 1 out of 5, meaning clinical outcomes lag even where inspections look decent.
Elevate Care Northbrook runs 298 beds under for-profit LLC ownership, and its nurse staffing sits at 2.63 hours per resident day, roughly a third below the national average of 3.86. Weekends run about 14% leaner than weekdays, so coverage thins out exactly when families tend to visit. The current inspection record carries 12 deficiencies, four of them at harm or jeopardy level and two tied to abuse, plus a $131,121 fine; the last inspection was August 2024. Staff turnover of 17.5% is genuinely low against the 45.8% national figure, which suggests some stability, but stable staff working short shifts still leaves gaps.
Aperion Care Chicago Heights runs on 2.14 nurse hours per resident per day, roughly 44% under the national average of 3.86, and weekends drop about 16% below what the home staffs on weekdays. That thin coverage sits behind a one-star CMS staffing rating, and 53.3% of staff turned over in a year against a national 45.8%. Inspections at this for-profit, 200-bed Cook County home turned up 30 deficiencies, including one at the harm level and ten tied to abuse, with a $21,934 fine on record. The most recent inspection was January 29, 2026. Family members should ask directly how the home covers weekends and how it screens and supervises staff.
Bella Terra Morton Grove is a 211-bed for-profit home, and the numbers worth knowing are the inspection record and the staffing. State inspectors cited 44 deficiencies on the current record, nine of them at a level that means actual harm or jeopardy, and six tied to abuse, with three fines totaling $53,913. Nurse staffing sits at 3.69 hours per resident day, under the national average of 3.86, and weekends run about 5% thinner than weekdays. Annual turnover is 49.7%, higher than the 45.8% national figure. The most recent inspection was April 17, 2025, so the record is current. If you're weighing this home, those harm-level and abuse-related citations are the things to ask about directly.
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?