ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

LEGACY HEALTHCARE

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

95

States

4

Beds

11,889

Avg score

69.5

Avg turnover

46%

Federal fines

$3,995,585

Flags across this group

14 of the group's homes carry a CMS abuse icon. 4 homes are in or a candidate for the Special Focus Facility programme.

All 95 homes

A

91/100

Valley Vue Care Center

Armstrong, IA · Emmet County

CMS 5/540 bedsFor-profitMedicaid
Nurse hours
3.86 /day
Staff turnover
35%
Serious cites
0

Valley Vue Care Center runs 40 certified beds in Armstrong under for-profit LLC ownership. Nurse staffing sits at 3.86 hours per resident day, essentially right at the national average, not above it, and weekends run about 11% leaner than weekdays, so coverage thins when families tend to visit. Staff turnover of 35% beats the 45.8% national figure, meaning caregivers here tend to stick around longer than at the typical home. Inspections produced 11 deficiencies with none at harm or jeopardy level and none abuse-related, and the most recent inspection was March 12, 2026, so the record is current. CMS gives it 4 stars for health inspections, 4 for quality measures, and 5 for staffing.

A

88/100

Lake Mills Care Center

Lake Mills, IA · Winnebago County

CMS 4/561 bedsFor-profitMedicaid
Nurse hours
3.62 /day
Staff turnover
25%
Serious cites
0

Lake Mills Care Center runs 61 certified beds under corporate ownership, and its nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. Weekends drop about 12% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 25% annually against a national 45.8%, meaning aides and nurses here tend to stay. The inspection record shows six deficiencies, one serious enough to involve harm or jeopardy, with nothing abuse-related; the last survey was April 2026. Quality measures score well, but staffing and health inspection results both land mid-range, which is what holds this home back from the top tier.

A

88/100

Westview Of Indianola Care Center

Indianola, IA · Warren County

CMS 5/571 bedsFor-profitMedicaid
Nurse hours
4.00 /day
Staff turnover
28%
Serious cites
0

Westview Of Indianola runs about 4.00 nurse hours per resident day, a bit above the national average, and weekend coverage dips roughly 7% below its own weekday level, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 27.8%, well under the national 45.8%, which matters because consistent caregivers know residents' routines. The inspection record is clean: zero deficiencies, none at the harm level, none abuse-related, with the last visit in December 2025. It's a for-profit LLC with 71 beds, and on the federal stars it earns fives for inspections and quality measures, four for staffing.

A

86/100

Bloomfield Care Center

Bloomfield, IA · Davis County

CMS 3/591 bedsFor-profitMedicaid
Nurse hours
3.96 /day
Staff turnover
32%
Serious cites
0

Bloomfield Care Center runs 91 certified beds under corporate for-profit ownership, and the numbers here mostly hold up. Nurse staffing sits at 3.96 hours per resident day, a bit above the national average, and turnover of 31.8% is well below the 45.8% norm, that stability matters more than people realize. Weekend coverage does dip roughly 10% below weekday levels, so ask how that plays out on Saturdays. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, with a November 2025 inspection that's still recent. Quality measures land mid-range, inspections and staffing both stronger. Worth a visit, with questions about weekend shifts.

A

85/100

Westview Care Center

Britt, IA · Hancock County

CMS 5/567 bedsFor-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
34%
Serious cites
0

Westview Care Center runs a tight operation, zero deficiencies on its current record, no abuse findings, and a recent inspection from July 2025 that came back clean. Staffing sits at 3.56 hours per resident day, roughly 8% under the national average of 3.86, and weekends dip about 10% below its own weekday coverage, so afternoons and Saturdays may feel leaner than the numbers suggest. What stands out is retention: turnover at 34.4% beats the national 45.8%, meaning the people caring for residents tend to stick around. For a 67-bed for-profit LLC in Britt, that combination of a spotless inspection history and a stable workforce is the real story here.

A

85/100

Avantara Lake Norden

Lake Norden, SD · Hamlin County

CMS 5/550 bedsFor-profitMedicaid
Nurse hours
3.23 /day
Staff turnover
33%
Serious cites
0

Avantara Lake Norden runs lean on nursing hours, 3.23 per resident day against a national average of 3.86, and weekends get thinner still, about a tenth below its own weekday coverage. What keeps it from being a bigger concern is consistency: turnover sits at 32.6%, well under the 45.8% national figure, so the aides and nurses you'd meet have mostly stayed put, and a 2025 inspection found no abuse issues. Six deficiencies are on record, two serious enough to involve harm. For-profit ownership under an LLC. The staffing number is really the thing to ask about when you tour, whether it reflects how the place actually runs on a Saturday night.

B

82/100

Oelwein Health Care Center

Oelwein, IA · Fayette County

CMS 3/561 bedsFor-profitMedicaid
Nurse hours
3.07 /day
Staff turnover
33%
Serious cites
0

Oelwein Health Care Center runs 61 certified beds as a for-profit corporation, and its nurse staffing sits at 3.07 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 10% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover is the brighter spot: 32.5% against a national average of 45.8%, meaning aides and nurses here tend to stay put longer than elsewhere. The current record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection dated March 26, 2026. Three stars each on health inspections, quality measures, and staffing put this home squarely in the middle.

B

82/100

Willow Dale Wellness Village

Battle Creek, IA · Ida County

CMS 4/540 bedsFor-profitMedicaid
Nurse hours
3.93 /day
Staff turnover
33%
Serious cites
0

Willow Dale Wellness Village runs 40 certified beds in Battle Creek under corporate for-profit ownership, and the numbers here are steadier than most. Nurse staffing sits at 3.93 hours per resident day, a bit above the national average, though weekends run about 7% thinner than weekdays, worth asking about if your family visits mostly on Saturdays and Sundays. Annual turnover of 33.3% is well below the national 45.8%, which suggests people stick around long enough to know the residents. The last inspection came in December 2025 and turned up four deficiencies, none involving harm or abuse.

B

82/100

Concord Care Center

Garner, IA · Hancock County

CMS 5/546 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
53%
Serious cites
0

Concord Care Center runs 46 beds in Garner under for-profit LLC ownership, and the inspection record is the strongest part of the picture, the state visited in September 2025 and found 11 deficiencies, none of which rose to harm or jeopardy. The one abuse-related citation is worth asking about directly. Where the home gives ground is staffing: 3.50 nurse hours per resident day sits about 9% under the national average, weekend coverage dips roughly 12% below its own weekday levels, and 53.2% of staff turned over in a year against a 45.8% national rate. That combination, solid surveys, thinner and less stable coverage, is what keeps this from grading higher despite strong quality measure scores.

B

81.5/100

Florence Nursing And Rehabilitation Ctr, Llc

Florence, AL · Lauderdale County

CMS 3/5147 bedsFor-profitMedicaid
Nurse hours
3.43 /day
Staff turnover
36%
Serious cites
0

Florence Nursing and Rehabilitation Center runs 147 certified beds under individual for-profit ownership, and its staffing sits at 3.43 nurse hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 18% below the home's own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover is 36%, better than the 45.8% national figure, which suggests a relatively stable workforce. Ten deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, but the last inspection was January 2020, over four years ago, so that clean record is aging.

B

80/100

Oakwood Care Center

Clear Lake, IA · Cerro Gordo County

CMS 3/576 bedsFor-profitMedicaid
Nurse hours
3.42 /day
Staff turnover
40%
Serious cites
0

Oakwood Care Center runs 76 certified beds in Clear Lake under corporate ownership, and the staffing numbers are the main thing to know. At 3.42 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 40.3%, a bit better than the 45.8% national figure, which suggests some stability in the workforce. The health inspection record shows 12 deficiencies, none at the harm level and none abuse-related, with a survey completed at the end of 2025. Quality measures score well; staffing is the softer spot.

B

80/100

Rehabilitation Center Of Belmond

Belmond, IA · Wright County

CMS 5/544 bedsFor-profitMedicaid
Nurse hours
3.37 /day
Staff turnover
47%
Serious cites
0

The Rehabilitation Center of Belmond runs lean on direct care. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly 12% below its own weekday numbers, so the thinnest coverage lands when families tend to visit. Turnover is 47.2% a year, slightly above the national 45.8%, which means aides and nurses cycle through fairly often. What keeps this home in decent shape is its record: 11 deficiencies on file, none at the harm level and none abuse-related, with an inspection dated April 2026. The clinical quality measures score at the top of CMS's scale, and inspections hold up well too. It's a for-profit LLC with 44 beds. Ask about weekday-versus-weekend staffing before you decide.

B

79/100

Pine Haven Rehabilitation And Wellness Center

Eight Mile, AL · Mobile County

CMS 2/5172 bedsFor-profitMedicaid
Nurse hours
3.60 /day
Staff turnover
46%
Serious cites
0

Pine Haven Rehabilitation and Wellness Center is a 172-bed for-profit home in Eight Mile, individually owned. Nurse staffing runs 3.60 hours per resident day, about 7% under the national average of 3.86, and weekends dip roughly 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover sits at 45.7%, essentially matching the national rate, which means this home isn't bleeding staff faster than anyone else, but it isn't holding onto them either. The current record shows 25 deficiencies, one abuse-related, none at the harm level, and the last full inspection was back in October 2022, so that record is getting old.

B

79/100

Whitehall Of Deerfield

Deerfield, IL · Lake County

CMS 3/5190 bedsFor-profitMedicaid
Nurse hours
4.64 /day
Staff turnover
42%
Serious cites
0

Whitehall Of Deerfield runs a 190-bed for-profit building in Lake County, and its staffing is the clearest thing it has going for it: 4.64 nurse hours per resident day, roughly a fifth more than the national average, and weekends barely dip below weekdays. Turnover sits at 41.9%, a bit better than the 45.8% national figure. The caution is in the inspection record, 28 deficiencies, two tied to abuse, though none rose to harm or jeopardy level, and the most recent survey was in April 2025. Staffing carries the weight here; the quality and inspection scores are middle of the road, so ask directly about those abuse-related findings and how the building has changed since.

B

79/100

Harmony Healthcare & Rehab Ctr

Chicago, IL · Cook County

CMS 5/5180 bedsFor-profitMedicaid
Nurse hours
2.80 /day
Staff turnover
35%
Serious cites
0

Harmony Healthcare & Rehab Ctr runs on 2.80 nurse hours per resident day, roughly 27% under the national average, and weekends drop about 1% below its own weekday staffing. Turnover sits at 34.9%, better than the 45.8% national figure, which matters for consistency of care. The health inspection rating is 4/5 with the last visit in September 2024, but the record shows 34 deficiencies, including one at the harm level and two abuse-related, plus a $5,244 fine. Quality measures rate 5/5, staffing rates 2/5. For-profit corporate ownership. The quality scores look strong, but the staffing number is what residents actually feel day to day.

B

79/100

Harmony Davenport

Davenport, IA · Scott County

CMS 2/588 bedsFor-profitMedicaid
Nurse hours
3.77 /day
Staff turnover
38%
Serious cites
0

Harmony Davenport runs 3.77 nurse hours per resident day, about 2% under the national average, and weekend coverage drops roughly 10% below its own weekday staffing. The tradeoff is retention: turnover sits at 37.5% against a national 45.8%, so the aides you meet are more likely to still be there next year. The current inspection record shows 34 deficiencies, two serious enough to involve harm or jeopardy, though none abuse-related, and the last survey was April 2026. Quality measures score well; the health inspection side is where the record is weakest.

B

78/100

Lakefront Nursing & Rehab Ctr

Chicago, IL · Cook County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
2.45 /day
Staff turnover
8%
Serious cites
0

Lakefront runs lean on direct care: 2.45 nurse hours per resident per day, roughly a third below the national average, and weekends dip a bit lower still. What stands out is the workforce stability, 7.7% turnover against a national average near 46% means the people showing up are largely the same ones staying, which matters more than the raw hours when you're thinking about who actually knows your mother's routine. The tradeoff shows up in the record: 30 deficiencies, including 3 at harm level and 4 tied to abuse, though the last inspection was recent and the health and quality ratings both land at 4 of 5.

B

78/100

Astoria Place Living & Rehab

Chicago, IL · Cook County

CMS 4/5164 bedsFor-profitMedicaid
Nurse hours
3.09 /day
Staff turnover
38%
Serious cites
0

Astoria Place runs about 3.09 nurse hours per resident day, roughly a fifth below the national average, and weekends dip slightly below its own weekday coverage. Staff turnover sits at 38.4%, better than the 45.8% national figure, so the people who are there tend to stay. The tradeoff shows up in the inspection record: 32 deficiencies, including two at the harm level and two tied to abuse, though the state has fined the home only once for $4,784 and last inspected in November 2024. Quality measure scores are strong across the board, while staffing and health inspection ratings are middling. For a 164-bed for-profit home, the pattern is decent care metrics riding on thin coverage.

B

78/100

Avantara Lake Zurich

Lake Zurich, IL · Lake County

CMS 5/5203 bedsFor-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
37%
Serious cites
0

Avantara Lake Zurich runs 203 beds under corporate ownership, and its nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average of 3.86, with weekends running about 3% thinner than weekdays. Turnover is where it looks better than most: 36.5% against a national 45.8%, meaning fewer aides and nurses walking out the door than typical. The trade-off shows up in its record: 30 deficiencies, including two at the harm level and two tied to abuse, plus one fine of $14,901, though the most recent inspection came in January 2025 and the health inspection rating landed at 4 out of 5. Staffing is the weakest of its three federal ratings.

B

78/100

Rehabilitation Center Of Lisbon

Lisbon, IA · Linn County

CMS 4/564 bedsFor-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
49%
Serious cites
0

The Rehabilitation Center of Lisbon runs 64 certified beds under for-profit LLC ownership, and its staffing sits at 3.53 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 13% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Annual turnover is 49.3%, a few points above the 45.8% national figure. On the plus side, its inspection record is clean: three deficiencies total, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 21, 2026. Quality and staffing each earned 3 of 5 stars from CMS, while inspections earned 4.

B

77/100

Avantara Long Grove

Long Grove, IL · Lake County

CMS 4/5195 bedsFor-profitMedicaid
Nurse hours
3.11 /day
Staff turnover
35%
Serious cites
0

Avantara Long Grove runs a 195-bed for-profit operation in Lake County, and the numbers tell two different stories. The clinical side looks solid: a 4/5 on health inspections, a 4/5 on quality measures, and 25 deficiencies on record with none at the harm level and none tied to abuse. Staffing is the weak spot. At 3.11 nurse hours per resident day, this home sits about 19% under the national average of 3.86, and weekends dip roughly 5% below its own weekday levels, so the gaps families notice are real, not imagined. Turnover of 34.6% is better than the 45.8% national figure, which helps continuity. Inspectors last visited in August 2024.

B

77/100

Nora Springs Care Center

Nora Springs, IA · Floyd County

CMS 3/550 bedsFor-profitMedicaid
Nurse hours
3.11 /day
Staff turnover
40%
Serious cites
0

Nora Springs Care Center runs on thin staffing. At 3.11 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 40.4%, a bit better than the 45.8% national figure, which suggests some stability among the aides and nurses who stay. The inspection record is genuinely strong: nine deficiencies, none at harm or jeopardy level, with one abuse-related citation, and a survey as recent as May 2025. The for-profit LLC ownership and that 2-out-of-5 staffing rating are the real story here. Quality measures and inspections look good; the daily coverage is what you'd want to ask about.

B

76.5/100

Hallmark Care Center

Mount Vernon, IA · Linn County

CMS 2/555 bedsFor-profitMedicaid
Nurse hours
3.73 /day
Staff turnover
n/a
Serious cites
0

Hallmark Care Center in Mount Vernon runs a 55-bed for-profit operation, and its nurse staffing sits at 3.73 hours per resident day, just under the national average of 3.86. That gap widens on weekends, when coverage drops roughly 10% below the home's own weekday level, a pattern families often notice as thinner attention on Saturdays and Sundays. The current inspection record shows 18 deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent survey dates to April 2026. State health inspectors handed out 2 out of 5 stars, while quality measures and staffing each earned 3. That split tells you the care outcomes look steadier than the inspection history does.

B

76/100

Bella Terra Lombard

Lombard, IL · Du Page County

CMS 4/5224 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
50%
Serious cites
0

Bella Terra Lombard runs 224 beds under corporate ownership, and its staffing is the weak spot: 3.40 nurse hours per resident day, about 12% under the national average, with weekends dipping roughly 6% below its own weekdays. Half the staff turned over in a year, higher than the 45.8% national figure. The inspection record shows 38 deficiencies, including one at the harm level and two tied to abuse, though the most recent inspection was June 2024. Quality measures score well, but that reflects charted care, not the hands available each shift.

B

76/100

Manor House Care Center

Sigourney, IA · Keokuk County

CMS 3/555 bedsFor-profitMedicaid
Nurse hours
3.63 /day
Staff turnover
n/a
Serious cites
0

Manor House Care Center runs 55 beds in Sigourney under for-profit LLC ownership, and its nurse staffing sits at 3.63 hours per resident day, roughly 6% under the national average of 3.86, with weekends running about 15% lighter than its own weekdays. That thin weekend coverage matters more when you look at the inspection record: 14 deficiencies currently on file, including one at the harm or jeopardy level and one abuse-related citation, with the most recent inspection dated May 15, 2025. CMS rates its health inspections and staffing at 2 out of 5 stars each, while quality measures come in at 4. The quality scores look better than the day-to-day staffing and oversight picture, and that gap is worth asking about directly.

B

76/100

Guttenberg Care Center

Guttenberg, IA · Clayton County

CMS 5/546 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
40%
Serious cites
0

Guttenberg Care Center runs a tight ship on inspections, zero deficiencies on its current record, none at the harm level, nothing abuse-related, and a five-star health inspection rating from CMS, with its last survey in November 2025. Staffing is thinner than average, though: 3.65 nurse hours per resident day against 3.86 nationally, and weekends run about 9% leaner than weekdays, which matters most when families visit and needs don't pause. Turnover sits at 40%, better than the 45.8% national figure, suggesting the crew that's there tends to stay. For 46 beds under limited-liability ownership, the picture is a clean inspection history paired with below-average daily coverage, worth asking the administrator how weekends are actually staffed.

B

75/100

Avantara Libertyville

Libertyville, IL · Lake County

CMS 4/5150 bedsFor-profitMedicaid
Nurse hours
4.05 /day
Staff turnover
35%
Serious cites
0

Avantara Libertyville runs on 4.05 nurse hours per resident day, a bit above the national average of 3.86, and weekend coverage dips only slightly below weekdays. Staff turnover sits at 34.5%, well under the national 45.8%, which matters because familiar caregivers tend to notice changes sooner. The tradeoff shows up in its record: 23 deficiencies, two of them serious enough to involve harm or jeopardy, plus one fine of $26,130. The most recent inspection was September 2024, so the picture is reasonably current. For-profit corporate ownership is worth knowing. Nothing here is alarming, but the harm-level findings are the part I'd ask about directly before deciding.

B

75/100

Avantara Park Ridge

Park Ridge, IL · Cook County

CMS 4/5154 bedsFor-profitMedicaid
Nurse hours
3.86 /day
Staff turnover
37%
Serious cites
0

Avantara Park Ridge runs a 154-bed for-profit home in Cook County, and its staffing sits almost exactly at the national average, 3.86 nurse hours per resident day. But the weekend gap is worth noticing: coverage drops about 3% below weekday levels, which is often when families visit and see the difference. Turnover is 36.6%, better than the 45.8% national figure, so the team is more stable than most. The inspection record is where things get more complicated: 14 deficiencies, three serious enough to reach harm or jeopardy level, and one tied to abuse. Fines total $24,515. The most recent inspection was April 2024.

B

75/100

Rehabilitation Center Of Allison

Allison, IA · Butler County

CMS 3/548 bedsFor-profitMedicaid
Nurse hours
3.54 /day
Staff turnover
66%
Serious cites
0

The Rehabilitation Center of Allison runs on thinner nurse coverage than most homes, 3.54 hours per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekday pace. That staffing picture is strained further by 65.5% annual turnover, well above the 45.8% national figure, meaning nearly two-thirds of the nurse workforce turns over each year. State inspectors cited 17 deficiencies on the current record, two at harm or jeopardy level and two abuse-related, after a visit in August 2024. The quality measure score looks strong, but it sits alongside a two-star inspection history, and the home is owned by a for-profit limited liability company.

B

74/100

Grove Of Lagrange Park, The

La Grange Park, IL · Cook County

CMS 3/5131 bedsFor-profitMedicaid
Nurse hours
2.99 /day
Staff turnover
51%
Serious cites
0

The Grove Of Lagrange Park runs on thinner nursing coverage than most homes its size, 2.99 nurse hours per resident day against a national average of 3.86, with weekend shifts slipping a bit further below its own weekday numbers. Staff turnover sits at 51.1%, roughly five points above the national rate, which matters most when it's the aides and nurses who know your mother's routine who keep leaving. On the plus side, its 26 cited deficiencies include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was recent. Quality measures score well; staffing is where the gap shows.