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.
Avantara North runs about 3.06 nursing hours per resident per day, roughly a fifth below the national average, and weekends drop further, about 20% under its own weekday baseline, which is when families tend to visit and notice. Staff turnover sits at 35.4%, better than the 45.8% national figure, so the people who are there tend to stay. The current record carries 17 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, with $24,108 in fines across two penalties. The last inspection was February 2026. For-profit, LLC-owned, 68 beds.
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.
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.
Harmony West Des Moines runs 113 beds under corporate ownership, and the numbers explain the record. Nurse staffing sits at 3.59 hours per resident day against a national average of 3.86, and weekends dip roughly 10% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Staff turnover is 58.9%, well above the 45.8% national figure, which makes consistent care hard to sustain.
The inspection history is the heavier problem: 46 deficiencies on the current record, including one at the harm level and five tied to abuse. The health inspection rating is 1 out of 5, with the most recent inspection dated March 5, 2026. Quality measures score better at 3 out of 5, but that sits alongside a 2 out of 5 for staffing.
Birmingham Nursing and Rehabilitation Center runs 132 certified beds under for-profit LLC ownership, and the numbers show a building stretched thin on the floor. Nurse staffing sits at 3.23 hours per resident day, roughly 16% under the national average, and weekends drop about 24% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Staff turnover is 63.2%, well above the 45.8% national figure, so the people caring for your relative are likely to change often. Its inspection record is the harder read: 20 deficiencies, four at harm or jeopardy level, five tied to abuse, plus $74,848 in fines and a June 2024 inspection. Strong quality-measure scores don't offset that.
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.
Bella Terra Bloomingdale is a for-profit, LLC-owned home with 166 beds in DuPage County, and its staffing is the number that stands out. At 3.53 nurse hours per resident day, it runs about 9% under the national average, and weekend coverage dips another 6% below its own weekday level, a pattern families often notice when they visit on Saturdays and Sundays. Annual turnover of 49.5% sits above the national 45.8%, so the staff caring for your relative may change often. The current record shows 43 deficiencies, four at the harm level and none abuse-related, with one fine of $10,358 and an inspection in February 2025.
Warren Barr Buffalo Grove runs 200 beds under for-profit partnership ownership, and its nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average of 3.86. Weekend coverage dips about 2% below the home's own weekday level, and the staffing star rating lands at 2 out of 5. Turnover is 40.9%, better than the 45.8% national figure, but the inspection record carries 41 deficiencies, including one at the harm level and two tied to abuse. The last inspection was January 29, 2025, and fines total $9,311. Quality measures rate 4 out of 5, which may reflect clinical care, but the thin staffing and inspection history are what a family should weigh first.
Peterson Park runs about 11% leaner on nurse staffing than the national average, and weekends dip slightly further below its own weekday levels, worth knowing if your visits tend to fall on Saturdays or Sundays. The 33 deficiencies on record include two at the harm or jeopardy level and two tied to abuse, which is a lot of inspection history to carry for a 196-bed for-profit home. Staff turnover sits at 37.1%, actually better than the national 45.8%, so the people caring for residents aren't cycling out as fast as elsewhere. The tradeoff: consistent caregivers, but fewer of them per resident, and a recent November 2025 inspection that found real problems.
Harmony Waterloo runs 88 certified beds under for-profit LLC ownership, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.24 hours per resident day, roughly 16 percent under the national average, and weekends dip about 10 percent below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection history is the bigger concern: 21 deficiencies on the current record, including one at the harm or jeopardy level and two tied to abuse. One fine totaling $95,440 has been issued, and turnover runs 48.8 percent. The most recent inspection was January 14, 2026.
Harmony Dubuque runs on thinner nurse coverage than most homes, 3.39 hours per resident day against a national average of 3.86, and weekends dip about 8% below what the home itself staffs on weekdays. That gap matters most when a resident needs help on a Saturday, and it's harder to absorb when more than seven in ten workers leave over a year, well above the 45.8% national rate. On inspections the home has drawn a two-star rating, with 33 deficiencies on record, three serious enough to cause harm and one tied to abuse, plus two fines totaling $19,371. Its last inspection was January 14, 2026.
Heritage Care and Rehabilitation Center runs 71 certified beds in Mason City under corporate for-profit ownership. The staffing numbers are where the concern sits: 3.33 total nurse hours per resident day, roughly 14 percent below the national average of 3.86, and weekends drop about 17 percent below the home's own weekday staffing. That thin coverage lines up with a 1-out-of-5 CMS staffing rating.
The current inspection record shows 7 deficiencies, including 1 at the harm or jeopardy level and none tied to abuse. The last inspection was August 14, 2025, so the findings are recent. Quality measures score 2 out of 5. If you're weighing this home against others nearby, the staffing pattern and that harm-level deficiency are the two things worth asking about directly.
Avantara Pierre runs a 65-bed for-profit home in Hughes County, and the staffing numbers are the first thing to notice: 2.81 nurse hours per resident day, roughly 27% under the national average of 3.86. Weekends thin out further, about 19% below the home's own weekday coverage. Turnover sits at 40.5%, better than the 45.8% national figure, so the people who stay seem to stay. The trouble is the record: 33 deficiencies, three of them at harm or jeopardy level, one tied to abuse, and a $22,048 fine. Inspectors were last in on April 2, 2025.
Avantara Clark City runs 35 beds in Clark, and the raw staffing number looks better than it is: 4.17 nurse hours per resident day sits about 8% above the national average, but weekend coverage drops roughly 16% below the home's own weekday level, so the hours aren't spread evenly across the week. Staff turnover of 42.4% is slightly better than the 45.8% national figure, though the CMS staffing rating still lands at 2 out of 5. Inspectors gave a 4 out of 5 health inspection rating and visited recently, in January 2026, but the record carries 7 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single $11,057 fine.
Colonial Manor Of Elma runs 40 beds under for-profit LLC ownership, and its nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average of 3.86. Weekends drop about 12% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 62.2% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 16 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, with $44,768 in fines across two penalties and a February 2026 inspection.
Avantara Lincoln Park runs 248 beds on Chicago's North Side, and its nurse staffing works out to 3.25 hours per resident day, roughly 16% under the national average of 3.86. Weekend coverage slips a little further, about 2% below its own weekday numbers, and staff turnover sits at 43.3%, slightly better than the 45.8% national figure. What stands out more is the inspection record: 60 deficiencies, including 7 at the harm or jeopardy level and 7 tied to abuse, with four fines totaling $202,448. The last full inspection was June 2024, and CMS rated the health inspection and staffing domains 2 out of 5. For-profit corporate ownership, thin nursing hours, and a long serious-deficiency history are the things to weigh here.
Chalet Living & Rehab runs on 2.51 nurse hours per resident day, roughly a third below the national average, and weekend coverage dips further below its own weekday level. That thin margin shows up in the inspection record: 54 deficiencies, four at harm or jeopardy level, six tied to abuse, and $390,344 in fines. The one number that stands out in the other direction is staff turnover at 20.4%, well under the national 45.8%, a stable workforce that nonetheless hasn't translated into adequate hours per resident. This is a 219-bed for-profit run by a corporation, last inspected January 9, 2026. The question for your family isn't whether the staff care; it's whether there are enough of them on weekends.
Harmony Palos runs a 130-bed for-profit home in Palos Heights, and the staffing numbers are the first thing to notice. At 3.08 nurse hours per resident day it sits about 20% under the national average, weekends dip further, and 64.1% annual turnover means many of the aides and nurses your relative sees are still new. The inspection record shows 42 deficiencies, four serious enough to involve harm or jeopardy, three tied to abuse, and two fines totaling $25,874; the most recent state visit was November 2024. Ownership is a limited liability company, which limits who is personally on the hook if something goes wrong.
Harmony Cedar Rapids runs 74% annual staff turnover against a national average of 45.8%, that means roughly three in four caregivers who work here won't be here a year from now. Nurse staffing sits at 3.70 hours per resident day, about 4% under the national figure, and weekends drop another 9% below the home's own weekday coverage. Its current inspection record carries 27 deficiencies, four of them serious enough to put residents at risk of harm, and the health inspection rating sits at 1 out of 5 stars. Ownership is for-profit, through a limited liability company. The most recent inspection was March 3, 2026, and CMS has fined the home once, for $10,358.
Avantara Huron runs on thin staffing and a rough inspection history. Nurses provide 3.40 hours per resident day, roughly 12 percent under the national average, and weekends drop about 13 percent below what the home manages on weekdays. Staff turnover sits at 54.7 percent, nearly nine points above the national figure, which means the people caring for residents keep changing. The current inspection record carries 21 deficiencies, five of them serious enough to involve harm or jeopardy, and four tied to abuse. State inspectors last visited in March 2026. This is a for-profit limited liability company operating 119 certified beds, with one fine totaling $8,338 on record.
The Grove of Northbrook runs lean on nurses, 2.20 hours per resident day against a national average of 3.86, roughly 43% below. Weekend coverage barely dips from its own weekday level, so the thinness is consistent rather than a weekend problem. What stands out in the other direction is turnover: 18.8% against a national 45.8%, meaning the staff who are there tend to stay. Inspections, though, are where this home gets exposed. Nineteen deficiencies on the current record, four of them at harm or jeopardy level and two tied to abuse, plus three fines totaling $83,860. The most recent inspection was June 2024, so that record is current.
Warren Barr Lincoln Park runs about 109 beds on the city's North Side, and the numbers that stand out are the staffing ones. Nurses give residents roughly 3.31 hours of care per day against a national average of 3.86, and weekends run thinner than weekdays by about 7%, that's when families often notice less help on the floor. Staff turnover sits at 51.2%, well above the 45.8% national figure, so the people caring for your relative may be new fairly often. The current inspection record carries 36 deficiencies, including 2 at the harm level and 3 tied to abuse, along with a $117,488 fine. The most recent inspection was in November 2025, so the picture is current.
Harmony Park Ridge runs 298 beds under for-profit LLC ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17 percent under the national average of 3.86. Weekends dip slightly further below its own weekday levels. The inspection record is the bigger concern: 52 deficiencies, 11 of them at harm or jeopardy level and 10 abuse-related, with five fines totaling $223,201. Federal inspectors last visited in March 2025 and rated health inspections 2 out of 5. For a building this size, that many serious findings points to problems that persist between surveys rather than one bad week.
The Grove of Elmhurst runs 180 beds under corporate ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. That gap shows up on weekends too, when coverage dips about 2% below the home's own weekday level, and nearly half the nursing staff turned over in the past year, above the 45.8% national figure. Its inspection record carries 51 deficiencies, including three at the harm or jeopardy level and six tied to abuse, plus a $61,031 fine. The last full inspection was May 2025.
Avantara Chicago Ridge runs 203 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, and annual turnover hits 68.9% against a national 45.8%, so the people caring for residents are cycling out fast. The inspection record shows 41 deficiencies, five at harm or jeopardy level and one tied to abuse, with three fines totaling $137,658; the most recent inspection was January 10, 2025. Its quality measure score looks strong, but that reflects charted clinical outcomes, not the staffing and safety picture a family actually walks into.
Avantara Joliet runs 154 certified beds under for-profit LLC ownership, and its staffing is the number that stands out most: 3.71 nurse hours per resident day, a bit under the national average, with weekends running about 5% lighter than weekdays. Annual turnover sits at 70% against a national 45.8%, which means the people caring for your relative are, more often than not, new to the building. The inspection record shows 40 deficiencies, six serious enough to involve harm or jeopardy, plus three fines totaling $33,535. The most recent inspection was December 24, 2025. Nothing here is abuse-related, but a staffing rating of 1 out of 5 alongside that turnover rate tells you where the strain lives.
Harmony House is a for-profit home in Waterloo with 65 certified beds. The staffing numbers sit just under the national average, but the real problem is turnover: about 61.5% of nursing staff leave each year, against a national average near 46%, and weekend coverage drops roughly 7% below its own weekday level. On inspections, this home has drawn 33 deficiencies, including four at the harm or jeopardy level and four tied to abuse, plus one fine totaling $48,825. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent record of serious problems. Its last inspection was August 6, 2025.
Northgate Care Center in Waukon carries 20 deficiencies on its current record, and two of those are serious enough to involve actual harm or jeopardy to residents. One is abuse-related, and CMS has placed the home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems. A single fine of $71,110 is on record, and the last inspection was March 4, 2026.
Nurse staffing sits at 2.97 hours per resident day, roughly 23% below the national average, and weekends run about 12% thinner than weekdays. Turnover of 34.3% is better than the national 45.8%, so that's not the issue here.
Avantara Milbank runs on thin staffing even before the weekends hit. At 3.23 nurse hours per resident day, it sits roughly 16% under the national average, and weekend coverage drops another 9% below its own weekday level, so the thinnest shifts are also the least supervised. The bigger warning sign is turnover: 91.5% annually, double the national rate, meaning most of the people caring for residents weren't there a year ago. Its inspection record shows 30 deficiencies, including 8 at harm or jeopardy level and 5 tied to abuse, plus three fines totaling $55,361. The most recent inspection was March 2025. For-profit corporate ownership, 55 beds, and a pattern of problems that keep recurring rather than resolving.
Avantara Norton runs 110 certified beds under for-profit limited liability ownership, and its nurse staffing sits right at the national average of 3.86 hours per resident day, essentially no cushion. Weekends drop about 10% below its own weekday coverage, so the thinnest shifts are when families tend to visit. What stands out more is the inspection record: 75 deficiencies, 19 of them at harm or jeopardy level, 5 abuse-related, plus six CMS fines totaling $153,638. Staff turnover is 55.7% against a 45.8% national average, meaning more than half the nursing staff leaves each year. CMS has placed this home in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems.