Legacy Healthcare

PBJ Takeaway: Legacy Healthcare

90 Facilities3 States100% For-ProfitAvg. Overall Rating: 3.0Avg. Staffing Rating: 2.6Staffing Rating: 2.6

Legacy Healthcare operates 90 nursing homes across 3 states, all classified as for-profit. Its average CMS overall rating is 3.0 stars.

Across the portfolio, facilities report an average of 3.50 total nurse HPRD, including 0.70 RN hours, below the national ratio of 3.77 HPRD.

22% of Legacy Healthcare facilities meet PBJ320 high-risk criteria (e.g. special focus facility, one-star overall, abuse icon). CMS reports a total of 123 fines ($3.9 million) for the chain's nursing homes.

320 Consulting

Legacy Healthcare Key Metrics

Providers

States

Avg. Rating

3.0

Total Fines

$3.9 million

– Legacy Healthcare

Special Focus Facilities (SFFs)

SFF Candidates

1-Star Overall

Cited for Abuse

Avg. CMS 5-Star Rating – Legacy Healthcare

Overall

3.0

Health Inspection

3.1

Staffing

2.6

Quality Measures

3.2

Legacy Healthcare Facilities

Nursing homes affiliated with this entity. Latest quarter staffing from CMS PBJ data. Click column headers to sort.

State	Provider	City	Total HPRD	RN HPRD	Overall Rating	Staffing Rating
IL	Grove of Fox Valley,the	Aurora	3.23	0.86	4	3
IA	Oakwood Care Center	Clear Lake	3.42	0.46	3	3
IA	Westview Care Center	Britt	3.70	0.38	5	3
IA	Rolling Green Village Care Center	Nevada	4.04	0.73	4	3
IA	Rehabilitation Center of Hampton	Hampton	3.63	0.50	4	2
IA	Valley Vue Care Center	Armstrong	4.12	0.89	5	5
IA	Emmetsburg Care Center	Emmetsburg	3.32	0.51	2	3
IA	Maple Manor Village	Aplington	3.20	0.49	4	2
IA	Park View Rehabilitation Center	Sac City	3.65	0.47	2	2
IA	Willow Dale Wellness Village	Battle Creek	4.07	0.50	4	4
IA	Oelwein Health Care Center	Oelwein	2.89	0.30	5	3
IA	Grandview Healthcare Center	Oelwein	4.03	0.40	4	2
IA	Northgate Care Center	Waukon	2.80	0.37	3	3
IA	Rehabilitation Center of Allison	Allison	3.68	0.52	3	3
IA	Guttenberg Care Center	Guttenberg	3.46	0.65	5	3
IA	Hallmark Care Center	Mount Vernon	—	—	3	1
IA	Bloomfield Care Center	Bloomfield	3.96	0.93	5	5
IA	Manor House Care Center ⚠	Sigourney	—	—	1	1
IA	Rehabilitation Centers of Independence West Campus	Independence	3.19	0.57	2	3
IA	Harmony House Health Care Center ⚠	Waterloo	3.67	0.61	1	2
IA	Harmony Dubuque	Dubuque	3.58	0.95	2	3
IA	Concord Care Center	Garner	3.61	0.56	4	4
IA	Lake Mills Care Center	Lake Mills	3.25	0.30	4	2
IL	Alpine Care of Evanston	Evanston	3.48	0.80	4	3
IA	Heritage Care and Rehabilitation Center	Mason City	—	—	2	1
SD	Avantara North	Rapid City	3.02	0.92	2	3
SD	Avantara Saint Cloud ⚠	Rapid City	3.07	0.47	1	1
SD	Avantara Lake Norden	Lake Norden	3.21	0.78	5	4
SD	Avantara Clark City	Clark	3.98	0.78	4	3
SD	Avantara Redfield ⚠	Redfield	2.98	0.49	1	2
SD	Avantara Arrowhead ⚠	Rapid City	3.27	0.74	1	2
SD	Avantara Groton	Groton	3.81	0.64	2	3
SD	Avantara Pierre ⚠	Pierre	2.92	0.71	2	3
SD	Avantara Mountain View	Rapid City	3.81	0.77	3	3
SD	Avantara Norton ⚠	Sioux Falls	3.77	0.58	—	—
SD	Avantara Huron	Huron	3.61	0.59	3	3
SD	Avantara Milbank ⚠	Milbank	3.18	0.78	1	2
IA	Rehabilitation Center of Lisbon	Lisbon	3.56	0.64	4	4
IA	Harmony West Des Moines ⚠	West Des Moines	3.64	0.59	1	2
IA	Harmony Utica Ridge ⚠	Davenport	3.75	0.95	1	3
IA	Colonial Manor of Elma	Elma	3.68	0.42	4	3
IA	Harmony Marshalltown ⚠	Marshalltown	3.85	0.49	1	2
IA	Rehabilitation Center of Belmond	Belmond	3.55	0.38	4	3
IA	Westview of Indianola Care Center	Indianola	3.82	0.53	5	4
IA	Harmony Waterloo ⚠	Waterloo	3.51	0.63	2	3
IA	Harmony Davenport	Davenport	3.98	0.69	2	4
IA	Harmony Cedar Rapids ⚠	Cedar Rapids	3.75	0.49	1	2
IL	Avantara Aurora	Aurora	3.67	1.34	4	3
IL	Chalet Living & Rehab	Chicago	2.40	0.42	2	2
IL	Avantara Park Ridge	Park Ridge	3.96	0.87	4	3
IL	Grove at the Lake,the	Zion	3.32	0.57	2	1
IL	Bella Terra Bloomingdale	Bloomingdale	3.52	0.90	3	2
IL	Astoria Place Living & Rehab	Chicago	3.27	0.95	4	3
IL	Warren Barr South Loop ⚠	Chicago	3.64	0.50	1	1
IL	Avantara Palos Heights	Palos Heights	3.94	0.96	2	2
IL	Avantara Libertyville	Libertyville	4.31	1.06	3	3
IL	Bella Terra Lombard	Lombard	3.33	0.94	3	2
IL	Avantara Lincoln Park	Chicago	3.37	0.81	2	2
IL	Clark Manor ⚠	Chicago	2.53	0.67	2	2
IL	Grove of St Charles	Saint Charles	3.55	1.36	3	3
IL	Warren Barr Oak Lawn	Oak Lawn	3.69	0.86	4	2
IL	Grove of Elmhurst, The	Elmhurst	3.40	0.73	2	1
IL	Warren Barr Gold Coast	Chicago	4.01	1.15	3	3
IL	Grove of Lagrange Park, The	La Grange Park	3.23	1.06	3	3
IL	Glenview Terrace ⚠	Glenview	3.77	1.13	2	3
IL	Lakefront Nursing & Rehab Ctr	Chicago	2.36	0.73	5	2
IL	Nexus at Berwyn ⚠	Berwyn	3.20	0.41	1	1
IL	Bella Terra Schaumburg ⚠	Schaumburg	3.80	1.03	2	3
IL	Carlton at the Lake, The	Chicago	3.28	0.76	2	2
IL	Avantara of Elgin	Elgin	3.59	1.28	3	3
IL	Bella Terra Wheeling ⚠	Wheeling	3.24	0.82	2	3
IL	Warren Barr Lieberman	Skokie	3.43	0.67	4	2
IL	Warren Barr North Shore	Highland Park	3.22	0.68	3	2
IL	Warren Barr Orland Park	Orland Park	3.84	0.76	3	2
IL	Harmony Palos	Palos Heights	3.58	1.16	3	2
IL	Warren Barr Lincoln Park	Chicago	3.52	0.81	4	2
IL	Avantara Long Grove	Long Grove	3.17	0.71	4	2
IL	Grove of Skokie, The	Skokie	2.39	0.37	4	1
IL	Peterson Park Health Care Ctr	Chicago	3.50	0.68	3	3
IL	Warren Barr Buffalo Grove	Buffalo Grove	3.49	0.65	3	2
IL	Avantara Chicago Ridge	Chicago Ridge	3.57	0.94	2	2
IL	Avantara Lake Zurich	Lake Zurich	3.52	1.06	5	3
IL	Grove of Northbrook,the	Northbrook	2.22	0.80	4	3
IL	Harmony Healthcare & Rehab Ctr	Chicago	3.02	0.84	5	3
IL	Bella Terra Lagrange	La Grange	3.78	0.99	3	3
IL	Avantara Evergreen Park ⚠	Evergreen Park	3.73	0.81	1	1
IL	Bella Terra Elmhurst	Elmhurst	4.01	0.99	4	2
IL	Whitehall of Deerfield	Deerfield	4.60	1.45	3	4
IL	Bella Terra Streamwood	Streamwood	3.35	1.13	4	3
SD	Avantara Watertown	Watertown	3.61	1.16	3	4

1–20 of 90

Methodology

This dashboard uses CMS Payroll-Based Journal (PBJ) data (2017–2025), along with other public datasets (Provider Information, Affiliated Entity). State staffing standards via MACPAC (2022).

Metrics

Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
Contract Staff %: Share of hours provided by contract staff.
Census: Average number of residents during the period.

Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.

Data transparency

The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.

Request custom PBJ analysis for litigation and investigative reporting.Request custom PBJ analysis.