3★ official rating · 48 beds
Legacy Healthcare
89 nursing homes · 3 states · 10,879 beds
inspection rating
Legacy Healthcare at a glance
- Nursing homes
- 89
- States
- 3
- Licensed beds
- 10,879
- Average rating
- 3.0★
- Rated 4★ or better
- 42%
Is Legacy Healthcare a good nursing home group?
Across 88 rated homes, Legacy Healthcare averages 3.0★ on official inspection ratings — in line with the roughly 3.0★ national average. 42% of its rated homes earn 4★ or better, while 41% sit at 1–2★. That’s roughly average overall, and ratings vary widely by location, so the specific home matters far more than the group.
A group-wide number can’t tell you about the specific home near you — quality varies by location. Open each home below to see its own official inspection rating before you decide.
Legacy Healthcare quality vs. the national average
Across the 88 homes with an official inspection rating, Legacy Healthcare averages 3.0★. 42% are rated 4★ or better, and 41% are rated 1–2★. These are official government inspection ratings — a group-wide average hides a lot, so open each home below and judge it on its own.
| Measure | Legacy Healthcare | National average |
|---|---|---|
| Average rating | 3.0★ | 3.0★ |
| Homes rated 4★ or better | 42% | 40% |
| Homes rated 1–2★ | 41% | 41% |
How Legacy Healthcare’s homes are distributed
- 5★11
- 4★26
- 3★15
- 2★21
- 1★15
Legacy Healthcare nursing home ratings by state
Where Legacy Healthcare operates and how its homes rate in each state. Ratings are the average of that state’s homes with an official inspection rating. Pick a state to browse every nursing home there.
| State | Homes | Avg. rating |
|---|---|---|
| Illinois | 41 | 3.3★ |
| Iowa | 35 | 2.9★ |
| South Dakota | 13 | 2.2★ |
Highest-rated Legacy Healthcare homes
The best-rated Legacy Healthcare nursing homes we have on record, by official inspection rating.
Lowest-rated Legacy Healthcare homes
The lowest-rated Legacy Healthcare homes we have on record — the ones to look at most closely and ask the most questions about.
About Legacy Healthcare
Legacy Healthcare operates a network of skilled nursing and rehabilitation facilities, often under various brand names such as Avantara, Warren Barr, Bella Terra, The Grove, and Harmony. These facilities span primarily Iowa, Illinois, and South Dakota, with Avantara being one prominent brand.
Although marketed under different facility names, these sites share common ownership and leadership under Legacy Healthcare. The properties themselves are usually owned by Cascade Capital Group, a Chicago-based private equity firm, while Legacy provides management and day-to-day operation.
According to public CMS-based analytics, as of June 1, 2026, Legacy Healthcare’s chain includes 89 facilities, all certified for both Medicare and Medicaid, with an average CMS overall rating of 2.9 stars. The chain largely consists of for-profit entities classified as corporations or LLCs.
CMS’s Nursing Home Compare data confirms the affiliation with 89 facilities in the three states and provides deeper metrics: Legacy Healthcare-affiliated homes averaged 0.4 serious deficiencies, 3.5 nurse hours per resident per day, and average nursing staff turnover of about 46.2%. Fines average approximately USD 37,995 per home.
- Headquarters
- Skokie, Illinois
- Website
- www.legacyhc.com/about
Researched summary — facts drawn from cited public sources, in our own words. Ratings shown are official government inspection ratings.
Where Legacy Healthcare operates
Legacy Healthcare runs nursing homes in Iowa, Illinois, and South Dakota. Pick a state to see every Legacy Healthcare home there alongside every other nursing home in the area.
All homes Legacy Healthcare runs
Each home is listed with its official inspection rating — from government health inspections, staffing, and quality data. A visit is still the best test.
- Rehabilitation Center of AllisonOfficial inspection rating
- Maple Manor Village
4★ official rating · 42 beds
Official inspection rating - Valley Vue Care Center
5★ official rating · 40 beds
Official inspection rating - Willow Dale Wellness Village
4★ official rating · 40 beds
Official inspection rating - Rehabilitation Center of Belmond
5★ official rating · 44 beds
Official inspection rating - Bloomfield Care Center
4★ official rating · 91 beds
Official inspection rating - Westview Care Center
5★ official rating · 67 beds
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- Oakwood Care Center
3★ official rating · 76 beds
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- Colonial Manor of Elma
2★ official rating · 40 beds
Official inspection rating - Emmetsburg Care Center
1★ official rating · 46 beds
Official inspection rating - Concord Care Center
5★ official rating · 46 beds
Official inspection rating - Guttenberg Care Center
5★ official rating · 46 beds
Official inspection rating - Rehabilitation Center of Hampton
4★ official rating · 52 beds
Official inspection rating - Rehabilitation Centers of Independence West Campus
3★ official rating · 70 beds
Official inspection rating - Westview of Indianola Care Center
5★ official rating · 71 beds
Official inspection rating - Lake Mills Care Center
4★ official rating · 61 beds
Official inspection rating - Rehabilitation Center of Lisbon
4★ official rating · 64 beds
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- Heritage Care and Rehabilitation Center
2★ official rating · 71 beds
Official inspection rating - Hallmark Care Center
2★ official rating · 55 beds
Official inspection rating - Rolling Green Village Care Center
3★ official rating · 58 beds
Official inspection rating - Nora Springs Care Center
4★ official rating · 50 beds
Official inspection rating - Grandview Healthcare Center
4★ official rating · 72 beds
Official inspection rating - Oelwein Health Care Center
3★ official rating · 61 beds
Official inspection rating - Park View Rehabilitation Center
2★ official rating · 77 beds
Official inspection rating - Manor House Care Center
2★ official rating · 55 beds
Official inspection rating - Harmony House Health Care Center
1★ official rating · 65 beds
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- Northgate Care Center
1★ official rating · 50 beds
Official inspection rating - Southfield Wellness Community
1★ official rating · 65 beds
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- Avantara Aurora
4★ official rating · 87 beds
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- Nexus at Berwyn
1★ official rating · 145 beds
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- Warren Barr Lieberman
4★ official rating · 240 beds
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Frequently asked questions about Legacy Healthcare
- How many nursing homes does Legacy Healthcare operate?
- Legacy Healthcare operates 89 nursing homes across 3 states with about 10,879 licensed beds in total.
- What states does Legacy Healthcare operate in?
- Legacy Healthcare runs nursing homes in Iowa, Illinois, and South Dakota. Its largest presence is in Illinois, Iowa, South Dakota.
- Is Legacy Healthcare a good nursing home group?
- Across 88 rated homes, Legacy Healthcare averages 3.0★ on official inspection ratings — in line with the roughly 3.0★ national average. 42% of its rated homes earn 4★ or better, while 41% sit at 1–2★. That’s roughly average overall, and ratings vary widely by location, so the specific home matters far more than the group.
- Where is Legacy Healthcare headquartered?
- Legacy Healthcare is headquartered in Skokie, Illinois.
- How are these ratings determined?
- The ratings shown are official government inspection ratings. They combine on-site health inspections, staffing levels, and clinical quality measures into an overall score from 1 to 5 stars for each home — the same official data families and regulators use.