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Legacy Healthcare

89 nursing homes · 3 states · 10,879 beds

average official
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.

Legacy Healthcare compared with all rated nursing homes nationwide
MeasureLegacy HealthcareNational average
Average rating3.0★3.0★
Homes rated 4★ or better42%40%
Homes rated 1–2★41%41%

How Legacy Healthcare’s homes are distributed

  • 511
  • 426
  • 315
  • 221
  • 115

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.

StateHomesAvg. rating
Illinois413.3★
Iowa352.9★
South Dakota132.2★

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

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.

  • Maple Manor Village

    4★ official rating · 42 beds

    Aplington, IA · 42 beds

    Official inspection rating
  • Bloomfield Care Center

    4★ official rating · 91 beds

    Bloomfield, IA · 91 beds

    Official inspection rating
  • Westview Care Center

    5★ official rating · 67 beds

    Britt, IA · 67 beds

    Official inspection rating
  • Harmony Cedar Rapids

    1★ official rating · 96 beds

    Cedar Rapids, IA · 96 beds

    Detailed profile
    Official inspection rating
  • Oakwood Care Center

    3★ official rating · 76 beds

    Clear Lake, IA · 76 beds

    Official inspection rating
  • Harmony Davenport

    2★ official rating · 88 beds

    Davenport, IA · 88 beds

    Detailed profile
    Official inspection rating
  • Harmony Utica Ridge

    2★ official rating · 115 beds

    Davenport, IA · 115 beds

    Detailed profile
    Official inspection rating
  • Harmony Dubuque

    2★ official rating · 75 beds

    Dubuque, IA · 75 beds

    Detailed profile
    Official inspection rating
  • Emmetsburg Care Center

    1★ official rating · 46 beds

    Emmetsburg, IA · 46 beds

    Official inspection rating
  • Concord Care Center

    5★ official rating · 46 beds

    Garner, IA · 46 beds

    Official inspection rating
  • Guttenberg Care Center

    5★ official rating · 46 beds

    Guttenberg, IA · 46 beds

    Official inspection rating
  • Lake Mills Care Center

    4★ official rating · 61 beds

    Lake Mills, IA · 61 beds

    Official inspection rating
  • Harmony Marshalltown

    1★ official rating · 72 beds

    Marshalltown, IA · 72 beds

    Detailed profile
    Official inspection rating
  • Hallmark Care Center

    2★ official rating · 55 beds

    Mount Vernon, IA · 55 beds

    Official inspection rating
  • Harmony Waterloo

    1★ official rating · 88 beds

    Waterloo, IA · 88 beds

    Detailed profile
    Official inspection rating
  • Northgate Care Center

    1★ official rating · 50 beds

    Waukon, IA · 50 beds

    Official inspection rating
  • Harmony West Des Moines

    1★ official rating · 113 beds

    West Des Moines, IA · 113 beds

    Detailed profile
    Official inspection rating
  • Avantara Aurora

    4★ official rating · 87 beds

    Aurora, IL · 87 beds

    Official inspection rating
  • Grove of Fox Valley,the

    4★ official rating · 158 beds

    Aurora, IL · 158 beds

    Detailed profile
    Official inspection rating
  • Nexus at Berwyn

    1★ official rating · 145 beds

    Berwyn, IL · 145 beds

    Official inspection rating
  • Bella Terra Bloomingdale

    3★ official rating · 166 beds

    Bloomingdale, IL · 166 beds

    Detailed profile
    Official inspection rating
  • Warren Barr Buffalo Grove

    3★ official rating · 200 beds

    Buffalo Grove, IL · 200 beds

    Detailed profile
    Official inspection rating
  • Avantara Lincoln Park

    2★ official rating · 248 beds

    Chicago, IL · 248 beds

    Detailed profile
    Official inspection rating
  • Carlton at the Lake, the

    2★ official rating · 244 beds

    Chicago, IL · 244 beds

    Detailed profile
    Official inspection rating
  • Chalet Living & Rehab

    2★ official rating · 219 beds

    Chicago, IL · 219 beds

    Detailed profile
    Official inspection rating
  • Clark Manor

    3★ official rating · 267 beds

    Chicago, IL · 267 beds

    Detailed profile
    Official inspection rating
  • Warren Barr Gold Coast

    4★ official rating · 271 beds

    Chicago, IL · 271 beds

    Detailed profile
    Official inspection rating
  • Warren Barr Lincoln Park

    3★ official rating · 109 beds

    Chicago, IL · 109 beds

    Detailed profile
    Official inspection rating
  • Warren Barr South Loop

    1★ official rating · 210 beds

    Chicago, IL · 210 beds

    Detailed profile
    Official inspection rating
  • Avantara Chicago Ridge

    4★ official rating · 203 beds

    Chicago Ridge, IL · 203 beds

    Detailed profile
    Official inspection rating
  • Whitehall of Deerfield

    3★ official rating · 190 beds

    Deerfield, IL · 190 beds

    Detailed profile
    Official inspection rating
  • Bella Terra Elmhurst

    4★ official rating · 142 beds

    Elmhurst, IL · 142 beds

    Detailed profile
    Official inspection rating
  • Grove of Elmhurst, the

    2★ official rating · 180 beds

    Elmhurst, IL · 180 beds

    Detailed profile
    Official inspection rating
  • Avantara Evergreen Park

    1★ official rating · 242 beds

    Evergreen Park, IL · 242 beds

    Detailed profile
    Official inspection rating
  • Glenview Terrace

    3★ official rating · 314 beds

    Glenview, IL · 314 beds

    Detailed profile
    Official inspection rating
  • Warren Barr North Shore

    4★ official rating · 215 beds

    Highland Park, IL · 215 beds

    Detailed profile
    Official inspection rating
  • Bella Terra Lagrange

    4★ official rating · 120 beds

    La Grange, IL · 120 beds

    Detailed profile
    Official inspection rating
  • Grove of Lagrange Park, the

    3★ official rating · 131 beds

    La Grange Park, IL · 131 beds

    Detailed profile
    Official inspection rating
  • Avantara Lake Zurich

    5★ official rating · 203 beds

    Lake Zurich, IL · 203 beds

    Detailed profile
    Official inspection rating
  • Avantara Libertyville

    3★ official rating · 150 beds

    Libertyville, IL · 150 beds

    Detailed profile
    Official inspection rating
  • Bella Terra Lombard

    4★ official rating · 224 beds

    Lombard, IL · 224 beds

    Detailed profile
    Official inspection rating
  • Avantara Long Grove

    4★ official rating · 195 beds

    Long Grove, IL · 195 beds

    Detailed profile
    Official inspection rating
  • Bella Terra Morton Grove

    2★ official rating · 211 beds

    Morton Grove, IL · 211 beds

    Detailed profile
    Official inspection rating
  • Grove of Northbrook,the

    4★ official rating · 134 beds

    Northbrook, IL · 134 beds

    Detailed profile
    Official inspection rating
  • Warren Barr Oak Lawn

    4★ official rating · 122 beds

    Oak Lawn, IL · 122 beds

    Detailed profile
    Official inspection rating
  • Warren Barr Orland Park

    3★ official rating · 275 beds

    Orland Park, IL · 275 beds

    Detailed profile
    Official inspection rating
  • Avantara Palos Heights

    2★ official rating · 184 beds

    Palos Heights, IL · 184 beds

    Detailed profile
    Official inspection rating
  • Harmony Palos

    2★ official rating · 130 beds

    Palos Heights, IL · 130 beds

    Detailed profile
    Official inspection rating
  • Avantara Park Ridge

    4★ official rating · 154 beds

    Park Ridge, IL · 154 beds

    Detailed profile
    Official inspection rating
  • Bella Terra Schaumburg

    4★ official rating · 214 beds

    Schaumburg, IL · 214 beds

    Detailed profile
    Official inspection rating
  • Grove of Skokie, the

    5★ official rating · 149 beds

    Skokie, IL · 149 beds

    Detailed profile
    Official inspection rating
  • Warren Barr Lieberman

    4★ official rating · 240 beds

    Skokie, IL · 240 beds

    Official inspection rating
  • Bella Terra Streamwood

    5★ official rating · 214 beds

    Streamwood, IL · 214 beds

    Detailed profile
    Official inspection rating
  • Bella Terra Wheeling

    4★ official rating · 215 beds

    Wheeling, IL · 215 beds

    Detailed profile
    Official inspection rating
  • Avantara Clark City

    4★ official rating · 35 beds

    Clark, SD · 35 beds

    Detailed profile
    Official inspection rating
  • Avantara Groton

    2★ official rating · 37 beds

    Groton, SD · 37 beds

    Detailed profile
    Official inspection rating
  • Avantara Huron

    2★ official rating · 119 beds

    Huron, SD · 119 beds

    Detailed profile
    Official inspection rating
  • Avantara Lake Norden

    5★ official rating · 50 beds

    Lake Norden, SD · 50 beds

    Detailed profile
    Official inspection rating
  • Avantara Milbank

    1★ official rating · 55 beds

    Milbank, SD · 55 beds

    Detailed profile
    Official inspection rating
  • Avantara Pierre

    2★ official rating · 65 beds

    Pierre, SD · 65 beds

    Detailed profile
    Official inspection rating
  • Avantara Arrowhead

    1★ official rating · 68 beds

    Rapid City, SD · 68 beds

    Detailed profile
    Official inspection rating
  • Avantara Mountain View

    2★ official rating · 101 beds

    Rapid City, SD · 101 beds

    Detailed profile
    Official inspection rating
  • Avantara North

    3★ official rating · 68 beds

    Rapid City, SD · 68 beds

    Detailed profile
    Official inspection rating
  • Avantara Saint Cloud

    1★ official rating · 78 beds

    Rapid City, SD · 78 beds

    Detailed profile
    Official inspection rating
  • Avantara Redfield

    2★ official rating · 58 beds

    Redfield, SD · 58 beds

    Detailed profile
    Official inspection rating
  • Avantara Norton

    110 beds

    Sioux Falls, SD · 110 beds

    Detailed profile
    Official inspection ratingNot rated
  • Avantara Watertown

    1★ official rating · 51 beds

    Watertown, SD · 51 beds

    Detailed profile
    Official inspection rating

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.