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Legacy Healthcare nursing homes
95 nursing homes with 11,889 beds in Illinois (42), Iowa (35), South Dakota (13), Alabama (5).
CMS affiliated entity 306 · data as of September 1, 2026
The group's record in brief
CMS links 95 certified nursing homes in 4 states to Legacy Healthcare: 95 for profit, 0 nonprofit. 95 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 2,504 health citations; 241 citations were rated actual harm or immediate jeopardy, 37 of them immediate jeopardy. At their latest standard inspections the homes averaged 6.3 health deficiencies (national average 9.2).
57 homes in the group were fined in the last three years, $3,995,585 in all across 129 fines. Average nursing staff turnover across its homes was 46.0% (national 45.8%).
Staffing across the group
Daily payroll records from 95 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 9% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 3.39 | 3.75 |
| Registered nurses | 0.75 | 0.62 |
| Weekdays | 3.48 | 3.92 |
| Weekends | 3.16 | 3.33 |
| Share of nursing hours by contract staff | 12.1% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
Legacy Healthcare homes by state
| State | Homes | Average stars | Fines, 3 years | Special focus |
|---|---|---|---|---|
| Illinois | 42 | 3.2 | $2,521,450 | |
| Iowa | 35 | 2.9 | $535,971 | 2 |
| South Dakota | 13 | 2.3 | $835,895 | 2 |
| Alabama | 5 | 2.0 | $102,269 |
How the group's homes are rated
94 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 2.9 overall, 2.8 health inspections, 2.5 staffing, 3.3 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 12 | |
| 4 of 5 | 23 | |
| 3 of 5 | 17 | |
| 2 of 5 | 26 | |
| 1 of 5 | 16 |
Across the group: 241 citations rated actual harm or immediate jeopardy, and an average of 3.44 nursing staff hours per resident per day (national 3.86).
Every home in the group
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.