Legacy Healthcare Nursing Homes: Chain Profile, Ownership, and CMS Record

Who Is Legacy Healthcare?

Legacy Healthcare is a Chicago-area operator of skilled nursing and rehabilitation facilities that has grown through acquisitions across Illinois and the greater Midwest. Reporting on the company and its affiliate Legacy Healthcare Financial Services describes a portfolio built largely in the Chicago area and expanded into Iowa, South Dakota, and other states.^[6]

The company's founding date and founders are not publicly detailed in the sources reviewed for this page. By number of CMS-affiliated skilled nursing facilities, the group is the eleventh-largest nursing home chain in the United States.^[3]

What Kind of Chain Is Legacy Healthcare?

Legacy is a skilled nursing facility (SNF) chain. Skilled nursing facilities care for patients who need 24-hour nursing care, often after a hospital stay, and are rated on the federal CMS five-star scale.^[1]

Who Owns Legacy Healthcare?

Within the CMS data, the Legacy-affiliated facilities are operated as for-profit entities, grouped by CMS under chain ID 306.^[1] The specific companies that own, lease, operate, and manage the individual facilities are not consolidated under a single publicly named parent in the sources reviewed; families should confirm the specific owning, operating, and management entities for any individual facility.^[1]

How Big Is the Legacy Healthcare Nursing Home Chain?

Legacy Healthcare by the Numbers

Federal CMS data describes the operation's scale:

Facility, state, and bed counts are from the CMS Nursing Home Chain Performance Measures dataset (most recent 2026 release).^[3]

• The most recent federal CMS chain-level data affiliates 95 nursing homes across Alabama, Iowa, Illinois, and South Dakota with the chain (CMS chain ID 306) — ranking it #11 of the 611 chains CMS tracks by number of facilities.^[3]
• The affiliated homes hold about 11,889 certified beds.^[3]

Legacy Healthcare CMS Ratings and Staffing Data

The figures below are reported by CMS for the chain in the most recent CMS Nursing Home Chain Performance Measures release. CMS five-star ratings are relative, point-in-time measures calculated against other facilities nationally; they do not guarantee the quality of care any individual resident receives, and serious harm can occur at a facility regardless of its rating.

• The chain-average overall star rating was about 2.9 of 5 (the national chain average is 3.0). The chain-level component averages CMS publishes were 2.8 for health inspections, 2.5 for staffing, and 3.3 on the quality measure rating, which is largely self-reported.^[3]
• CMS data reports 16 of 94 facilities (17.0%) with a one-star ("much below average") overall rating (national rate 20.5%) and 14 facilities (14.7%) carrying a CMS abuse icon (national rate 9.7%).^[3]
• Average total nurse staffing was about 3.4 hours per resident per day (national 3.9), and reported nursing-staff turnover was about 46.0% (national 45.8%).^[3]
• CMS records show 129 fines totaling about $4.00 million and 24 Medicare payment denials across the chain in the most recent three-year window.^[3][2]

These chain-level averages describe the group as a whole and say nothing about any specific facility or any specific resident's experience. Conditions and ratings vary from home to home and change over time.

Legacy Healthcare Nursing Home Facilities

The table below is the complete roster of the Legacy Healthcare-affiliated nursing facilities (CMS chain ID 306) in the federal CMS Provider Information dataset (May 2026 release), which listed 89 facilities. It lists each facility's name, city and state, street address, and phone number, along with any current CMS quality flag. The chain-level totals cited above reflect the most recent CMS Nursing Home Chain Performance Measures release; this per-facility roster is the May 2026 provider-level snapshot and will be refreshed when CMS posts the corresponding provider-level file.^[1]

The "CMS Flag" column marks homes that CMS has identified as a Special Focus Facility, a Special Focus Facility Candidate, behind on inspections ("Delayed inspection"), or carrying an abuse icon. Rows shaded gold indicate a current Special Focus designation or candidacy.^[1]

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog, Nursing Home "Provider Information" dataset (NH_ProviderInfo_May2026.csv), filtered to Legacy Healthcare, chain ID 306. Inclusion on this list reflects CMS chain-affiliation data and does not by itself indicate that any particular facility committed wrongdoing.^[1]

Special Focus Facilities and SFF Candidates in Legacy Healthcare

The Special Focus Facility (SFF) program is run by CMS to identify nursing homes with a history of serious quality problems; CMS describes these facilities as among the poorest-performing nursing homes in the country. A "Special Focus Facility Candidate" is a home with a history of serious quality issues that has not yet been formally placed in the program.^[4]

According to the most recent CMS Nursing Home Chain Performance Measures release, Legacy Healthcare had 1 Special Focus Facility and 3 Special Focus Facility Candidates at the chain level.^[3] The CMS Provider Information dataset (May 2026 release) flagged 2 facilities with a Special Focus designation or candidacy and 11 facilities carrying an abuse icon at that point in time; these designations are reassessed by CMS monthly and can change.^[1]

Legacy Healthcare Special Focus Facility Candidates (May 2026)

• Northgate Care Center — Waukon, IA
• Harmony West Des Moines — West Des Moines, IA

Legacy Healthcare Facilities With a CMS Abuse Icon (May 2026)

• Harmony Waterloo — Waterloo, IA
• Chalet Living & Rehab — Chicago, IL
• Clark Manor — Chicago, IL
• Peterson Park Health Care Ctr — Chicago, IL
• Glenview Terrace — Glenview, IL
• Bella Terra Morton Grove — Morton Grove, IL
• Bella Terra Wheeling — Wheeling, IL
• Avantara Huron — Huron, SD
• Avantara Arrowhead — Rapid City, SD
• Avantara Saint Cloud — Rapid City, SD
• Avantara Norton — Sioux Falls, SD

Legacy Healthcare Facilities With a Delayed CMS Inspection (May 2026)

• Bella Terra Elmhurst — Elmhurst, IL
• Avantara Park Ridge — Park Ridge, IL

Legacy Healthcare Fines, Lawsuits, and Regulatory Record

The items below are drawn from federal CMS enforcement data.

Federal Civil Money Penalties and Payment Denials

CMS enforcement records show that, across the chain, CMS imposed 129 fines totaling about $4.00 million and 24 Medicare payment denials in the most recent three-year window reflected in the data. These are regulatory penalties recorded by CMS and reflect the chain's inspection and compliance history.^[2][3]

Litigation

As with any large nursing home operator, individual Legacy facilities have been named in civil lawsuits alleging resident injury or neglect. The resolution of any individual case depends on its own facts, and the existence of a lawsuit is not a finding of liability. The sources reviewed for this page do not reflect a major federal False Claims Act settlement against the company; this statement is limited to the sources cited here.^[1]

How Michael Hill Trial Law Investigates Claims Against Legacy Healthcare

Michael Hill Trial Law focuses exclusively on nursing home abuse and neglect. The firm has handled more than 1,000 cases against nursing home operators and has recovered hundreds of millions of dollars for clients, including a $26 million verdict in Ohio.^[5]

Thin staffing and high staff turnover are among the conditions that can contribute to preventable harm in a nursing home, because residents depend on consistent, adequate staffing for basic care. A facility's overall CMS rating does not determine whether a particular resident was harmed, and serious injuries can occur at facilities with average or above-average ratings. When we investigate a claim against a Legacy Healthcare facility, we identify the specific entities that owned, operated, and managed the home, compare the home's CMS staffing and inspection history against what happened to the resident, and obtain the facility's care records and any available documentation. The kinds of injuries and claims our firm investigates include:

• Bedsores and pressure injuries
• Falls and fractures
• Malnutrition and dehydration
• Infections and sepsis
• Medication errors
• Elopement (wandering away from a facility)
• Understaffing and neglect
• Physical or sexual assault
• Wrongful death

We are investigating claims against facilities operated under the Legacy Healthcare name. If your loved one was injured or died in a Legacy Healthcare nursing home, the public record on this page may be relevant to your situation. Our firm serves families nationwide.

Frequently Asked Questions About Legacy Healthcare

Who owns Legacy Healthcare?

Legacy Healthcare is a Chicago-area operator of skilled nursing facilities. In the CMS data its facilities are grouped under chain ID 306 and operated as for-profit entities. The company's founding and the specific owning entities are not publicly consolidated under a single named parent in the sources reviewed, so families should confirm the owning, operating, and management entities for any individual facility.

How many nursing homes does Legacy Healthcare operate?

Federal CMS data affiliates about 95 skilled nursing facilities with Legacy Healthcare, concentrated in Illinois and Iowa, ranking it the eleventh-largest nursing home chain in the United States by number of facilities.

How is Legacy Healthcare rated by Medicare?

According to the most recent CMS chain data, Legacy's average overall star rating is about 2.9 of 5 (national average 3.0), with staffing rated 2.5 of 5. About 17.0% of its facilities carry a one-star overall rating and 14.7% carry a CMS abuse icon. CMS star ratings are relative, point-in-time measures and do not guarantee the care any individual resident receives.

Has Legacy Healthcare been fined?

CMS enforcement records show 129 fines totaling about $4.0 million and 24 Medicare payment denials across the chain in the most recent three-year window. The sources reviewed for this page do not reflect a major federal False Claims Act settlement against the company.

What should I do if a loved one was harmed at a Legacy facility?

Michael Hill Trial Law investigates abuse and neglect claims against nursing home operators nationwide, including Legacy Healthcare facilities. You can contact the firm for a confidential review of your situation.

Sources

1. Centers for Medicare & Medicaid Services, Provider Data Catalog, Nursing Home "Provider Information" dataset (NH_ProviderInfo_May2026.csv), filtered to Legacy Healthcare, chain ID 306 (facility counts, addresses, phone numbers, bed counts, ownership type, star ratings, abuse icons, Special Focus status, delayed inspections). https://data.cms.gov/provider-data/dataset/4pq5-n9py
2. Centers for Medicare & Medicaid Services, Provider Data Catalog, Nursing Home "Penalties" file (May 2026 release) (fine amounts and payment denials). https://data.cms.gov/provider-data/
3. Centers for Medicare & Medicaid Services, Provider Data Catalog / data.gov, "Nursing Home Chain Performance Measures" (Affiliated Entity Performance Measures) dataset, most recent 2026 release, filtered to Legacy Healthcare (CMS chain ID 306): affiliated-facility count, states, bed count, chain-average star ratings, one-star share, abuse-icon share, Special Focus Facilities and candidates, fines, payment denials, staffing hours, and turnover. https://data.cms.gov/provider-data/ ; dataset listing: https://catalog.data.gov/dataset/nursing-home-chain-performance-measures
4. Centers for Medicare & Medicaid Services, "Special Focus Facility (SFF) Program" overview and monthly candidate/participant lists. https://www.cms.gov/medicare/health-safety-standards/certification-compliance/special-focus-facility
5. Michael Hill Trial Law. https://protectseniors.com/
6. Reporting on Legacy Healthcare and Legacy Healthcare Financial Services, including Skilled Nursing News and Senior Housing News (Chicago-area and Midwest skilled nursing portfolio growth). https://skillednursingnews.com/ ; https://seniorhousingnews.com/

This page is for general informational purposes and is not legal advice. It is attorney advertising. Ratings, fines, and Special Focus data are from federal CMS records and reflect inspection findings and regulatory penalties, not court judgments. CMS star ratings are relative, point-in-time measures and do not guarantee the care any individual resident receives. Facility data and corporate ownership change over time; verify current details before relying on them. Last reviewed: October 26, 2026.