Pearl at the Tillers
4390 Route 71 · Oswego, IL · 60543 · 6305541001
105 certified beds For profit - Limited Liability company Chain: Pearl Healthcare
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.41 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.09 | 0.55–0.75 |
| Weekend hours / resident-day | 2.88 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (27 in the current record)
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Potential for harm · D April 9, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 17, 2026 · Quality of Life and Care
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Potential for harm · D December 24, 2025 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected January 13, 2026 · Quality of Life and Care
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Potential for harm · D April 29, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 6, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 11, 2025 · Quality of Life and Care
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Potential for harm · D March 6, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 11, 2025 · Quality of Life and Care
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Potential for harm · E March 6, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected March 11, 2025 · Nutrition and Dietary
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Potential for harm · F March 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 11, 2025 · Nutrition and Dietary
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Potential for harm · D March 6, 2025
Provide and implement an infection prevention and control program.
Corrected March 11, 2025 · Infection Control
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Potential for harm · D October 9, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 24, 2024 · Quality of Life and Care
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Potential for harm · D June 24, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected July 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 9, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 12, 2024 · Resident Rights
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Potential for harm · D February 9, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected February 12, 2024 · Quality of Life and Care
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Potential for harm · D February 9, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 12, 2024 · Quality of Life and Care
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Potential for harm · D February 9, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 12, 2024 · Quality of Life and Care
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Potential for harm · D February 9, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 12, 2024 · Pharmacy Service
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Potential for harm · D February 9, 2024
Provide and implement an infection prevention and control program.
Corrected February 12, 2024 · Infection Control
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Potential for harm · D February 9, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected February 12, 2024 · Environmental
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Potential for harm · D January 12, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 29, 2023 · Resident Assessment and Care Planning
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Potential for harm · E January 12, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 30, 2023 · Quality of Life and Care
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Potential for harm · D January 12, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 27, 2023 · Quality of Life and Care
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Potential for harm · E January 12, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 30, 2023 · Quality of Life and Care
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Potential for harm · D January 12, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected January 29, 2023 · Pharmacy Service
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Potential for harm · D January 12, 2023
Ensure that residents are free from significant medication errors.
Corrected January 29, 2023 · Pharmacy Service
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Potential for harm · F January 12, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 30, 2023 · Nutrition and Dietary
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Potential for harm · E January 12, 2023
Provide and implement an infection prevention and control program.
Corrected January 29, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 146034 · certified since October 9, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.