Pearl of Elgin, the
2355 Royal Boulevard · Elgin, IL · 60123 · 8478889585
139 certified beds For profit - Limited Liability company Chain: Pearl Healthcare
- Inspection results have improved across recent cycles.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.22 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.72 | 0.55–0.75 |
| Weekend hours / resident-day | 2.81 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (36 in the current record)
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Potential for harm · D August 31, 2025 · found via complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected September 9, 2025 · Resident Rights
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Potential for harm · D October 17, 2024 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected October 30, 2024 · Resident Rights
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Potential for harm · D August 22, 2024
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected September 7, 2024 · Resident Rights
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Potential for harm · D August 22, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 22, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 7, 2024 · Quality of Life and Care
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Potential for harm · D August 22, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected September 7, 2024 · Pharmacy Service
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Potential for harm · D August 22, 2024
Provide or obtain dental services for each resident.
Corrected September 18, 2024 · Quality of Life and Care
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Potential for harm · E August 22, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected September 7, 2024 · Nutrition and Dietary
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Potential for harm · F August 22, 2024
Provide and implement an infection prevention and control program.
Corrected September 7, 2024 · Infection Control
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Potential for harm · E August 22, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 7, 2024 · Infection Control
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Potential for harm · D September 8, 2023
Keep residents' personal and medical records private and confidential.
Corrected September 26, 2023 · Resident Rights
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Potential for harm · E September 8, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 26, 2023 · Quality of Life and Care
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Potential for harm · E September 8, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 26, 2023 · Quality of Life and Care
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Potential for harm · D September 8, 2023
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 September 26, 2023 · Quality of Life and Care
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Potential for harm · D September 8, 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 September 26, 2023 · Quality of Life and Care
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Potential for harm · D September 8, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected September 26, 2023 · Quality of Life and Care
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Potential for harm · D September 8, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 26, 2023 · Quality of Life and Care
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Potential for harm · F September 8, 2023
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected September 26, 2023 · Nutrition and Dietary
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Potential for harm · F September 8, 2023
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 September 26, 2023 · Nutrition and Dietary
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Potential for harm · F September 8, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 26, 2023 · Nutrition and Dietary
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Potential for harm · E September 8, 2023
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected September 26, 2023 · Nutrition and Dietary
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Potential for harm · E September 8, 2023
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected September 26, 2023 · Nutrition and Dietary
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Potential for harm · D September 8, 2023
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected September 26, 2023 · Nutrition and Dietary
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Potential for harm · F September 8, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 26, 2023 · Nutrition and Dietary
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Potential for harm · F September 8, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected September 26, 2023 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 24, 2025 | Payment Denial | 44 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145821 · certified since December 7, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.