Pearl of Orchard Valley
2330 West Galena Boulevard · Aurora, IL · 60506 · 6308964686
203 certified beds For profit - Limited Liability company Chain: Pearl Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $513,426 in fines in the last 24 months.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$513,426 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.20 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.76 | 0.55–0.75 |
| Weekend hours / resident-day | 2.77 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 6 · $542,423 |
Inspection citations (63 in the current record)
-
Immediate jeopardy · J March 17, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 17, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 23, 2026 · Resident Rights
-
Potential for harm · D March 17, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 23, 2026 · Quality of Life and Care
-
Actual harm · G November 21, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 8, 2025 · Quality of Life and Care
-
Immediate jeopardy · J September 18, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D September 18, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D September 18, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 4, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 13, 2025 · Resident Rights
-
Potential for harm · D June 4, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 13, 2025 · Quality of Life and Care
-
Actual harm · G March 21, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 7, 2025 · Quality of Life and Care
-
Potential for harm · D March 21, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 21, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 21, 2025
Respond appropriately to all alleged violations.
Corrected April 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E March 21, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 7, 2025 · Quality of Life and Care
-
Potential for harm · D March 21, 2025
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 April 7, 2025 · Quality of Life and Care
-
Potential for harm · E March 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 21, 2025 · Quality of Life and Care
-
Potential for harm · D March 21, 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 April 21, 2025 · Quality of Life and Care
-
Potential for harm · D March 21, 2025
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected April 7, 2025 · Quality of Life and Care
-
Potential for harm · D March 21, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected April 7, 2025 · Quality of Life and Care
-
Potential for harm · D March 21, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 21, 2025 · Pharmacy Service
-
Potential for harm · E March 21, 2025
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 April 7, 2025 · Pharmacy Service
-
Potential for harm · D March 21, 2025
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 April 7, 2025 · Nutrition and Dietary
-
Potential for harm · F March 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 21, 2025 · Nutrition and Dietary
-
Actual harm · G February 11, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 21, 2025 · Quality of Life and Care
-
Potential for harm · D February 11, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 21, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 17, 2026 | Fine | $277,045 |
| November 21, 2025 | Fine | $40,740 |
| September 18, 2025 | Fine | $183,450 |
| March 21, 2025 | Payment Denial | 4 days |
| February 11, 2025 | Fine | $12,191 |
| June 2, 2024 | Fine | $15,360 |
| February 8, 2024 | Fine | $13,637 |
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.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145473 · certified since November 1, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.