Illinois › Kendall County › Oswego
Pearl At the Tillers
4390 Route 71, Oswego, IL 60543
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Pearl At the Tillers, in Oswego, Illinois, is certified for 105 beds under for-profit, limited liability company ownership and belongs to the Pearl Healthcare chain.
CMS gives it 5 of 5 stars overall, above the Illinois median of 2; the health inspection rating is 4, staffing 2 and quality measures 5.
Inspectors recorded 27 health deficiencies across the three most recent survey cycles (7, 9, 11 by cycle, most recent first), none at the actual-harm level. That is 25.7 per 100 beds, about the same as the state median of 28.4.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.6 hours per resident per day (1.1 RN), close to the Illinois median of 3.3; nursing staff turnover is 42.4%.
Compared with county, state and nation
| Measure | This facility | Kendall Co. median | Illinois median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 2 | 3.0 |
| Health citations, 3 cycles | 27 | 35 | 34 | 28.7 |
| Citations per 100 beds | 25.7 | 44.3 | 28.4 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.3 | 3.9 |
| RN hours per resident day | 1.1 | 1.1 | 0.6 | 0.7 |
| Nursing staff turnover | 42.4% | 44.7% | 43.4% | 45.8% |
| Fines listed | $0 | $158,570 | $45,123 | — |
County and state figures are medians across facilities (2 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 Mar 2025, 9 Feb 2024.
Severity mix: D ×20 E ×5 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 9 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 17 Apr 2026 |
| 24 Dec 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Complaint investigation | 13 Jan 2026 |
| 29 Apr 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 30 Apr 2025 |
| 6 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Mar 2025 |
| 6 Mar 2025 | F0803 | 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. | E | Standard survey | 11 Mar 2025 |
| 6 Mar 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 11 Mar 2025 |
| 6 Mar 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 11 Mar 2025 |
| 6 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 11 Mar 2025 |
| 9 Oct 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 24 Oct 2024 |
| 24 Jun 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 5 Jul 2024 |
| 9 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 12 Feb 2024 |
| 9 Feb 2024 | F0688 | 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. | D | Standard survey | 12 Feb 2024 |
| 9 Feb 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 12 Feb 2024 |
| 9 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 12 Feb 2024 |
| 9 Feb 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 12 Feb 2024 |
| 9 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 Feb 2024 |
| 9 Feb 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 12 Feb 2024 |
| 12 Jan 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Jan 2023 |
| 12 Jan 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 30 Jan 2023 |
| 12 Jan 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 30 Jan 2023 |
| 12 Jan 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 29 Jan 2023 |
| 12 Jan 2023 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard survey | 24 Jan 2023 |
| 12 Jan 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 29 Jan 2023 |
| 12 Jan 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 27 Jan 2023 |
| 12 Jan 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 29 Jan 2023 |
| 12 Jan 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 29 Jan 2023 |
| 12 Jan 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 29 Jan 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 42.4%, RNs 40.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Illinois median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.9% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.3% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.1% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.1% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.5% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.6% | 17.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Pearl Of Oswego, Llc. Chain: Pearl Healthcare (15 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Phc Oswego Holdings LLC | 5% or greater direct ownership interest | 99% | 06/01/2023 |
| Edss Ventures LLC | 5% or greater indirect ownership interest | 7% | 06/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Kendall County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Hillside Rehab & Care Center | Yorkville | 79 | 2 | 3 | 2 | 35 | 44.3 | $159K | 6 May 2026 |
All 2 facilities in Kendall County
Questions and answers
How many deficiencies has Pearl At the Tillers been cited for?
27 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.
Has Pearl At the Tillers been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Pearl At the Tillers compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.
Who operates Pearl At the Tillers?
It is part of the Pearl Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Phc Oswego Holdings LLC and Edss Ventures LLC. Individual owners and managers are not listed on this site.
When was Pearl At the Tillers last inspected?
The most recent survey or investigation in the CMS record is dated 9 Apr 2026; the most recent standard health survey was 6 Mar 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.