Elder Care Record

Illinois › Stephenson County › Freeport

Pearl Pointe Nursing Rehab & Care

900 South Kiwanis Drive, Freeport, IL 61032

CCN 145234 · For-profit, limited liability company · 109 certified beds · chain Saba Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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 Pointe Nursing Rehab & Care, in Freeport, Illinois, is certified for 109 beds under for-profit, limited liability company ownership and belongs to the Saba Healthcare chain.

CMS gives it 1 of 5 stars overall, below the Illinois median of 2; the health inspection rating is 1, staffing 1 and quality measures 2.

Inspectors recorded 67 health deficiencies across the three most recent survey cycles (29, 21, 17 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 61.5 per 100 beds, more than the state median of 28.4.

CMS lists 5 penalties in the period covered: fines totalling $155K and 2 payment denials.

Reported nurse staffing is 2.8 hours per resident per day (0.4 RN), close to the Illinois median of 3.3; nursing staff turnover is 43.8%.

67health deficiencies, 3 survey cycles7 at actual harm or worse
$155Kfines listed by CMS5 penalties in period
2.8nurse hours per resident per daystate median 3.3
63%occupancy (residents ÷ beds)68 residents a day

Compared with county, state and nation

MeasureThis facilityStephenson Co. medianIllinois medianUS average
Overall star rating1223.0
Health citations, 3 cycles67513428.7
Citations per 100 beds61.542.728.426.8
Total nurse hours per resident day2.83.23.33.9
RN hours per resident day0.40.70.60.7
Nursing staff turnover43.8%43.8%43.4%45.8%
Fines listed$155,187$124,331$45,123—

County and state figures are medians across facilities (5 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)29
Cycle 221
Cycle 317

Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Nov 2025, 14 Nov 2024.

Severity mix: J ×2 G ×5 D ×46 E ×5 F ×8 C ×1

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
30 Jun 2026F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation7 Jul 2026
30 Jun 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation7 Jul 2026
18 May 2026F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation22 May 2026
6 May 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation15 May 2026
18 Feb 2026F0697Provide safe, appropriate pain management for a resident who requires such services.GComplaint investigation2 Mar 2026
18 Feb 2026F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation2 Mar 2026
18 Feb 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation2 Mar 2026
18 Feb 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation2 Mar 2026
29 Jan 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation5 Feb 2026
29 Jan 2026F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint investigation5 Feb 2026
20 Jan 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FComplaint investigation23 Jan 2026
20 Jan 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation23 Jan 2026
20 Jan 2026F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DComplaint investigation23 Jan 2026
24 Nov 2025F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation2 Dec 2025
24 Nov 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation2 Dec 2025
24 Nov 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation2 Dec 2025
19 Nov 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey1 Dec 2025
19 Nov 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey1 Dec 2025
19 Nov 2025F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.EStandard survey1 Dec 2025
19 Nov 2025F0880Provide and implement an infection prevention and control program.EStandard survey1 Dec 2025
19 Nov 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey1 Dec 2025
19 Nov 2025F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey10 Dec 2025
19 Nov 2025F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey1 Dec 2025
19 Nov 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey1 Dec 2025
19 Nov 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey10 Dec 2025
19 Nov 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey10 Dec 2025
19 Nov 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey1 Dec 2025
19 Nov 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey1 Dec 2025
16 Oct 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation18 Oct 2025
14 Mar 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation20 Mar 2025
14 Mar 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation20 Mar 2025
19 Feb 2025F0803Ensure 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.FComplaint investigation26 Feb 2025
14 Nov 2024F0803Ensure 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.FStandard survey23 Nov 2024
14 Nov 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey23 Nov 2024
14 Nov 2024F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard survey23 Nov 2024
14 Nov 2024F0808Ensure 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.EStandard survey23 Nov 2024
14 Nov 2024F0880Provide and implement an infection prevention and control program.EStandard survey23 Nov 2024
14 Nov 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey23 Nov 2024
14 Nov 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey23 Nov 2024
14 Nov 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey23 Nov 2024
14 Nov 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey23 Nov 2024
14 Nov 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey23 Nov 2024
14 Nov 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey23 Nov 2024
14 Nov 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey23 Nov 2024
14 Nov 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey23 Nov 2024
14 Nov 2024F0761Ensure 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.DStandard survey23 Nov 2024
1 Oct 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation5 Oct 2024
1 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation5 Oct 2024
1 Oct 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation5 Oct 2024
1 Oct 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation5 Oct 2024
24 May 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint investigation25 May 2024
7 May 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation22 May 2024
2 Apr 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.GComplaint investigation18 Apr 2024
2 Apr 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation18 Apr 2024
19 Dec 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard survey12 Jan 2024
19 Dec 2023F0697Provide safe, appropriate pain management for a resident who requires such services.GStandard survey12 Jan 2024
19 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey12 Jan 2024
19 Dec 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey12 Jan 2024
19 Dec 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey12 Jan 2024
19 Dec 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey12 Jan 2024
19 Dec 2023F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey12 Jan 2024
19 Dec 2023F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard survey12 Jan 2024
28 Nov 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation18 Dec 2023
28 Nov 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation18 Dec 2023
2 Nov 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation17 Nov 2023
16 Aug 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation31 Aug 2023
16 Aug 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation31 Aug 2023

Penalties

DateTypeAmountDetail
18 Feb 2026Fine$25,220
2 Apr 2024Payment denial—24 days
2 Apr 2024Fine$64,766
2 Nov 2023Payment denial—21 days
2 Nov 2023Fine$65,201

Staffing

Total nursing2.76 h
Nurse aides1.64 h
LPN0.73 h
RN0.39 h
Weekend total2.38 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 43.8%, RNs 57.1%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityIllinois medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay14.0%11.5%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.4%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.1%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.0%1.5%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay15.1%12.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay8.5%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay18.0%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 Pavilion Llc. Chain: Saba Healthcare (11 facilities).

No organisations are listed in the CMS ownership record for this facility.

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 Stephenson County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Serenity Estates of LenaLena923413639.1—25 Feb 2026
Stephenson Nursing CenterFreeport1483324027.0$18K17 Mar 2026
Manor Court of FreeportFreeport1172235143.6$124K30 Jun 2026
The Citadel At Saint Joseph VillageFreeport1241215342.7$126K22 Apr 2026

All 5 facilities in Stephenson County

Questions and answers

How many deficiencies has Pearl Pointe Nursing Rehab & Care been cited for?

67 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.

Has Pearl Pointe Nursing Rehab & Care been fined?

Yes. CMS lists fines totalling $155K in the period covered, plus 2 payment denials.

How does staffing at Pearl Pointe Nursing Rehab & Care compare?

Reported total nurse staffing is 2.8 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.

Who operates Pearl Pointe Nursing Rehab & Care?

It is part of the Saba Healthcare chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.

When was Pearl Pointe Nursing Rehab & Care last inspected?

The most recent survey or investigation in the CMS record is dated 30 Jun 2026; the most recent standard health survey was 19 Nov 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.