The Pearl of Downers GroveCMS ratings, inspections and fines
- Address
- 3450 Saratoga Avenue, Downers Grove, IL 60515
- CCN
- 145657
- Ownership type
- For-profit, corporation
- Certified beds
- 145
- Chain
- Pearl Healthcare
- Residents per day
- 93
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives The Pearl of Downers Grove an overall rating of 1 of 5 stars. The last standard survey was on 14 Apr 2025. The latest survey cycle has 22 health citations. The median for nursing homes in Illinois is 11. CMS lists 1 fine of $30,794 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | DuPage County median | Illinois median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 4.0 | 2.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 38 homes in the county, 666 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Illinois median |
|---|---|---|---|
| Cycle 1 (latest) | 14 Apr 2025 | 22 | 11 |
| Cycle 2 | 2 Feb 2024 | 13 | 11 |
| Cycle 3 | No date | 23 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 22 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 May 2026 | 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 | Complaint investigation | 19 May 2026 |
| 23 Jan 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 5 Feb 2026 |
| 23 Jan 2026 | 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 | Complaint investigation | 5 Feb 2026 |
| 14 Apr 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | F | Standard survey | 30 Apr 2025 |
| 14 Apr 2025 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | F | Standard survey | 30 Apr 2025 |
| 14 Apr 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 30 Apr 2025 |
| 14 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 1 May 2025 |
| 14 Apr 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 30 Apr 2025 |
| 14 Apr 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 30 Apr 2025 |
| 14 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 30 Apr 2025 |
| 14 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 30 Apr 2025 |
| 14 Apr 2025 | 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 | 30 Apr 2025 |
| 14 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 30 Apr 2025 |
| 14 Apr 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 | 30 Apr 2025 |
| 14 Apr 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 30 Apr 2025 |
| 14 Apr 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 30 Apr 2025 |
| 14 Apr 2025 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 30 Apr 2025 |
| 14 Apr 2025 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 30 Apr 2025 |
| 14 Apr 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. | F | Standard survey | 30 Apr 2025 |
| 14 Apr 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 | 30 Apr 2025 |
| 14 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 30 Apr 2025 |
| 14 Apr 2025 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 30 Apr 2025 |
Survey cycle 2: 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 24 Mar 2025 |
| 24 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 26 Mar 2025 |
| 24 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 24 Mar 2025 |
| 1 Oct 2024 | F0567 | Honor the resident's right to manage his or her financial affairs. | D | Complaint investigation | 15 Nov 2024 |
| 2 Feb 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 27 Feb 2024 |
| 2 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 27 Feb 2024 |
| 2 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 27 Feb 2024 |
| 2 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 27 Feb 2024 |
| 2 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 | 27 Feb 2024 |
| 2 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 27 Feb 2024 |
| 2 Feb 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 27 Feb 2024 |
| 2 Feb 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 27 Feb 2024 |
| 2 Feb 2024 | F0761 | 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. | E | Standard survey | 27 Feb 2024 |
Survey cycle 3: 23 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 8 May 2024 |
| 30 Apr 2024 | F0584 | Honor 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. | E | Complaint investigation | 9 May 2024 |
| 30 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 9 May 2024 |
| 25 Mar 2024 | F0585 | 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. | D | Complaint investigation | 16 Apr 2024 |
| 25 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | F | Complaint investigation | 16 Apr 2024 |
| 25 Mar 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 16 Apr 2024 |
| 18 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 14 Feb 2024 |
| 23 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 13 Sep 2023 |
| 23 Aug 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 13 Sep 2023 |
| 23 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 13 Sep 2023 |
| 1 Mar 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | 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 | 24 Mar 2023 |
| 1 Mar 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 24 Mar 2023 |
| 1 Mar 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. | D | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 24 Mar 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 14 Apr 2025 | Fine | $30,794 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Illinois median | Illinois average (CMS) |
|---|---|---|---|
| All nurse staff | 3.60 | 3.30 | 3.45 |
| Registered nurses (RN) | 0.82 | 0.60 | 0.72 |
| Licensed practical nurses (LPN) | 0.72 | 0.64 | |
| Nurse aides | 2.06 | 2.09 | |
| All nurse staff, weekends | 3.32 | 2.90 | 3.08 |
- Nurse staff turnover in a year
- 64.9%
- Nurse staff turnover, Illinois median
- 43.4%
- RN turnover in a year
- 65.2%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Illinois median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.6% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 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 | 1.7% | 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 | 23.1% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.7% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 32.1% | 17.8% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Pearl of Downers Grove LLC
- Chain
- Pearl Healthcare (15 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ez Holdco LLC | Direct ownership interest | 10 Apr 2025 | |
| Ez Holdco LLC | Indirect ownership interest | 10 Apr 2025 | |
| Hooli Holdings LLC | Indirect ownership interest | 10 Apr 2025 | |
| Pearlstone Consulting LLC | Operational/managerial control | 10 Apr 2025 | |
| Ez Holdco LLC | Adp of the snf | 10 Apr 2025 | |
| Hooli Holdings LLC | Adp of the snf | 10 Apr 2025 | |
| Pearlstone Consulting LLC | Adp of the snf | 10 Apr 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in DuPage County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Beacon Hill | Lombard | 5 of 5 | 3 | $30,186 | 3 Jul 2025 | |
| Bella Terra Lombard | Lombard | 4 of 5 | 12 | $0 | 26 Jun 2024 | |
| Alta Rehab at Oak Brook | Oak Brook | 2 of 5 | 17 | $76,863 | 19 Jul 2024 | |
| Oakwood Rehab and Nursing Center | Westmont | 1 of 5 | 29 | $96,215 | 12 Dec 2024 | |
| Burgess Square Healthcare Ctr | Westmont | 4 of 5 | 10 | $0 | 4 Dec 2025 | |
| Pearl of Hinsdale, The | Hinsdale | 4 of 5 | 3 | $0 | 8 Jan 2026 | |
| Oak Trace | Downers Grove | 5 of 5 | 1 | $13,780 | 20 Mar 2026 | |
| Bella Terra Elmhurst | Elmhurst | 4 of 5 | 8 | $0 | 14 Mar 2024 | |
| Bria of Westmont | Westmont | 1 of 5 | 25 | $139,907 | 21 Nov 2025 | |
| The Commons at Lisle Creek Estates | Lisle | 4 of 5 | 4 | $10,059 | 19 Dec 2025 | |
| Park Place Christian Community | Elmhurst | 5 of 5 | 4 | $0 | 25 Apr 2025 | |
| Thrive of Lisle | Lisle | 4 of 5 | 9 | $0 | 30 Jan 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Illinois Department of Public Health: file a health care complaintThe complaint page of the State Survey Agency for Illinois, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of The Pearl of Downers Grove (CCN 145657). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/the-pearl-of-downers-grove-downers-grove-il-145657/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was The Pearl of Downers Grove last inspected?
- The latest inspection with a citation in the CMS record was on 17 May 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 2 Feb 2024.
- Who operates The Pearl of Downers Grove?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Pearl Healthcare. The CMS ownership file names Pearlstone Consulting LLC for operational or managerial control. This site does not show the names of persons.
- Is The Pearl of Downers Grove a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 4 homes in Illinois as Special Focus Facilities and 20 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.