Illinois › Kane County › Elgin
The Pearl of Fox River Valley
1950 Larkin Avenue, Elgin, IL 60123
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.
The Pearl of Fox River Valley is a For-profit, limited liability company nursing home in Elgin, Illinois, certified for 112 beds and caring for about 95 residents a day.
CMS gives it 3 of 5 stars overall, above the Illinois median of 2; the health inspection rating is 3, staffing 3 and quality measures 4.
Inspectors recorded 30 health deficiencies across the three most recent survey cycles (9, 8, 13 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 26.8 per 100 beds, about the same as the state median of 28.4.
CMS lists 2 penalties in the period covered: fines totalling $142K.
Reported nurse staffing is 3.5 hours per resident per day (1.2 RN), close to the Illinois median of 3.3; nursing staff turnover is 48.5%.
Compared with county, state and nation
| Measure | This facility | Kane Co. median | Illinois median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 2 | 3.0 |
| Health citations, 3 cycles | 30 | 30 | 34 | 28.7 |
| Citations per 100 beds | 26.8 | 30.3 | 28.4 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 1.2 | 0.9 | 0.6 | 0.7 |
| Nursing staff turnover | 48.5% | 40.5% | 43.4% | 45.8% |
| Fines listed | $142,448 | $19,250 | $45,123 | — |
County and state figures are medians across facilities (25 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: 4 Sep 2025, 11 Jul 2024.
Severity mix: J ×1 G ×2 D ×19 E ×8
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 |
|---|---|---|---|---|---|
| 4 Sep 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 5 Sep 2025 |
| 4 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 5 Sep 2025 |
| 4 Sep 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. | E | Standard survey | 5 Sep 2025 |
| 4 Sep 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 | 5 Sep 2025 |
| 4 Sep 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 5 Sep 2025 |
| 4 Sep 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 5 Sep 2025 |
| 4 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 5 Sep 2025 |
| 4 Sep 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 5 Sep 2025 |
| 4 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 5 Sep 2025 |
| 21 Nov 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint investigation | 27 Nov 2024 |
| 21 Nov 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 27 Nov 2024 |
| 11 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 19 Jul 2024 |
| 11 Jul 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. | E | Standard survey | 19 Jul 2024 |
| 11 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 19 Jul 2024 |
| 11 Jul 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 19 Jul 2024 |
| 11 Jul 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 19 Jul 2024 |
| 11 Jul 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 | 19 Jul 2024 |
| 16 Dec 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 18 Dec 2023 |
| 30 Nov 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 1 Dec 2023 |
| 30 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | G | Complaint investigation | 1 Dec 2023 |
| 30 Nov 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 1 Dec 2023 |
| 22 Nov 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. | D | Complaint investigation | 23 Nov 2023 |
| 16 Aug 2023 | 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 | 17 Aug 2023 |
| 16 Aug 2023 | 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 | Standard survey | 17 Aug 2023 |
| 16 Aug 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 17 Aug 2023 |
| 16 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 17 Aug 2023 |
| 16 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 17 Aug 2023 |
| 16 Aug 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 17 Aug 2023 |
| 16 Aug 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 17 Aug 2023 |
| 16 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 11 Jul 2024 | Fine | $10,033 | |
| 22 Nov 2023 | Fine | $132,415 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 48.5%, RNs 37.9%; 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 | 3.3% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.1% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.9% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.8% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.6% | 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: Elgin Skilled Nursing Facility Llc. Chain: Pearl Healthcare (15 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Oakway Operations LLC | 5% or greater direct ownership interest | 15% | 10/01/2018 |
| Cibc Bank USA | 5% or greater security interest | NOT APPLICABLE | 10/01/2018 |
| Larkin Ave Property Holdings, LLC | 5% or greater security interest | NOT APPLICABLE | 10/01/2018 |
| Cibc Bank USA | Operational/managerial control | NOT APPLICABLE | 10/01/2018 |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2018 |
| Larkin Ave Property Holdings, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2018 |
| Legacy Healthcare Financial Services LLC | Adp of the snf | NOT APPLICABLE | 11/11/2025 |
| Miller Cooper & Co, Ltd | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
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 Kane County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aperion Care Fox River | Elgin | 94 | 5 | 5 | 3 | 10 | 10.6 | — | 13 Mar 2025 |
| Avondale Estates of Elgin | Elgin | 120 | 5 | 5 | 5 | 11 | 9.2 | — | 27 Jun 2025 |
| Greenfields of Geneva | Geneva | 43 | 5 | 5 | 4 | 19 | 44.2 | $14K | 10 Jan 2026 |
| Highland Oaks | Elgin | 24 | 5 | 5 | 5 | 11 | 45.8 | — | 11 Dec 2025 |
| Michaelsen Health Center | Batavia | 99 | 5 | 4 | 5 | 21 | 21.2 | $9K | 10 Apr 2026 |
| Alden Courts of Waterford | Aurora | 60 | 4 | 4 | 3 | 19 | 31.7 | $22K | 15 Mar 2026 |
| Asbury Gardens Nsg & Rehab | North Aurora | 75 | 4 | 4 | 3 | 20 | 26.7 | $2K | 16 Jan 2026 |
| Avantara Aurora | Aurora | 87 | 4 | 4 | 2 | 23 | 26.4 | — | 20 May 2026 |
All 25 facilities in Kane County
Questions and answers
How many deficiencies has The Pearl of Fox River Valley been cited for?
30 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.
Has The Pearl of Fox River Valley been fined?
Yes. CMS lists fines totalling $142K in the period covered.
How does staffing at The Pearl of Fox River Valley compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.
Who operates The Pearl of Fox River Valley?
It is part of the Pearl Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Oakway Operations LLC, Cibc Bank USA and Legacy Healthcare Financial Services LLC. Individual owners and managers are not listed on this site.
When was The Pearl of Fox River Valley last inspected?
The most recent survey or investigation in the CMS record is dated 4 Sep 2025; the most recent standard health survey was 4 Sep 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.