Nursing HomeInspections

The Pearl of Downers Grove

Nursing home in Downers Grove, IL

Medicare & Medicaid certified1★ overall (CMS)

Call (630) 969-2900Send a messageMap ↗

Public-record details

Address
3450 Saratoga Avenue, Downers Grove, IL 60515
Phone
(630) 969-2900
Listed under
For-profit
Medicare CCN
145657
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
2 of 5
Certified beds
145
Average residents per day
93
Ownership
For-profit, corporation
Legal business name
Pearl of Downers Grove LLC
Chain
Pearl Healthcare (15 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 22, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 145657. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 14, 2025. CMS lists 58 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 1, 2023 to May 17, 2026): 17 from complaint inspections, 3 at the “actual harm” level or higher.

InspectionCitationSeverity
May 17, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Jan 23, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 23, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 14, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 14, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 14, 2025Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 14, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 14, 2025Provide 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 14, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 14, 2025Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 14, 2025Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 14, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 58. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $30,794 in the last three years.

Apr 14, 2025Fine: $30,794

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.60 hours
Registered nurse (RN) time per resident per day
0.82 hours
Nurse aide time per resident per day
2.06 hours
Total nurse staffing on weekends
3.32 hours
Nursing staff turnover (yearly)
65%
RN turnover (yearly)
65%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Downers Grove

Oak Trace250 Village Drive · Downers Grove, IL 60516 · (630) 769-6200 · Nonprofit16 health citations in 3 inspection cycles · last standard inspection Mar 20, 2026 · $13,780 in CMS fines (3 yrs)Medicare-certified5★ overall (CMS)

All 2 in Downers Grove →