Nursing HomeInspections

The Pearl of Fox River Valley

Nursing home in Elgin, IL

Medicare & Medicaid certified3★ overall (CMS)

Call (847) 742-7070Send a messageMap ↗

Public-record details

Address
1950 Larkin Avenue, Elgin, IL 60123
Phone
(847) 742-7070
Listed under
For-profit
Medicare CCN
145699
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
112
Average residents per day
95
Ownership
For-profit, limited Liability company
Legal business name
Elgin Skilled Nursing Facility LLC
Chain
Pearl Healthcare (15 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 30, 1991
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 145699. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 4, 2025. CMS lists 30 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 16, 2023 to Sep 4, 2025): 8 from complaint inspections, 3 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Sep 4, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Sep 4, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights
D
Potential for more than minimal harm, isolated
Sep 4, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Sep 4, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Sep 4, 2025Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Sep 4, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Sep 4, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Sep 4, 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
E
Potential for more than minimal harm, pattern
Sep 4, 2025Ensure 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.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Nov 21, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 21, 2024Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 11, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 30. 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 2 fines totalling $142,448 in the last three years.

Jul 11, 2024Fine: $10,033
Nov 22, 2023Fine: $132,415

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
3.48 hours
Registered nurse (RN) time per resident per day
1.21 hours
Nurse aide time per resident per day
1.92 hours
Total nurse staffing on weekends
3.23 hours
Nursing staff turnover (yearly)
49%
RN turnover (yearly)
38%
Administrators who left in the past year
0

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 Elgin

Aperion Care Fox River355 Raymond Street · Elgin, IL 60120 · (847) 697-6636 · For-profit10 health citations in 3 inspection cycles · last standard inspection Mar 13, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Avondale Estates of Elgin1754-1760 Capital Street · Elgin, IL 60124 · (847) 531-6004 · For-profit11 health citations in 3 inspection cycles · last standard inspection Jun 27, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Highland Oaks2750 West Highland Avenue · Elgin, IL 60123 · (847) 741-4543 · Nonprofit11 health citations in 3 inspection cycles · last standard inspection Dec 11, 2025 · no CMS fines in 3 yrsMedicaid-certified5★ overall (CMS)Crescent Care of Elgin180 South State Street · Elgin, IL 60123 · (847) 742-3310 · For-profit23 health citations in 3 inspection cycles · last standard inspection Dec 4, 2025 · $44,709 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)The Pearl of Elgin2355 Royal Boulevard · Elgin, IL 60123 · (847) 888-9585 · For-profit37 health citations in 3 inspection cycles · last standard inspection Aug 22, 2024 · $19,250 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)Aperion Care Elgin134 North McLean Boulevard · Elgin, IL 60121 · (847) 742-8822 · For-profit35 health citations in 3 inspection cycles · last standard inspection Apr 24, 2025 · $56,661 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)River View Rehab Center50 North Jane · Elgin, IL 60123 · (847) 697-3750 · For-profit46 health citations in 3 inspection cycles · last standard inspection Sep 5, 2025 · $452,802 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)CMS abuse icon

All 8 in Elgin →