Nursing HomeInspections

The Pearl of Elgin

Nursing home in Elgin, IL

Medicare & Medicaid certified4★ overall (CMS)

Call (847) 888-9585Send a messageMap ↗

Public-record details

Address
2355 Royal Boulevard, Elgin, IL 60123
Phone
(847) 888-9585
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
145821
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
139
Average residents per day
125
Ownership
For-profit, limited Liability company
Legal business name
Pearl of Elgin, LLC
Chain
Pearl Healthcare (15 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 7, 1994
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 145821. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 22, 2024. CMS lists 37 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 19, 2022 to Jun 17, 2026): 3 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 17, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection · under dispute review
G
Actual harm, isolated
Aug 31, 2025Give the resident's representative the ability to exercise the resident's rights.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Oct 17, 2024Honor 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.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 22, 2024Honor 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.
Resident Rights
D
Potential for more than minimal harm, isolated
Aug 22, 2024PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Aug 22, 2024Provide 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
Aug 22, 2024Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Aug 22, 2024Provide or obtain dental services for each resident.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Aug 22, 2024Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Aug 22, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control
E
Potential for more than minimal harm, pattern
Aug 22, 2024Provide and implement an infection prevention and control program.
Infection Control
F
Potential for more than minimal harm, widespread
Sep 8, 2023Keep residents' personal and medical records private and confidential.
Resident Rights
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 37. 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 $19,250 and 1 denial of Medicare payment for new admissions in the last three years.

Jun 17, 2026Fine: $19,250
Jul 24, 2025Payment denial for 44 days from Aug 19, 2025

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
3.18 hours
Registered nurse (RN) time per resident per day
0.73 hours
Nurse aide time per resident per day
1.77 hours
Total nurse staffing on weekends
2.76 hours
Nursing staff turnover (yearly)
40%
RN turnover (yearly)
15%
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 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)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)The Pearl of Fox River Valley1950 Larkin Avenue · Elgin, IL 60123 · (847) 742-7070 · For-profit30 health citations in 3 inspection cycles · last standard inspection Sep 4, 2025 · $142,448 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 →