Nursing HomeInspections

Pearl at the Tillers

Nursing home in Oswego, IL

Medicare & Medicaid certified5★ overall (CMS)

Call (630) 554-1001Send a messageMap ↗

Public-record details

Address
4390 Route 71, Oswego, IL 60543
Phone
(630) 554-1001
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
146034
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
105
Average residents per day
73
Ownership
For-profit, limited Liability company
Legal business name
Pearl of Oswego, LLC
Chain
Pearl Healthcare (15 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 9, 2002
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 146034. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 6, 2025. CMS lists 27 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 12, 2023 to Apr 9, 2026): 5 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Apr 9, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 24, 2025Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 29, 2025Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 6, 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
Mar 6, 2025Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 6, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Mar 6, 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
Mar 6, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Oct 9, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 24, 2024Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 9, 2024Honor 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
Feb 9, 2024Provide 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

Showing the 12 most recent of 27. 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 no fines or payment denials for this facility in the last three years.

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
3.59 hours
Registered nurse (RN) time per resident per day
1.12 hours
Nurse aide time per resident per day
2.05 hours
Total nurse staffing on weekends
3.04 hours
Nursing staff turnover (yearly)
42%
RN turnover (yearly)
40%
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.