The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
PEARL AT THE TILLERS
OSWEGO, IL · Medicare-certified · 105 beds
In good standing
For-profitChain member
Data as of July 1, 2026
5 of 5 overall
PEARL AT THE TILLERS in Oswego, IL has an overall 5-star rating, with strong health inspection and quality scores but a low 2-star staffing rating. Reported nurse staffing is 3.59 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5888 hrs/resident/day
Quality measures
Last inspection: April 9, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5888.
Staffing detail
- Registered nurses
- 1.12
- Licensed practical nurses
- 0.42
- Nurse aides
- 2.05
- Weekend nursing
- 3.04
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 40%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
7.1%6.2%Improving
Residents with a fall causing major injury
0%2.3%Worsening
Residents with pressure ulcers (bedsores)
6.2%7.4%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.9%2.7%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3%13.9%Worsening
Residents whose ability to walk got worse
—23.5%—
Long-stay residents on antianxiety or sleep medication
14.3%8.1%Improving
Short-stay residents newly given an antipsychotic
2.1%6.2%Worsening
Residents with a long-term catheter
2.4%0%Improving
Residents with new or worsening incontinence
46.2%27.3%Improving
Residents with depressive symptoms
77.8%90.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.3%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—91.4%—
Short-stay residents given the pneumonia vaccine
91.3%97%Improving
What the inspectors found
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited January 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited January 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Jun 1, 2023
Now operated by Pearl at the Tillers, previously Symphony the Tillers.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PEARL HEALTHCARE · 15 homes · 2.7 stars avg
- Occupancy
- 72.9 residents on an average day (69% of 105 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 23 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.