The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
PEARL OF ELGIN, THE
ELGIN, IL · Medicare-certified · 139 beds
In good standing
For-profitChain member
4 of 5 overall
Pearl of Elgin has a 4-star overall rating, with strong quality measures and no fines in the last 24 months. The main concern is staffing: it has a 2-star staffing rating and reported nurse staffing of 3.22 hours per resident per day, below the 4.1 federal benchmark, while the health inspection rating is 3 stars.
Facility ratings
Health inspections
Staffing
3.224 hrs/resident/day
Quality measures
Last inspection: August 31, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.224.
Staffing detail
- Registered nurses
- 0.72
- Licensed practical nurses
- 0.69
- Nurse aides
- 1.82
- Weekend nursing
- 2.81
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 25%
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
10.7%17.6%Worsening
Residents with a fall causing major injury
3%0%Improving
Residents with pressure ulcers (bedsores)
1.9%5.2%Worsening
Residents with a urinary tract infection
2%0%Improving
Residents who lost too much weight
1.1%3.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.8%4.2%No change
Residents whose ability to walk got worse
18.8%12%Improving
Long-stay residents on antianxiety or sleep medication
16.7%16.7%No change
Short-stay residents newly given an antipsychotic
1.6%0%Improving
Residents with a long-term catheter
2%0%Improving
Residents with new or worsening incontinence
19.8%14%Improving
Residents with depressive symptoms
41.3%87.7%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
—92.7%—
Long-stay residents given the pneumonia vaccine
99%100%Improving
Short-stay residents given the seasonal flu vaccine
—56.9%—
Short-stay residents given the pneumonia vaccine
77.8%82.7%Improving
What the inspectors found
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 August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 802 — 42 CFR §483.60 — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
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
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 44 days
Medicare/Medicaid payment denial
Jul 24, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PEARL HEALTHCARE · 15 homes · 2.5 stars avg
- Occupancy
- 123.3 residents on an average day (89% of 139 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 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.