The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Bethesda Rehab & Senior Care
Registered name: PEARL OF MONTCLARE, THE
CHICAGO, IL · Medicare-certified · 96 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Bethesda Rehab & Senior Care in Chicago has a 2-star overall rating, with 2 stars for health inspections and staffing and 3 stars for quality measures. It reports 3.35 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $44,025 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3529 hrs/resident/day
Quality measures
Last inspection: May 23, 2026Penalties, last 24 months: $44,025recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3529.
Staffing detail
- Registered nurses
- 0.66
- Licensed practical nurses
- 0.68
- Nurse aides
- 2.01
- Weekend nursing
- 3.00
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 44%
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
19%19.2%No change
Residents with a fall causing major injury
1.1%4.3%Worsening
Residents with pressure ulcers (bedsores)
3.1%3.9%Worsening
Residents with a urinary tract infection
0%2.3%Worsening
Residents who lost too much weight
0%1.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.4%5.9%Worsening
Residents whose ability to walk got worse
9%5.2%Improving
Long-stay residents on antianxiety or sleep medication
10.6%10.5%No change
Short-stay residents newly given an antipsychotic
3.8%6.5%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
20.7%5.2%Improving
Residents with depressive symptoms
75.6%88.9%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
—96.3%—
Long-stay residents given the pneumonia vaccine
88.3%77.7%Worsening
Short-stay residents given the seasonal flu vaccine
—37.5%—
Short-stay residents given the pneumonia vaccine
35.5%50%Improving
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited May 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited May 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
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
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 April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — 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 fine of $29,520 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $14,505 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $53,336 in total fines.
- $29,520
Federal fine
Apr 2, 2026
- $14,505
Federal fine
Mar 14, 2025
- $9,311
Federal fine
Nov 17, 2023
Operator & ownership
Recent ownership change · Jul 1, 2023
Now operated by The Pearl of Montclare, previously Bethesda Rehab & Senior Care.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PEARL HEALTHCARE · 15 homes · 2.7 stars avg
- Occupancy
- 105.3 residents on an average day (110% of 96 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.