The nursing home failed to protect residents from abuse and neglect by others. Cited March 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
PEARL OF ORCHARD VALLEY
AURORA, IL · Medicare-certified · 203 beds
Needs attention
Abuse citationFor-profitChain member
1 of 5 overall
Pearl of Orchard Valley in Aurora, IL has a 1-star overall rating, with a 1-star health inspection rating and 2-star staffing; reported staffing is 3.20 hours per resident per day versus the 4.1 federal benchmark. It also has $528,786 in fines in the last 24 months and a recent abuse citation, with recent inspection issues involving abuse/neglect protection, treatment and care orders, and pressure ulcer care.
Facility ratings
Health inspections
Staffing
3.1981 hrs/resident/day
Quality measures
Last inspection: March 17, 2026Penalties, last 24 months: $528,786recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1981.
Staffing detail
- Registered nurses
- 0.76
- Licensed practical nurses
- 0.58
- Nurse aides
- 1.86
- Weekend nursing
- 2.77
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 52%
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
25.3%18.9%Improving
Residents with a fall causing major injury
2.3%3%Worsening
Residents with pressure ulcers (bedsores)
11.9%5.2%Improving
Residents with a urinary tract infection
0%0.8%Worsening
Residents who lost too much weight
9.5%6.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.9%2.5%Improving
Residents whose ability to walk got worse
22.9%0%Improving
Long-stay residents on antianxiety or sleep medication
12.8%12.4%No change
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1.4%0%Improving
Residents with new or worsening incontinence
20.1%12%Improving
Residents with depressive symptoms
92.4%95.9%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
—80.9%—
Long-stay residents given the pneumonia vaccine
75.2%44%Worsening
Short-stay residents given the seasonal flu vaccine
—29.5%—
Short-stay residents given the pneumonia vaccine
25.8%8.2%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $277,045 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $40,740 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $183,450 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $12,191 was recorded.
- PENALTY
A federal fine of $15,360 was recorded.
Penalties & enforcement
On record with Medicare: 6 fines · $542,423 in total fines · 1 payment denial.
- $277,045
Federal fine
Mar 17, 2026
- $40,740
Federal fine
Nov 21, 2025
- $183,450
Federal fine
Sep 18, 2025
- 4 days
Medicare/Medicaid payment denial
Mar 21, 2025
- $12,191
Federal fine
Feb 11, 2025
- $15,360
Federal fine
Jun 2, 2024
- $13,637
Federal fine
Feb 8, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PEARL HEALTHCARE · 15 homes · 2.5 stars avg
- Occupancy
- 136.7 residents on an average day (67% of 203 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 42 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.