The nursing home failed to protect residents from abuse and neglect by others. Cited November 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Avantara of Elgin
Registered name: The Pearl of Fox River Valley
ELGIN, IL · Medicare-certified · 112 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Avantara of Elgin has a 3-star overall rating, with 3-star health inspection and staffing ratings and 4-star quality measures. Reported nurse staffing is 3.48 hours per resident per day, below the federal benchmark of 4.1, and the facility had $10,033 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.4755 hrs/resident/day
Quality measures
Last inspection: September 4, 2025Penalties, last 24 months: $10,033recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4755.
Staffing detail
- Registered nurses
- 1.21
- Licensed practical nurses
- 0.35
- Nurse aides
- 1.92
- Weekend nursing
- 3.23
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 38%
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
14.3%11.8%Improving
Residents with a fall causing major injury
3.5%0%Improving
Residents with pressure ulcers (bedsores)
2.1%3%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.5%9.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.9%3%No change
Residents whose ability to walk got worse
18.9%11.5%Improving
Long-stay residents on antianxiety or sleep medication
14.5%13.6%Improving
Short-stay residents newly given an antipsychotic
1%2.6%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
22.7%27.8%Worsening
Residents with depressive symptoms
93.8%100%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
—82.6%—
Long-stay residents given the pneumonia vaccine
90.6%86.1%Worsening
Short-stay residents given the seasonal flu vaccine
—18.5%—
Short-stay residents given the pneumonia vaccine
46.2%22.2%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: E
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — 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 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $10,033 was recorded.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $142,448 in total fines.
- $10,033
Federal fine
Jul 11, 2024
- $132,415
Federal fine
Nov 22, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PEARL HEALTHCARE · 15 homes · 2.7 stars avg
- Occupancy
- 95.4 residents on an average day (85% of 112 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 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.