Nursing Home Alerts

Pearl of Elgin, the

2355 Royal Boulevard, Elgin, IL 60123

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Pearl of Elgin, the is a nursing home in Elgin, Illinois. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(847) 888-9585
Last standard health inspection
August 22, 2024 (2 years ago)
Certified beds
139
Residents per day, on average
123.7
Ownership type
For profit - Limited Liability company
Legal business name
Pearl of Elgin, LLC
Chain
Pearl Healthcare
Takes part in
Medicare and Medicaid

More health citations than the Illinois average (39 vs 38).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  2. 2 citations

    Health inspection on August 29, 2026

    CMS lists this as a complaint inspection.

    • Citation F0804. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      CMS lists it as corrected on September 11, 2026.

      CMS has cited this home for F0804 2 times since 2023.

    • Citation F0677. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on September 11, 2026.

      CMS has cited this home for F0677 2 times since 2023.

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  3. 1 citation

    Health inspection on June 17, 2026

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    285 of 664 Illinois homes (43%) got a citation at the actual harm level in 2026.

    • Citation F0684. Severity G: actual harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on June 26, 2026.

      CMS has cited this home for F0684 3 times since 2023.

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  4. Fine

    June 17, 2026 (4 months ago)

    CMS fine of $19,250 on June 17, 2026.

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  5. CMS update of April 29, 2026

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

  6. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  7. 1 citation

    Health inspection on August 31, 2025

    CMS lists this as a complaint inspection.

    • Citation F0551. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Give the resident's representative the ability to exercise the resident's rights.

      CMS lists it as corrected on September 9, 2025.

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  8. Payment stopped

    August 19, 2025 (1 year ago)

    CMS stopped payment for new admissions from August 19, 2025, for 44 days.

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  9. CMS update of February 26, 2025

    • Changed ownership in the last 12 months

      CMS no longer shows a change of ownership in the past 12 months.

  10. CMS update of October 30, 2024

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

    • Name

      CMS lists a new legal business name for this home.

  11. 1 citation

    Health inspection on October 17, 2024

    CMS lists this as a complaint inspection.

    • Citation F0585. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

      CMS lists it as corrected on October 30, 2024.

      CMS has cited this home for F0585 2 times since 2024.

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  12. CMS update of September 26, 2024

    • Changed ownership in the last 12 months

      CMS records show a change of ownership in the past 12 months.

  13. CMS update of August 29, 2024

    • Name

      CMS lists a new legal business name for this home.

    • Ownership

      CMS lists this home under a new chain.

  14. 8 citations

    Health inspection on August 22, 2024

    CMS lists this as a standard inspection.

    • Citation F0880. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on September 7, 2024.

      CMS has cited this home for F0880 3 times since 2022.

    • Citation F0805. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      CMS lists it as corrected on September 7, 2024.

      CMS has cited this home for F0805 3 times since 2022.

    • Citation F0883. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement policies and procedures for flu and pneumonia vaccinations.

      CMS lists it as corrected on September 7, 2024.

    • Citation F0585. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

      CMS lists it as corrected on September 7, 2024.

    • Citation F0645. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: PASARR screening for Mental disorders or Intellectual Disabilities

      CMS lists it as corrected on September 7, 2024.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on September 7, 2024.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on September 7, 2024.

    • Citation F0791. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide or obtain dental services for each resident.

      CMS lists it as corrected on September 18, 2024.

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  15. 6 citations

    Fire safety inspection on August 22, 2024

    CMS lists this as a standard inspection.

    • Citation E0039. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on September 13, 2024.

      CMS has cited this home for E0039 2 times since 2022.

    • Citation K0712. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on September 13, 2024.

      CMS has cited this home for K0712 2 times since 2023.

    • Citation K0351. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install an approved automatic sprinkler system.

      CMS lists it as corrected on September 13, 2024.

      CMS has cited this home for K0351 2 times since 2023.

    • Citation K0363. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on September 13, 2024.

    • Citation K0372. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on September 13, 2024.

    • Citation K0754. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide properly sized and located linen or trash receptacles.

      CMS lists it as corrected on September 13, 2024.

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  16. CMS update of July 31, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

    • Staffing

      Total nurse staffing reported to CMS went from 3.7 to 3.2 hours per resident per day.

  17. CMS update of January 31, 2024

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

    • Name

      CMS lists a new name for this home. It was RIVER CROSSING OF ELGIN.

  18. 16 citations

    Health inspection on September 8, 2023

    CMS lists this as a standard inspection.

    • Citation F0802. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

      CMS lists it as corrected on September 26, 2023.

    • Citation F0803. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

      CMS lists it as corrected on September 26, 2023.

      CMS has cited this home for F0803 2 times since 2022.

    • Citation F0804. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      CMS lists it as corrected on September 26, 2023.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on September 26, 2023.

      CMS has cited this home for F0812 2 times since 2022.

    • Citation F0867. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

      CMS lists it as corrected on September 26, 2023.

    • Citation F0677. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on September 26, 2023.

    • Citation F0684. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on September 26, 2023.

    • Citation F0805. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      CMS lists it as corrected on September 26, 2023.

    • Citation F0808. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

      CMS lists it as corrected on September 26, 2023.

    • Citation F0583. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep residents' personal and medical records private and confidential.

      CMS lists it as corrected on September 26, 2023.

    • Citation F0688. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

      CMS lists it as corrected on September 26, 2023.

      CMS has cited this home for F0688 2 times since 2022.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on September 26, 2023.

    • Citation F0692. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on September 26, 2023.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on September 26, 2023.

    • Citation F0810. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide special eating equipment and utensils for residents who need them and appropriate assistance.

      CMS lists it as corrected on September 26, 2023.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on September 26, 2023.

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  19. 4 citations

    Fire safety inspection on September 8, 2023

    CMS lists this as a standard inspection.

    • Citation K0321. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on September 26, 2023.

    • Citation K0324. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on September 26, 2023.

      CMS has cited this home for K0324 2 times since 2022.

    • Citation K0351. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install an approved automatic sprinkler system.

      CMS lists it as corrected on September 26, 2023.

    • Citation K0712. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on September 26, 2023.

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  20. 10 citations

    Health inspection on October 19, 2022

    CMS lists this as a standard inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    33 of 664 Illinois homes (5%) got a citation at the actual harm level in 2022.

    • Citation F0689. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on November 9, 2022.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on November 9, 2022.

    • Citation F0921. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

      CMS lists it as corrected on November 9, 2022.

    • Citation F0803. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

      CMS lists it as corrected on November 9, 2022.

    • Citation F0805. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      CMS lists it as corrected on November 9, 2022.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on November 9, 2022.

    • Citation F0604. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

      CMS lists it as corrected on November 9, 2022.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on November 9, 2022.

    • Citation F0688. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

      CMS lists it as corrected on November 9, 2022.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on November 9, 2022.

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  21. 6 citations

    Fire safety inspection on October 19, 2022

    CMS lists this as a standard inspection.

    • Citation E0037. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish staff and initial training requirements.

      CMS lists it as corrected on December 16, 2022.

    • Citation E0039. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on December 16, 2022.

    • Citation K0324. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on December 16, 2022.

    • Citation K0345. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on December 16, 2022.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on December 16, 2022.

    • Citation K0929. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

      CMS lists it as corrected on December 16, 2022.

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Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Pearl of Elgin, the last inspected?

CMS lists August 22, 2024 as the date of its most recent standard health inspection.

How many citations (violations) does Pearl of Elgin, the have?

CMS lists 39 health citations since October 19, 2022. CMS also calls these deficiencies.

Has Pearl of Elgin, the been fined?

CMS lists 1 fine in the past three years, $19,250 in total.

What is the CMS star rating of Pearl of Elgin, the?

Its CMS overall star rating is 3 of 5.

Is Pearl of Elgin, the a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

Other nursing homes in Elgin