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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D34 | E10 | F39 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 9, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 17, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 23, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 14, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Apr 14, 2025 | Health | Health Standard | 19 | Actual harm | — | Open → |
| Feb 24, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Oct 1, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 4, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Apr 30, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 25, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Feb 2, 2024 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Feb 2, 2024 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Jan 18, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 1, 2023 | Fire safety | Fire Safety Standard | 15 | Potential harm | — | Open → |
| Mar 1, 2023 | Health | Health Standard | 13 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 14, 2025 | Civil money penalty (fine) | $30,794 | — | 145657|Fine|70499 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D34 | E10 | F39 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 9, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 14, 2026 | Complaint |
| May 17, 2026 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 19, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
15 facilities in 1 states. CMS chain ID 595.
Chain average overall rating (CMS): 2.7
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ez Holdco LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 10, 2025 |
| Ez Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 10, 2025 |
| Hooli Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 10, 2025 |
| Reg 2018 Irrevocable Trust U/a/D 1/1/18 | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 10, 2025 |
| Eitan Zeffren | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 10, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ez Holdco LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 10, 2025 |
| Ez Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 10, 2025 |
| Hooli Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 10, 2025 |
| Reg 2018 Irrevocable Trust U/a/D 1/1/18 | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| The Pearl of Naperville 200 Martin Avenue, Naperville, IL 60540 CCN 145045 | 115 | May 5, 2026 | 651 harm | — | |
| The Pearl of Hinsdale 600 West Ogden Avenue, Hinsdale, IL 60521 CCN 145246 | 202 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Beacon Hill 2400 South Finley Road, Lombard, IL 60148 CCN 145522 | 2 km | 45 | Aug 12, 2026 | 613 harm | $30k | |
| Bella Terra Lombard 2100 South Finley Road, Lombard, IL 60148 CCN 145511 | 2.6 km | 224 | Aug 20, 2026 | 411 harm | — | |
| Alta Rehab at Oak Brook 2013 Midwest Road, Oak Brook, IL 60521 CCN 145458 | 4.4 km | 156 | Jan 14, 2026 | 485 harm1 open | $77k | |
| Oakwood Rehab and Nursing Center 512 East Ogden Avenue, Westmont, IL 60559 CCN 145338Abuse icon | 4.8 km | 149 | Jul 1, 2026 | 804 harm | $96k | |
| Burgess Square Healthcare Ctr 5801 South Cass Avenue, Westmont, IL 60559 CCN 145219 | 5.7 km | 203 | May 21, 2026 | 293 harm | — | |
| The Pearl of Hinsdale 600 West Ogden Avenue, Hinsdale, IL 60521 CCN 145246 | 6.4 km | 202 | Jul 22, 2026 | 352 harm | — | |
| Oak Trace 250 Village Drive, Downers Grove, IL 60516 CCN 145804 | 6.7 km | 104 | Mar 20, 2026 | 312 harm | $14k | |
| Bella Terra Elmhurst 420 West Butterfield Road, Elmhurst, IL 60126 CCN 145711 | 6.7 km | 142 | Sep 4, 2025 | 491 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 145657 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 145657 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 145657 | county_fips County assigned by locating CMS coordinates in Census county boundaries (the CMS county name did not match the Census code list). | Inferred | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Jan 23, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 5, 2026 | Complaint |
| Jan 23, 2026 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 5, 2026 | Complaint |
| Apr 14, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 30, 2025 |
| Apr 14, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 30, 2025 |
| Apr 14, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 28, 2025 |
| Apr 14, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 29, 2025 |
| Apr 14, 2025 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 29, 2025 |
| Apr 14, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 28, 2025 |
| Apr 14, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 29, 2025 |
| Apr 14, 2025 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Apr 30, 2025 |
| Apr 14, 2025 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Apr 30, 2025 |
| Apr 14, 2025 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2025 |
| Apr 14, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 1, 2025 |
| Apr 14, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2025 |
| Apr 14, 2025 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2025 |
| Apr 14, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2025 |
| Apr 14, 2025 | F-0688 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2025 |
| Apr 14, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2025 |
| Apr 14, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Apr 30, 2025 |
| Apr 14, 2025 | F-0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2025 |
| Apr 14, 2025 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 30, 2025 |
| Apr 14, 2025 | F-0803 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 30, 2025 |
| Apr 14, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 30, 2025 |
| Apr 14, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 30, 2025 |
| Apr 14, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 30, 2025 |
| Feb 24, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 24, 2025 | Complaint |
| Feb 24, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 26, 2025 | Complaint |
| Feb 24, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 24, 2025 | Complaint |
| Oct 1, 2024 | F-0567 | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 15, 2024 | Complaint |
| May 4, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected May 8, 2024 | Complaint |
| Apr 30, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 9, 2024 | Complaint |
| Apr 30, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 9, 2024 | Complaint |
| Mar 25, 2024 | F-0585 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 16, 2024 | Complaint |
| Mar 25, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | F · Potential harm Widespread | Corrected Apr 16, 2024 | Complaint |
| Mar 25, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 16, 2024 | Complaint |
| Feb 2, 2024 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 12, 2024 |
| Feb 2, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 12, 2024 |
| Feb 2, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 12, 2024 |
| Feb 2, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 22, 2024 |
| Feb 2, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 22, 2024 |
| Feb 2, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 23, 2024 |
| Feb 2, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 12, 2024 |
| Feb 2, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 22, 2024 |
| Feb 2, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 28, 2024 |
| Feb 2, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 23, 2024 |
| Feb 2, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 27, 2024 |
| Feb 2, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 27, 2024 |
| Feb 2, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 27, 2024 |
| Feb 2, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 27, 2024 |
| Feb 2, 2024 | F-0688 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 27, 2024 |
| Feb 2, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 27, 2024 |
| Feb 2, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 27, 2024 |
| Feb 2, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 27, 2024 |
| Feb 2, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 27, 2024 |
| Jan 18, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 14, 2024 | Complaint |
| Mar 1, 2023 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 14, 2023 |
| Mar 1, 2023 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 14, 2023 |
| Mar 1, 2023 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 14, 2023 |
| Mar 1, 2023 | E-0022 | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 14, 2023 |
| Mar 1, 2023 | E-0029 | Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 14, 2023 |
| Mar 1, 2023 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 14, 2023 |
| Mar 1, 2023 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 14, 2023 |
| Mar 1, 2023 | K-0133 | Install a two-hour-resistant firewall separation. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 14, 2023 |
| Mar 1, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 14, 2023 |
| Mar 1, 2023 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 14, 2023 |
| Mar 1, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 12, 2023 |
| Mar 1, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 14, 2023 |
| Mar 1, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 14, 2023 |
| Mar 1, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 14, 2023 |
| Mar 1, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 14, 2023 |
| Mar 1, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 24, 2023 |
| Mar 1, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 24, 2023 |
| Mar 1, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 24, 2023 |
| Mar 1, 2023 | F-0688 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 24, 2023 |
| Mar 1, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 24, 2023 |
| Mar 1, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 24, 2023 |
| Mar 1, 2023 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 24, 2023 |
| Mar 1, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 24, 2023 |
| Mar 1, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 24, 2023 |
| Mar 1, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 24, 2023 |
| Mar 1, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 24, 2023 |
| Mar 1, 2023 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 24, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.77 (case-mix index 1.80).
| not provided |
| Apr 10, 2025 |
| Eitan Zeffren | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 10, 2025 |
| Eitan Zeffren | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 10, 2025 |
| Pearlstone Consulting LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 10, 2025 |
| Shahaab Uddin | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 10, 2025 |
| Lisa Williams | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 10, 2025 |
| Eitan Zeffren | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 10, 2025 |
| Ez Holdco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 10, 2025 |
| Hooli Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 10, 2025 |
| Pearlstone Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 10, 2025 |
| Reg 2018 Irrevocable Trust U/a/D 1/1/18 | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 10, 2025 |
| Shahaab Uddin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 10, 2025 |
| Lisa Williams | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 10, 2025 |
| Eitan Zeffren | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 10, 2025 |
| Jul 22, 2026 |
352 harm |
| — |
| The Pearl of Rolling Meadows 4225 Kirchoff Road, Rolling Meadows, IL 60008 CCN 145350Abuse icon | 155 | Aug 4, 2026 | 542 harm1 open | — |
| The Pearl of Joliet 306 North Larkin Avenue, Joliet, IL 60435 CCN 145372 | 214 | May 7, 2026 | 565 harm | $106k |
| Pearl of Orchard Valley 2330 West Galena Boulevard, Aurora, IL 60506 CCN 145473Abuse icon | 203 | Aug 11, 2026 | 932 IJ6 harm1 open | $528k |
| The Pearl of Crystal Lake 1000 East Brighton Lane, Crystal Lake, IL 60012 CCN 145612 | 97 | Jun 4, 2026 | 56 | — |
| The Pearl of Elk Grove 1920 Nerge Road, Elk Grove Village, IL 60007 CCN 145689 | 190 | Jul 26, 2026 | 772 IJ9 harm | $144k |
| The Pearl of Fox River Valley 1950 Larkin Avenue, Elgin, IL 60123 CCN 145699 | 112 | Sep 4, 2025 | 451 IJ2 harm | $142k |