Pearl of Elk Grove, the
1920 Nerge Road · Elk Grove Village, IL · 60007 · 8473010550
190 certified beds For profit - Corporation Chain: Pearl Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $92,074 in fines in the last 24 months.
- 8 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
4 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$92,074 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.24 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.75 | 0.55–0.75 |
| Weekend hours / resident-day | 2.96 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | 6 · $145,897 |
Inspection citations (59 in the current record)
-
Potential for harm · D December 19, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected December 26, 2025 · Resident Rights
-
Potential for harm · D December 19, 2025
Ensure each resident receives an accurate assessment.
Corrected December 26, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 19, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected December 26, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 19, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 26, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 19, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 26, 2025 · Quality of Life and Care
-
Potential for harm · E December 19, 2025
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.
Corrected December 26, 2025 · Pharmacy Service
-
Potential for harm · E December 19, 2025
Provide and implement an infection prevention and control program.
Corrected December 26, 2025 · Infection Control
-
Potential for harm · E July 30, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 5, 2025 · Quality of Life and Care
-
Actual harm · G June 4, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D May 8, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E April 1, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 8, 2025 · Pharmacy Service
-
Potential for harm · E January 15, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected January 21, 2025 · Resident Rights
-
Actual harm · G January 2, 2025 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected January 10, 2025 · Pharmacy Service
-
Potential for harm · E December 17, 2024 · found via complaint
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.
Corrected December 20, 2024 · Resident Rights
-
Potential for harm · D November 8, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 14, 2024 · Resident Rights
-
Potential for harm · D November 8, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 14, 2024 · Quality of Life and Care
-
Potential for harm · E November 8, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected November 14, 2024 · Nursing and Physician Services
-
Potential for harm · D November 8, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 14, 2024 · Nutrition and Dietary
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Potential for harm · D October 23, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 10, 2024 · Quality of Life and Care
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Potential for harm · D October 23, 2024
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.
Corrected November 5, 2024 · Quality of Life and Care
-
Potential for harm · D October 23, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 10, 2024 · Quality of Life and Care
-
Potential for harm · D October 23, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected November 5, 2024 · Pharmacy Service
-
Potential for harm · D October 23, 2024
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.
Corrected December 10, 2024 · Pharmacy Service
-
Potential for harm · D October 23, 2024
Provide and implement an infection prevention and control program.
Corrected November 5, 2024 · Infection Control
-
Immediate jeopardy · J September 26, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 4, 2025 | Fine | $18,915 |
| September 26, 2024 | Fine | $58,852 |
| July 11, 2024 | Fine | $14,307 |
| July 11, 2024 | Payment Denial | 20 days |
| June 7, 2024 | Fine | $42,224 |
| March 26, 2024 | Fine | $9,835 |
| June 20, 2023 | Fine | $1,764 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145689 · certified since November 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.