Pearl of Joliet, the
306 North Larkin Avenue · Joliet, IL · 60435 · 8157445560
214 certified beds For profit - Limited Liability company Chain: Pearl Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $80,303 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
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
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$80,303 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.14 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 2.65 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 3 · $83,448 |
Inspection citations (57 in the current record)
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Actual harm · G April 30, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 14, 2026 · Quality of Life and Care
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Potential for harm · D October 17, 2025 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected October 22, 2025 · Quality of Life and Care
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Potential for harm · D October 17, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected October 22, 2025 · Pharmacy Service
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Potential for harm · E August 6, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 3, 2025 · Nutrition and Dietary
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Potential for harm · D August 6, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 20, 2025 · Infection Control
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Actual harm · G April 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · D February 13, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected February 19, 2025 · Resident Rights
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Potential for harm · D February 13, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected February 19, 2025 · Resident Rights
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Potential for harm · E February 13, 2025
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 February 19, 2025 · Quality of Life and Care
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Potential for harm · E February 13, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 19, 2025 · Quality of Life and Care
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Potential for harm · D February 13, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected February 19, 2025 · Quality of Life and Care
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Potential for harm · D February 13, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 19, 2025 · Pharmacy Service
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Potential for harm · D February 13, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected February 19, 2025 · Nutrition and Dietary
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Potential for harm · D February 13, 2025
Provide and implement an infection prevention and control program.
Corrected February 19, 2025 · Infection Control
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Potential for harm · D February 13, 2025
Implement a program that monitors antibiotic use.
Corrected February 19, 2025 · Infection Control
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Potential for harm · D February 13, 2025
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected February 19, 2025 · Environmental
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Potential for harm · D February 13, 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 February 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 13, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F February 13, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 13, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 19, 2025 · Quality of Life and Care
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Potential for harm · F February 13, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 19, 2025 · Nutrition and Dietary
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Actual harm · G December 27, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 14, 2025 · Quality of Life and Care
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Potential for harm · D December 27, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 7, 2025 · Resident Rights
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Potential for harm · D December 27, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 15, 2025 · Pharmacy Service
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Actual harm · G October 4, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 15, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 27, 2024 | Fine | $72,450 |
| December 27, 2024 | Payment Denial | 23 days |
| September 26, 2024 | Fine | $7,853 |
| July 31, 2023 | Fine | $3,145 |
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 145372 · certified since September 8, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.