Pearl of Montclare, the
2833 North Nordica Avenue · Chicago, IL · 60634 · 7736226144
96 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).
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
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: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.41 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.55 | 0.55–0.75 |
| Weekend hours / resident-day | 3.11 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 2 · $23,816 |
Inspection citations (55 in the current record)
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Potential for harm · D March 2, 2026 · 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 March 4, 2026 · Resident Rights
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Potential for harm · D March 2, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 4, 2026 · Quality of Life and Care
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Potential for harm · D May 29, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected June 4, 2025 · Pharmacy Service
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Potential for harm · D April 18, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G March 14, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 1, 2025 · Quality of Life and Care
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Potential for harm · D March 14, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 1, 2025 · Resident Rights
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Potential for harm · D March 14, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 14, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 1, 2025 · Quality of Life and Care
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Potential for harm · E March 14, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 1, 2025 · Quality of Life and Care
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Potential for harm · E March 14, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 1, 2025 · Quality of Life and Care
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Potential for harm · E March 14, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected April 1, 2025 · Quality of Life and Care
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Potential for harm · D March 14, 2025
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 April 1, 2025 · Pharmacy Service
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Potential for harm · D March 14, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 1, 2025 · Pharmacy Service
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Potential for harm · D March 14, 2025
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.
Corrected April 1, 2025 · Nutrition and Dietary
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Potential for harm · D March 14, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected April 1, 2025 · Nutrition and Dietary
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Potential for harm · E March 14, 2025
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.
Corrected April 1, 2025 · Nutrition and Dietary
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Potential for harm · F March 14, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 1, 2025 · Nutrition and Dietary
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Potential for harm · E March 14, 2025
Provide and implement an infection prevention and control program.
Corrected April 1, 2025 · Infection Control
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Potential for harm · D November 14, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 22, 2024 · Quality of Life and Care
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Actual harm · G August 12, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 28, 2024 · Quality of Life and Care
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Potential for harm · E June 3, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 14, 2024 · Quality of Life and Care
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Potential for harm · D April 19, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 1, 2024 · Quality of Life and Care
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Potential for harm · E April 12, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 26, 2024 · Resident Rights
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Potential for harm · E April 12, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected April 26, 2024 · Quality of Life and Care
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Potential for harm · D April 12, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 26, 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 |
|---|---|---|
| March 14, 2025 | Fine | $14,505 |
| November 17, 2023 | Fine | $9,311 |
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 145844 · certified since August 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.