Pearl of St Charles, the

850 Dunham Rd · St Charles, IL · 60174 · 6304434400

109 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: $27,371 in fines in the last 24 months.
  • 4 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

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.

66% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 36
Serious harm & abuse 20% 70
Staffing 20% 59
Federal penalties 15% 44
Trend 10% 81
Context 5% 100

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-day3.203.48 min · 4.1 strong
RN hours / resident-day0.690.55–0.75
Weekend hours / resident-day2.87≈ weekday level
Nursing turnover / year66%median 45%
Fines (3-yr window)3 · $41,294

Inspection citations (51 in the current record)

  • Potential for harm · D January 29, 2026 · found via complaint

    Provide appropriate foot care.

    Corrected January 30, 2026 · Quality of Life and Care

  • Potential for harm · D January 8, 2026 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected January 12, 2026 · Pharmacy Service

  • Potential for harm · D February 27, 2025

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected March 14, 2025 · Resident Rights

  • Potential for harm · E February 27, 2025

    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.

    Corrected March 14, 2025 · Resident Rights

  • Potential for harm · E February 27, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 14, 2025 · Quality of Life and Care

  • Potential for harm · D February 27, 2025

    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 March 14, 2025 · Quality of Life and Care

  • Potential for harm · D February 27, 2025

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected March 21, 2025 · Quality of Life and Care

  • Potential for harm · D February 27, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 14, 2025 · Quality of Life and Care

  • Potential for harm · E February 27, 2025

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected March 14, 2025 · Nutrition and Dietary

  • Potential for harm · E February 27, 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 March 14, 2025 · Nutrition and Dietary

  • Potential for harm · F February 27, 2025

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

    Corrected March 14, 2025 · Nutrition and Dietary

  • Potential for harm · E February 27, 2025

    Provide and implement an infection prevention and control program.

    Corrected March 27, 2025 · Infection Control

  • Potential for harm · E February 27, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected March 27, 2025 · Infection Control

  • Potential for harm · E February 27, 2025

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected March 27, 2025 · Infection Control

  • Potential for harm · D February 20, 2025 · found via complaint

    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

    Corrected March 5, 2025 · Resident Rights

  • Potential for harm · D February 20, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 25, 2025 · Quality of Life and Care

  • Actual harm · G December 13, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 28, 2024 · Quality of Life and Care

  • Potential for harm · D November 1, 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 November 8, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J August 28, 2024 · found via complaint

    Prepare residents for a safe transfer or discharge from the nursing home.

    Corrected September 12, 2024 · Resident Rights

  • Potential for harm · E August 9, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected August 21, 2024 · Pharmacy Service

  • Potential for harm · D April 25, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 30, 2024 · Resident Rights

  • Potential for harm · D April 25, 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 April 30, 2024 · Resident Rights

  • Potential for harm · D April 25, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 30, 2024 · Quality of Life and Care

  • Potential for harm · D April 25, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 30, 2024 · Quality of Life and Care

  • Potential for harm · D March 14, 2024

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected April 4, 2024 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 13, 2024Fine$10,269
August 28, 2024Fine$17,102
November 1, 2023Fine$13,923

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 145980 · certified since June 30, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.