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
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 | 3.20 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.69 | 0.55–0.75 |
| Weekend hours / resident-day | 2.87 | ≈ weekday level |
| Nursing turnover / year | 66% | 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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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Potential for harm · E February 27, 2025
Provide and implement an infection prevention and control program.
Corrected March 27, 2025 · Infection Control
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Potential for harm · E February 27, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 27, 2025 · Infection Control
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
| Date | Type | Amount / length |
|---|---|---|
| December 13, 2024 | Fine | $10,269 |
| August 28, 2024 | Fine | $17,102 |
| November 1, 2023 | Fine | $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.