The Pearl of Fox River Valley
1950 Larkin Avenue · Elgin, IL · 60123 · 8477427070
112 certified beds For profit - Limited Liability company Chain: Pearl Healthcare
Why this verdict
- Federal penalties on record: $10,033 in fines in the last 24 months.
- 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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 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.
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: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.19 | 0.55–0.75 |
| Weekend hours / resident-day | 3.25 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 2 · $142,448 |
Inspection citations (30 in the current record)
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Potential for harm · D September 4, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 5, 2025 · Resident Rights
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Potential for harm · D September 4, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected September 5, 2025 · Resident Rights
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Potential for harm · D September 4, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 5, 2025 · Quality of Life and Care
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Potential for harm · E September 4, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 5, 2025 · Quality of Life and Care
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Potential for harm · E September 4, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 5, 2025 · Quality of Life and Care
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Potential for harm · E September 4, 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 September 5, 2025 · Quality of Life and Care
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Potential for harm · D September 4, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 5, 2025 · Pharmacy Service
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Potential for harm · E September 4, 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 September 5, 2025 · Nutrition and Dietary
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Potential for harm · D September 4, 2025
Provide and implement an infection prevention and control program.
Corrected September 5, 2025 · Infection Control
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Potential for harm · D November 21, 2024 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected November 27, 2024 · Pharmacy Service
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Potential for harm · D November 21, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 27, 2024 · Pharmacy Service
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Actual harm · G July 11, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 19, 2024 · Quality of Life and Care
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Potential for harm · E July 11, 2024
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 July 19, 2024 · Resident Rights
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Potential for harm · E July 11, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 19, 2024 · Quality of Life and Care
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Potential for harm · D July 11, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 19, 2024 · Quality of Life and Care
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Potential for harm · D July 11, 2024
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 July 19, 2024 · Quality of Life and Care
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Potential for harm · E July 11, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected July 19, 2024 · Nutrition and Dietary
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Potential for harm · D December 16, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 18, 2023 · Quality of Life and Care
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Immediate jeopardy · J November 30, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 1, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G November 30, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 1, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 30, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 1, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 22, 2023 · found via complaint
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 November 23, 2023 · Infection Control
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Potential for harm · D August 16, 2023
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 August 17, 2023 · Resident Rights
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Potential for harm · D August 16, 2023
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected August 17, 2023 · Quality of Life and Care
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Potential for harm · D August 16, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 17, 2023 · 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 |
|---|---|---|
| July 11, 2024 | Fine | $10,033 |
| November 22, 2023 | Fine | $132,415 |
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 145699 · certified since July 30, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.