nursing home in Oswego, IL

Pearl at the Tillers

4390 Route 71, Oswego, IL 60543 · (630) 554-1001

★★★★★5
Much above average
CMS overall star rating
  • Health inspections★★★★★4
  • Staffing★★★★★2
  • Quality measures★★★★★5

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Pearl at the Tillers at a glance

Pearl at the Tillers is a 105-bed for-profit nursing home in Oswego, Illinois (Kendall County).

CMS gives it 5 out of 5 stars on its overall star rating, better than the Illinois average of 2.5.

Residents receive about 3.6 hours of nursing care per day (1.1 of them from registered nurses), close to the state average of 3.4 hours.

Its most recent standard health inspection (March 6, 2025) found 7 health citations. The Illinois average is 12.5.

It has not received a federal fine in the past three years.

Nursing staff turnover is 42.4% per year (state average 44.5%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
105
Certified for
Medicare and Medicaid
Chain / affiliated entity
Pearl Healthcare
Medicare-certified since
October 9, 2002
Resident/family council
Resident
County
Kendall County
CMS Certification Number
146034

Ratings

MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)5 / 52.5 / 53 / 5Better
Health inspection rating ⓘ (higher is better)4 / 52.7 / 52.8 / 5Better
Staffing rating ⓘ (higher is better)2 / 52.1 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)5 / 53 / 53.6 / 5Better
Long-stay quality rating (higher is better)5 / 53.4 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)3 / 52.5 / 53.3 / 5Average

Staffing

This facility3.59 hrsIllinois average3.45 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.59 hrs3.45 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)1.12 hrs0.72 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)2.05 hrs2.09 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.04 hrs3.07 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)42.4%44.5%45.8%Better
Registered nurse turnover (yearly) (lower is better)40%41.8%42.9%Better
Administrators who left in the past year (lower is better)001Better

Inspections

This facility7Illinois average12U.S. average9
Health citations in the most recent inspection: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)7129Better
Citations from complaint investigations (latest cycle) (lower is better)253Better
Weighted health inspection score ⓘ (lower is better)4314380.6Better

Penalties

This facility0Illinois average2U.S. average1
Fines in the past 3 years: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)021Better
Total fines in the past 3 years (lower is better)$0$111,013$30,972Better
All federal penalties in the past 3 years (lower is better)031Better

Size

MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Certified beds105128107
Average residents per day739586
Occupancy69.4%75%80.9%

Long-stay residents

This facility2.3%Illinois average3.1%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)2.3%3.1%3.2%Better
Long-stay residents with pressure ulcers (lower is better)5.5%4.8%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)6.6%21.7%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0%1.5%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0.6%0.9%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)11.9%13.4%13.9%Better
Long-stay residents whose walking worsened (lower is better)13.1%14.3%14.1%Better
Long-stay residents who lose too much weight (lower is better)6.9%6.3%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)82.7%54.2%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)8.1%18.3%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)34.8%20.6%19%Worse
Long-stay residents given a flu vaccine (higher is better)95.3%91.8%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%90.3%93.6%Better

Short-stay residents

This facility3.1%Illinois average2.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)3.1%2.2%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)91.4%63.1%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)94.6%69.7%82%Better

Inspection citations

State inspectors cited this home for 27 health deficiencies and 23 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.

DateCitationSeverityStatus
April 9, 2026
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected April 17, 2026
December 24, 2025
Complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0694
D
Potential harm, isolated
Corrected January 13, 2026
April 29, 2025
Complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602
D
Potential harm, isolated
Corrected April 30, 2025
March 6, 2025
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
F
Potential harm, widespread
Corrected March 24, 2025
March 6, 2025
Fire safety
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies · Tag K0341
F
Potential harm, widespread
Corrected March 24, 2025
March 6, 2025
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected March 24, 2025
March 6, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected March 11, 2025
March 6, 2025
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected March 11, 2025
March 6, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected March 11, 2025
March 6, 2025
Standard
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
D
Potential harm, isolated
Corrected March 11, 2025
March 6, 2025
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected March 11, 2025
October 9, 2024
Complaint
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected October 24, 2024
June 24, 2024
Complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602
D
Potential harm, isolated
Corrected July 5, 2024
February 9, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected March 8, 2024
February 9, 2024
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected February 28, 2024
February 9, 2024
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected February 23, 2024
February 9, 2024
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
F
Potential harm, widespread
Corrected February 29, 2024
February 9, 2024
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
F
Potential harm, widespread
Corrected February 23, 2024
February 9, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected March 15, 2024
February 9, 2024
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
F
Potential harm, widespread
Corrected February 23, 2024
February 9, 2024
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected February 26, 2024
February 9, 2024
Fire safety
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies · Tag E0037
F
Potential harm, widespread
Corrected February 23, 2024
February 9, 2024
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
E
Potential harm, pattern
Corrected February 23, 2024
February 9, 2024
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected February 23, 2024
February 9, 2024
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected February 23, 2024
February 9, 2024
Fire safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Smoke Deficiencies · Tag K0362
E
Potential harm, pattern
Corrected February 23, 2024
February 9, 2024
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected February 23, 2024
February 9, 2024
Standard
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.
Quality of Life and Care Deficiencies · Tag F0688
D
Potential harm, isolated
Corrected February 12, 2024
February 9, 2024
Standard
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Tag F0919
D
Potential harm, isolated
Corrected February 12, 2024
February 9, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected February 12, 2024
February 9, 2024
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected February 12, 2024
February 9, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected February 12, 2024
February 9, 2024
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected February 12, 2024
February 9, 2024
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected February 12, 2024
January 12, 2023
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected January 30, 2023
January 12, 2023
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected January 31, 2023
January 12, 2023
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
F
Potential harm, widespread
Corrected January 31, 2023
January 12, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected April 1, 2023
January 12, 2023
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected January 20, 2023
January 12, 2023
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected February 3, 2023
January 12, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected January 30, 2023
January 12, 2023
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
E
Potential harm, pattern
Corrected January 30, 2023
January 12, 2023
Standard
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.
Infection Control Deficiencies · Tag F0887
E
Potential harm, pattern
Corrected January 24, 2023
January 12, 2023
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected January 30, 2023
January 12, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected January 29, 2023
January 12, 2023
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected January 29, 2023
January 12, 2023
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected January 29, 2023
January 12, 2023
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected January 29, 2023
January 12, 2023
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected January 27, 2023
January 12, 2023
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected January 29, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
PHC OSWEGO HOLDINGS LLC
Organization
5% or greater direct ownership interest99%06/01/2023
EDSS VENTURES LLC
Organization
5% or greater indirect ownership interest7%06/01/2023
ZEFFREN, EITAN
Individual
operational/managerial controlNOT APPLICABLE06/01/2023
MEHTA, NIKI
Individual
w-2 managing employeeNOT APPLICABLE06/01/2023

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    ★★★★★4Above average
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  3. Alden Courts of Waterford

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    ★★★★★4Above average
  4. Alden of Waterford

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    ★★★★★3Average
  5. La Bella of Aurora

    1017 West Galena Boulevard, Aurora, IL 60506 · 5.8 mi

    For-profit · 68 beds

    • Abuse citation
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  6. Pearl of Orchard Valley

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All nursing homes in Oswego, IL · Compare side by side

Frequently asked questions

What is Pearl at the Tillers's rating?

Pearl at the Tillers has 5 out of 5 stars on the CMS overall star rating. The average for Illinois nursing homes is 2.5 stars.

How many inspection citations did Pearl at the Tillers receive?

Its most recent standard health inspection found 7 citations, compared with a Illinois average of 12.5. Every citation is listed on this page with its severity.

Does Pearl at the Tillers accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Pearl at the Tillers?

It is for profit - limited liability company and part of Pearl Healthcare. The ownership section on this page lists the owners and managers reported to CMS.

Where is Pearl at the Tillers and how do I contact it?

Pearl at the Tillers is at 4390 Route 71, Oswego, IL 60543. Phone: (630) 554-1001.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.