Elgin, IL

Pearl Of Elgin, The

4-star overall rating with 3-star inspections with 9 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

2355 Royal Boulevard, Elgin, IL

(847) 888-9585

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

139

Certified beds

Average residents

127

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Pearl Healthcare

Operator or chain grouping

Approved since

1994-12-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

13 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.77

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.63

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

1.87

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.27

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.40

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

2.83

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.54

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.65

CMS adjusted RN staffing hours

Adjusted total hours

2.78

CMS adjusted total nurse staffing hours

Case-mix index

1.61

Higher values indicate more complex resident acuity

RN turnover

15%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

39%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,124

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

17.94

Composite VBP score used to determine payment impact.

Payment multiplier

0.9819

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.28

Baseline 17.99% · Performance 20.38% · Measure score 2.28 · Achievement 2.28 · Improvement 0

Healthcare-associated infections

1.97

Baseline 8.22% · Performance 7.42% · Measure score 1.97 · Achievement 1.38 · Improvement 1.97

Total nurse turnover

2.92

Performance 51.72% · Measure score 2.92 · Achievement 2.92 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

0

Baseline 2.69 hours · Performance 2.68 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.78%
10.72%
0.1 pts worse
No Different than the National Rate · Eligible stays 178 · Observed rate 12.36% · Lower 95% interval 7.45%
Discharge to community 52.93%
50.57%
2.4 pts better
No Different than the National Rate · Eligible stays 152 · Observed rate 46.05% · Lower 95% interval 43.95%
Medicare spending per beneficiary 1.14
1.02
0.1 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 116 · Denominator 116
Falls with major injury 0.86%
0.77%
0.1 pts worse
Numerator 1 · Denominator 116
Discharge self-care score 56.79%
53.69%
3.1 pts better
Numerator 46 · Denominator 81
Discharge mobility score 51.85%
50.94%
0.9 pts better
Numerator 42 · Denominator 81
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 116 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 7.42%
7.12%
0.3 pts worse
No Different than the National Rate · Eligible stays 82 · Observed rate 8.54% · Lower 95% interval 4.39%
Staff COVID-19 vaccination coverage 4.55%
8.2%
3.6 pts worse
Numerator 8 · Denominator 176
Staff flu vaccination coverage 65.41%
42%
23.4 pts better
Numerator 121 · Denominator 185
Discharge function score 64.2%
56.45%
7.8 pts better
Numerator 52 · Denominator 81
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 33 · Denominator 33
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 42 · Denominator 42
Resident COVID-19 vaccinations up to date 19.44%
25.2%
5.8 pts worse
Numerator 14 · Denominator 72

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.3
2.0
0.7 pts better
1.9
0.6 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.5 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.7
2.3
1.6 pts better
1.8
1.1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.6%
89.6%
9 pts better
93.4%
5.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 96.1% · Q2 99.0% · Q3 99.0% · Q4 100.0% · 4Q avg 98.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92.7%
91.6%
1.1 pts better
95.5%
2.8 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.7%
Percentage of long-stay residents experiencing one or more falls with major injury 2.6%
3.3%
0.7 pts better
3.3%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 3.0% · Q3 3.0% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 57.4%
50.3%
7.1 pts worse
11.4%
46 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 65.6% · Q2 41.3% · Q3 62.2% · Q4 59.6% · 4Q avg 57.4%
Percentage of long-stay residents who lose too much weight 2.0%
6.5%
4.5 pts better
5.4%
3.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.1% · Q3 1.1% · Q4 2.1% · 4Q avg 2.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.6%
18.5%
1.9 pts better
19.6%
3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 16.7% · Q3 15.9% · Q4 19.2% · 4Q avg 16.6%
Percentage of long-stay residents who received an antipsychotic medication 14.8%
22.8%
8 pts better
16.7%
1.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 9.8% · Q3 18.1% · Q4 18.1% · 4Q avg 14.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 13.0%
17.2%
4.2 pts better
16.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 18.8% · Q3 7.9% · Q4 19.4% · 4Q avg 13.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 6.3%
15.0%
8.7 pts better
14.9%
8.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.8% · Q3 5.0% · Q4 13.0% · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.7%
1.1%
0.6 pts worse
1.0%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 2.0% · Q3 1.7% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.0%
1.7%
0.7 pts better
1.7%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 0.0% · Q4 1.8% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.0%
21.3%
2.3 pts better
19.8%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 19.8% · Q3 15.8% · Q4 17.4% · 4Q avg 19.0%
Percentage of long-stay residents with pressure ulcers 2.6%
5.2%
2.6 pts better
5.1%
2.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.9% · Q3 3.4% · Q4 2.6% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 82.4%
68.8%
13.6 pts better
81.7%
0.7 pts better
Short Stay · 2024Q4-2025Q3 · Q1 67.8% · Q2 77.8% · Q3 86.9% · Q4 96.0% · 4Q avg 82.4%
Percentage of short-stay residents who had an outpatient emergency department visit 11.8%
14.0%
2.2 pts better
12.0%
0.2 pts better
Short Stay · 20240701-20250630 · Adjusted 11.8% · Observed 12.4% · Expected 11.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.3%
2.3%
1 pts better
1.6%
0.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 1.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 56.9%
63.0%
6.1 pts worse
79.7%
22.8 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 56.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.5%
26.2%
4.7 pts better
23.9%
2.4 pts better
Short Stay · 20240701-20250630 · Adjusted 21.5% · Observed 21.9% · Expected 24.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-22 · Fire 2024-08-22

9 health deficiencies

Top issue: Infection Control (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-09-08 · Fire 2023-09-08

17 health deficiencies

Top issue: Nutrition and Dietary (7 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2022-10-19 · Fire 2022-10-19

11 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-22

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-09-13

F · Potential for more than minimal harm 2024-08-22

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-09-13

E · Potential for more than minimal harm 2024-08-22

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-09-13

E · Potential for more than minimal harm 2024-08-22

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-09-13

E · Potential for more than minimal harm 2024-08-22

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-09-13

E · Potential for more than minimal harm 2024-08-22

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2024-09-13

E · Potential for more than minimal harm 2023-09-08

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-09-26

E · Potential for more than minimal harm 2023-09-08

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-09-26

E · Potential for more than minimal harm 2023-09-08

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-09-26

C · Minimal harm 2023-09-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-09-26

F · Potential for more than minimal harm 2022-10-19

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2022-12-16

F · Potential for more than minimal harm 2022-10-19

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2022-12-16

F · Potential for more than minimal harm 2022-10-19

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-12-16

F · Potential for more than minimal harm 2022-10-19

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-12-16

F · Potential for more than minimal harm 2022-10-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-12-16

F · Potential for more than minimal harm 2022-10-19

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2022-12-16

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-31

F551 · Resident Rights Deficiencies

Health

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2025-09-09

D · Potential for more than minimal harm 2024-10-17

F585 · Resident Rights Deficiencies

Health

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 2024-10-30

F · Potential for more than minimal harm 2024-08-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-07

E · Potential for more than minimal harm 2024-08-22

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-09-07

E · Potential for more than minimal harm 2024-08-22

F883 · Infection Control Deficiencies

Health

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

Corrected 2024-09-07

D · Potential for more than minimal harm 2024-08-22

F585 · Resident Rights Deficiencies

Health

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 2024-09-07

D · Potential for more than minimal harm 2024-08-22

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-09-07

D · Potential for more than minimal harm 2024-08-22

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-07

D · Potential for more than minimal harm 2024-08-22

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-09-07

D · Potential for more than minimal harm 2024-08-22

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2024-09-18

F · Potential for more than minimal harm 2023-09-08

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2023-09-26

F · Potential for more than minimal harm 2023-09-08

F803 · Nutrition and Dietary Deficiencies

Health

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 2023-09-26

F · Potential for more than minimal harm 2023-09-08

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-09-26

F · Potential for more than minimal harm 2023-09-08

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-09-26

F · Potential for more than minimal harm 2023-09-08

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-09-26

E · Potential for more than minimal harm 2023-09-08

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-26

E · Potential for more than minimal harm 2023-09-08

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-26

E · Potential for more than minimal harm 2023-09-08

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2023-09-26

E · Potential for more than minimal harm 2023-09-08

F808 · Nutrition and Dietary Deficiencies

Health

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 2023-09-26

D · Potential for more than minimal harm 2023-09-08

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-09-26

D · Potential for more than minimal harm 2023-09-08

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2023-09-26

D · Potential for more than minimal harm 2023-09-08

F690 · Quality of Life and Care Deficiencies

Health

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 2023-09-26

D · Potential for more than minimal harm 2023-09-08

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-09-26

D · Potential for more than minimal harm 2023-09-08

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-26

D · Potential for more than minimal harm 2023-09-08

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2023-09-26

D · Potential for more than minimal harm 2023-09-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-26

D · Potential for more than minimal harm 2023-03-02

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-03-17

G · Actual harm 2022-10-19

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-11-09

F · Potential for more than minimal harm 2022-10-19

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-11-09

F · Potential for more than minimal harm 2022-10-19

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2022-11-09

E · Potential for more than minimal harm 2022-10-19

F803 · Nutrition and Dietary Deficiencies

Health

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 2022-11-09

E · Potential for more than minimal harm 2022-10-19

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2022-11-09

D · Potential for more than minimal harm 2022-10-19

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2022-11-09

D · Potential for more than minimal harm 2022-10-19

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2022-11-09

D · Potential for more than minimal harm 2022-10-19

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-11-09

D · Potential for more than minimal harm 2022-10-19

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2022-11-09

D · Potential for more than minimal harm 2022-10-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-11-09

Penalties and ownership

What sits behind the stars

$0 2025-07-24

Payment Denial

Payment Denial · denial start 2025-08-19 · 44 days

44 day denial

Ownership

Phc Elgin Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2023-12-01
2355 Royal Blvd LLC

5% Or Greater Security Interest · Organization

0% 1 facilities 2023-12-01
Ccg Barbados, LLC

5% Or Greater Security Interest · Organization

0% 7 facilities 2023-12-01
Ez Holdco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 11 facilities 2023-12-01
Grinblatt, Eliyahu

5% Or Greater Indirect Ownership Interest · Individual

0% 2 facilities 2023-12-01
Hooli Operations LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 2 facilities 2023-12-01
Nawab, Hina

Contracted Managing Employee · Individual

0% 1 facilities 2023-12-01
Querubin, Reynaldo

W-2 Managing Employee · Individual

0% 1 facilities 2023-12-01
Reg 2018 Irrevocable Trust U/A/D 1/1/18

5% Or Greater Indirect Ownership Interest · Organization

0% 14 facilities 2023-12-01
Zeffren, Eitan

5% Or Greater Indirect Ownership Interest · Individual

0% 14 facilities 2023-12-01
Zeffren, Eitan

Corporate Officer · Individual

0% 14 facilities 2023-12-01

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