Federal inspection record · CMS data as of October 1, 2026
The Pearl of Fox River Valley
1950 Larkin Avenue, Elgin, IL · (847) 742-7070
- Certified beds
- 112
- Residents per day
- 102
- Ownership
- For-Profit
- Chain
- Pearl Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 30, 1991
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Illinois.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Illinois homes
The Pearl of Fox River Valley carries 80.75 inspection points. That is fewer than 62% of Illinois's 659 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Illinois: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–73 pts
- 3★ 73–120.25 pts
- 2★ 120.25–219 pts
- 1★ over 219 pts
Bars show every rated home in Illinois by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
30 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Everything else, by area of care
Quality of Life and Care11E
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service6E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure that residents are free from significant medication errors.
- E
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
Resident Rights4E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- E
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.
- D
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.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
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.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary2E
- E
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.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Respond appropriately to all alleged violations.
Inspection history
2025-09-04
9 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-07-11
8 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-08-16
13 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 25 min of nursing staff time a day, 1 h of it from a registered nurse.
This home
3 h 25 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 29% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$142,448 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-11 | Fine | $10,033 |
| 2023-11-22 | Fine | $132,415 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.7 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 2.4 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.1 pts worse | 86.4% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.9 pts better | 96.6% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts better | 1.2% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms43.1 pts worse | 99.0% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts worse | 7.1% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.3 pts better | 17.1% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.8 pts better | 11.9% | 21.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.9 pts better | 7.9% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.4 pts better | 2.6% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.5% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts better | 1.2% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.8 pts worse | 24.6% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts better | 3.0% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine38.5 pts worse | 31.5% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.3 pts better | 12.2% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 1.0% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine35.2 pts worse | 28.0% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.9 pts worse | 27.5% | 25.6% | 23.4% |
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Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Doros Generation Trust U/A/D 1/3/12 | 5% Or Greater Direct Ownership Interest · Organization | 43% | 76 facilities |
| Gpn Family Trust U/A/D 4/28/08 | 5% Or Greater Direct Ownership Interest · Organization | 43% | 80 facilities |
| Oakway Operations LLC | 5% Or Greater Direct Ownership Interest · Organization | 15% | 46 facilities |
| Avelino, Jessica | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Avelino, Jessica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cibc Bank Usa | 5% Or Greater Security Interest · Organization | 0% | 208 facilities |
| Cibc Bank Usa | Operational/Managerial Control · Organization | 0% | 208 facilities |
| Doros Generation Trust U/A/D 1/3/12 | Adp Of The SNF · Organization | 0% | 76 facilities |
| Gpn Family Trust U/A/D 4/28/08 | Adp Of The SNF · Organization | 0% | 80 facilities |
| Larkin Ave Property Holdings, LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Larkin Ave Property Holdings, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Legacy Healthcare Financial Services LLC | Operational/Managerial Control · Organization | 0% | 78 facilities |
| Legacy Healthcare Financial Services LLC | Adp Of The SNF · Organization | 0% | 78 facilities |
| Miller Cooper & Co, Ltd | Adp Of The SNF · Organization | 0% | 6 facilities |
| Shabat, Menachem | Managing Control - Governing Body · Individual | 0% | 86 facilities |
| Shabat, Menachem | Operational/Managerial Control · Individual | 0% | 86 facilities |
| Shabat, Menachem | Adp Of The SNF · Individual | 0% | 86 facilities |
| Shah, Asad | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Shah, Asad | Adp Of The SNF · Individual | 0% | 2 facilities |
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Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems3E
- E
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
Emergency Preparedness3F
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for sheltering.
- F
Implement emergency and standby power systems.
Egress3E
- E
Have exits that are accessible at all times.
- E
Install proper backup exit lighting.
- C
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous1F
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
-
River View Rehab Center
Elgin, IL · Icare Consulting Services · Abuse icon
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 1 h 57 min
- Fines
- $447,965
-
Aperion Care Elgin
Elgin, IL · Aperion Care
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 50 min
- Fines
- $56,661
-
Pearl Of Elgin, The
Elgin, IL · Pearl Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 14 min
- Fines
- $19,250