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Data / Nursing homes / Illinois / The Pearl of Downers Grove

The Pearl of Downers Grove, Downers Grove, IL: 2 star rating, fined $30,794 across 1 fine

The Pearl of Downers Grove in Downers Grove, IL is owned by Ez HOLDCO LLC, is rated 2 of 5 stars by Medicare, and was fined $30,794 across 1 fine in the three years to October 1, 2026. CMS lists 43 health citations from inspections in that time, the latest survey on July 9, 2026, and 3 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet nursing homes in Illinois
Address
3450 Saratoga Avenue, Downers Grove, IL 60515
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
2 of 5
Certified beds
145
Residents per day
96 on average
Ownership type
For profit, corporation
Legal business name
Pearl of Downers Grove LLC
Chain
Pearl Healthcare, 15 facilities
Fines
$30,794 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
43, of which 3 with actual harm or immediate jeopardy
Latest survey
July 9, 2026
CMS Certification Number
145657
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
April 14, 2025Fine$30,794Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 9, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 14, 2026data.cms.gov
May 17, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 19, 2026data.cms.gov
January 23, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 5, 2026data.cms.gov
January 23, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 5, 2026data.cms.gov
April 14, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedApril 30, 2025data.cms.gov
April 14, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedApril 30, 2025data.cms.gov
April 14, 2025F881Implement a program that monitors antibiotic use.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 30, 2025data.cms.gov
April 14, 2025F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 30, 2025data.cms.gov
April 14, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 30, 2025data.cms.gov
April 14, 2025F803Ensure 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 30, 2025data.cms.gov
April 14, 2025F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 30, 2025data.cms.gov
April 14, 2025F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2025data.cms.gov
April 14, 2025F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2025data.cms.gov
April 14, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 30, 2025data.cms.gov
April 14, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2025data.cms.gov
April 14, 2025F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2025data.cms.gov
April 14, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2025data.cms.gov
April 14, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2025data.cms.gov
April 14, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2025data.cms.gov
April 14, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
April 14, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2025data.cms.gov
April 14, 2025F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 30, 2025data.cms.gov
April 14, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 30, 2025data.cms.gov
February 24, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 24, 2025data.cms.gov
February 24, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 26, 2025data.cms.gov
February 24, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 24, 2025data.cms.gov
October 1, 2024F567Honor the resident's right to manage his or her financial affairs.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 15, 2024data.cms.gov
May 4, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedMay 8, 2024data.cms.gov
April 30, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2024data.cms.gov
April 30, 2024F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 9, 2024data.cms.gov
March 25, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 16, 2024data.cms.gov
March 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 16, 2024data.cms.gov
March 25, 2024F585Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedApril 16, 2024data.cms.gov
February 2, 2024F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 27, 2024data.cms.gov
February 2, 2024F760Ensure that residents are free from significant medication errors.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 27, 2024data.cms.gov
February 2, 2024F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 27, 2024data.cms.gov
February 2, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 27, 2024data.cms.gov
February 2, 2024F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 27, 2024data.cms.gov
February 2, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 27, 2024data.cms.gov
February 2, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 27, 2024data.cms.gov
February 2, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 27, 2024data.cms.gov
February 2, 2024F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 27, 2024data.cms.gov
January 18, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 10 individual or personal trusts (2 owners, 4 managers, 4 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Ez HOLDCO LLCDirect ownerNot listedApril 10, 2025data.cms.gov
Ez HOLDCO LLCIndirect ownerNot listedApril 10, 2025data.cms.gov
Hooli Holdings LLCIndirect ownerNot listedApril 10, 2025data.cms.gov
Pearlstone Consulting LLCOperational or managerial controlNot listedApril 10, 2025data.cms.gov
Ez HOLDCO LLCAdditional disclosable partyNot listedApril 10, 2025data.cms.gov
Hooli Holdings LLCAdditional disclosable partyNot listedApril 10, 2025data.cms.gov
Pearlstone Consulting LLCAdditional disclosable partyNot listedApril 10, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.