All states › Illinois › Elgin › The Pearl of Elgin
2355 Royal Boulevard Elgin, IL 60123 · Kane County
All 8 nursing homes in Elgin, IL (8 take Medicaid)
CMS certification number 145821 · See this home on Medicare Care Compare
Is The Pearl of Elgin a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Pearl of Elgin as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Illinois average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.24 hours per resident per day at The Pearl of Elgin, about the same as the Illinois median of 3.33 (US median: 3.72). About 0.79 of those hours are from registered nurses. On weekends it falls to 2.81 hours, 13% below its all-week average. 43.2% of nursing staff left within a year (Illinois median 43.5%).
About this nursing home
Paying for care at The Pearl of Elgin: Medicare and Medicaid
The Pearl of Elgin is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Illinois's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 22, 2024 and found 8 deficiencies, plus 3 from complaint inspections in the same period. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 39 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 39 citations at The Pearl of Elgin across 7 inspection dates, 5 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on June 17, 2026. The most common areas cited were quality of life and care (13) and nutrition and dietary (12). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level G, June 17, 2026). 2 citations were under CMS's abuse, neglect and exploitation rules.
August 29, 2026 · 2 citations · includes complaint inspection
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
June 17, 2026 · 1 citation, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
August 31, 2025 · 1 citation · includes complaint inspection
DGive the resident's representative the ability to exercise the resident's rights.
October 17, 2024 · 1 citation · includes complaint inspection
DHonor 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.
August 22, 2024 · 8 citations
FProvide and implement an infection prevention and control program.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DHonor 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.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure 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.
DProvide or obtain dental services for each resident.
September 8, 2023 · 16 citations
FProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
FEnsure 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.
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
EEnsure 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.
DKeep residents' personal and medical records private and confidential.
DProvide 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.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide special eating equipment and utensils for residents who need them and appropriate assistance.
DProvide and implement an infection prevention and control program.
October 19, 2022 · 10 citations, includes actual harm
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EEnsure 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.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide 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.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of The Pearl of Elgin
- Inspectors cited the home at the actual-harm level on June 17, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on October 19, 2022. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $19,250 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 17, 2026 | Fine | $19,250 |
| Jul 24, 2025 | Payment Denial | 44 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 2/5 | 4/5 |
| August 2026 | 4/5 | 3/5 | 2/5 | 5/5 |
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Location
Hospitals near The Pearl of Elgin
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.2 mi
Provena - Saint Joseph Hospital ElginEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 19m for patients treated and sent home
-
1.3 mi
Sherman Hospital ElginEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 13m for patients treated and sent home
- 3.4 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near The Pearl of Elgin › All nursing homes in Elgin ›
Compare The Pearl of Elgin with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Highland Oaks · Elgin · 5 stars · 0.6 mi
- Avondale Estates of Elgin · Elgin · 5 stars · 1.9 mi
- Aperion Care Fox River · Elgin · 5 stars · 3.5 mi
- Bella Terra Streamwood · Streamwood · 5 stars · 9.3 mi
Other Pearl Healthcare nursing homes in Illinois
- The Pearl of Crystal Lake · Crystal Lake · 5 stars
- The Pearl of Evanston · Evanston · 5 stars
- Pearl at the Tillers · Oswego · 4 stars
- The Pearl of Hinsdale · Hinsdale · 4 stars
- The Pearl of St Charles · St Charles · 3 stars
- The Pearl of Naperville · Naperville · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 15 Pearl Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.