All states › Illinois › Elgin › The Pearl of Fox River Valley
1950 Larkin Avenue Elgin, IL 60123 · Kane County
All 8 nursing homes in Elgin, IL (8 take Medicaid)
CMS certification number 145699 · See this home on Medicare Care Compare
Is The Pearl of Fox River Valley 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 Fox River Valley 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 3.42 hours per resident per day at The Pearl of Fox River Valley, about the same as the Illinois median of 3.33 (US median: 3.72). About 1.01 of those hours are from registered nurses. On weekends it falls to 2.83 hours, 17% below its all-week average. Ask how weekends are staffed. 47.5% of nursing staff left within a year (Illinois median 43.5%).
About this nursing home
Paying for care at The Pearl of Fox River Valley: Medicare and Medicaid
The Pearl of Fox River Valley 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 September 4, 2025 and found 9 deficiencies. In total, inspectors issued 30 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 30 citations at The Pearl of Fox River Valley across 7 inspection dates, 8 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on November 30, 2023 (complaint inspection). The most common areas cited were quality of life and care (12) and pharmacy service (6). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, November 30, 2023). 3 citations were under CMS's abuse, neglect and exploitation rules.
September 4, 2025 · 9 citations
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DAllow residents to self-administer drugs if determined clinically appropriate.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DProvide and implement an infection prevention and control program.
November 21, 2024 · 2 citations · includes complaint inspection
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure that residents are free from significant medication errors.
July 11, 2024 · 6 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EHonor 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.
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.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
December 16, 2023 · 1 citation · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
November 30, 2023 · 3 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
GTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
November 22, 2023 · 1 citation · includes complaint inspection
DEducate 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.
August 16, 2023 · 8 citations
EEnsure 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.
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.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure medication error rates are not 5 percent or greater.
DEnsure that residents are free from significant medication errors.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of The Pearl of Fox River Valley
- Inspectors cited the home at the immediate-jeopardy level on November 30, 2023 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on November 30, 2023. How are staff trained, and how are concerns reported?
- Weekend staffing is 17% below the all-week average. Who is on duty on Saturday nights?
- 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 $142,448 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 11, 2024 | Fine | $10,033 |
| Nov 22, 2023 | Fine | $132,415 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 3/5 | 4/5 |
| August 2026 | 3/5 | 3/5 | 3/5 | 4/5 |
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Location
Hospitals near The Pearl of Fox River Valley
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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0.2 mi
Provena - Saint Joseph Hospital ElginEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 19m for patients treated and sent home
- 2.3 mi
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2.6 mi
Sherman Hospital ElginEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 13m for patients treated and sent home
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 Fox River Valley › All nursing homes in Elgin ›
Compare The Pearl of Fox River Valley with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Highland Oaks · Elgin · 5 stars · 1.7 mi
- Aperion Care Fox River · Elgin · 5 stars · 2.6 mi
- Avondale Estates of Elgin · Elgin · 5 stars · 3.3 mi
- Bella Terra Streamwood · Streamwood · 5 stars · 8.5 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.