All states › Illinois › Oswego › Pearl at the Tillers
4390 Route 71 Oswego, IL 60543 · Kendall County
CMS certification number 146034 · See this home on Medicare Care Compare
Is Pearl at the Tillers 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 Pearl at the Tillers as of October 2026.
CMS rates it 4 out of 5 stars overall, above 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 3.77 hours per resident per day at Pearl at the Tillers, above the Illinois median of 3.33 (US median: 3.72). About 1.13 of those hours are from registered nurses. On weekends it falls to 3.29 hours, 13% below its all-week average. 41.7% of nursing staff left within a year (Illinois median 43.5%).
About this nursing home
Paying for care at Pearl at the Tillers: Medicare and Medicaid
Pearl at the Tillers 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 March 6, 2025 and found 5 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 27 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 27 citations at Pearl at the Tillers across 8 inspection dates, 5 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 27 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (11) and infection control (5). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, March 6, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
April 9, 2026 · 1 citation · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
December 24, 2025 · 1 citation · includes complaint inspection
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
April 29, 2025 · 1 citation · includes complaint inspection
DProtect each resident from the wrongful use of the resident's belongings or money.
March 6, 2025 · 5 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
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 safe, appropriate pain management for a resident who requires such services.
DProvide and implement an infection prevention and control program.
October 9, 2024 · 1 citation · includes complaint inspection
DProvide safe and appropriate respiratory care for a resident when needed.
June 24, 2024 · 1 citation · includes complaint inspection
DProtect each resident from the wrongful use of the resident's belongings or money.
February 9, 2024 · 7 citations
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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 safe and appropriate respiratory care for a resident when needed.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DProvide and implement an infection prevention and control program.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
January 12, 2023 · 10 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
EProvide and implement an infection prevention and control program.
EEducate 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.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure medication error rates are not 5 percent or greater.
DEnsure that residents are free from significant medication errors.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
Questions to ask on a tour of Pearl at the Tillers
- CMS cited the home under its abuse and neglect rules on April 29, 2025. How are staff trained, and how are concerns reported?
- 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
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 3/5 | 4/5 |
| August 2026 | 5/5 | 4/5 | 2/5 | 5/5 |
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Location
Hospitals near Pearl at the Tillers
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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5.3 mi
Copley Memorial Hospital AuroraEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 15m for patients treated and sent home
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7.4 mi
Provena Mercy Medical Center AuroraEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 9m for patients treated and sent home
- 11.3 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Pearl Healthcare nursing homes in Illinois
- The Pearl of Crystal Lake · Crystal Lake · 5 stars
- The Pearl of Evanston · Evanston · 5 stars
- The Pearl of Hinsdale · Hinsdale · 4 stars
- The Pearl of St Charles · St Charles · 3 stars
- The Pearl of Naperville · Naperville · 3 stars
- The Pearl of Fox River Valley · Elgin · 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.