The Pearl of Downers Grove
Nursing Home · Downers Grove, IL
CMS certification number145657
Contact & location
3450 Saratoga AvenueDowners Grove, IL 60515
Du Page County
- Phone
- (630) 969-2900
- ZIP code
- 60515 – all care providers
Facility details
- Certified beds
- 145
- Residents per day
- 92.9 (64% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Pearl of Downers Grove LLC
- Chain
- Pearl Healthcare (15 facilities, avg 2.7★)
- Medicare certified since
- August 22, 1989
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.60 (state 3.45 · U.S. 3.86)
- Registered nurses (RN)
- 0.82 (state 0.72 · U.S. 0.69)
- Licensed practical nurses
- 0.72 (state 0.64 · U.S. 0.86)
- Nurse aides
- 2.06 (state 2.09 · U.S. 2.32)
- Weekend total
- 3.32 (state 3.08 · U.S. 3.42)
- Nursing staff turnover
- 64.9 (state 44.5 · U.S. 45.8)%
- RN turnover
- 65.2 (state 41.8 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- April 14, 2025
- Health deficiencies (last cycle)
- 22.0 (state 12.5 · U.S. 9.3)
- From complaints
- 3
- Citations on record (3 years)
- 58 health · 22 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-17 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-19 |
| 2026-01-23 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-05 |
| 2026-01-23 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-05 |
| 2025-04-14 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2025-04-30 |
| 2025-04-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2025-04-30 |
| 2025-04-14 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-14 | Notify 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. F0625 · Resident Rights Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-14 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-14 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-14 | 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. F0803 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-14 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-14 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-14 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-01 |
| 2025-04-14 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-14 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-14 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-14 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-14 | Provide 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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-14 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-14 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-04-14 | Implement 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-02-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-24 |
| 2025-02-24 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-26 |
| 2025-02-24 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-24 |
| 2024-10-01 | Honor the resident's right to manage his or her financial affairs. F0567 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-15 |
| 2024-05-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-05-08 |
| 2024-04-30 | Honor 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-09 |
| 2024-04-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-09 |
| 2024-03-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-16 |
| 2024-03-25 | 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. F0585 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-16 |
| 2024-03-25 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-16 |
| 2024-02-02 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-27 |
| 2024-02-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-27 |
| 2024-02-02 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-27 |
| 2024-02-02 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-27 |
| 2024-02-02 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-27 |
| 2024-02-02 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-27 |
| 2024-02-02 | Provide 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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-27 |
| 2024-02-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-27 |
| 2024-02-02 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-27 |
| 2024-01-18 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-14 |
| 2023-08-23 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-13 |
| 2023-08-23 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-13 |
| 2023-08-23 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-13 |
| 2023-03-01 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-03-24 |
| 2023-03-01 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-03-24 |
| 2023-03-01 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-03-24 |
| 2023-03-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-03-24 |
| 2023-03-01 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-03-24 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $30,794 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-04-14 | Fine | $30,794 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Ez Holdco LLC (organization) | Administrator · NOT APPLICABLE | |
| Hooli Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Pearlstone Consulting LLC (organization) | Administrator · NOT APPLICABLE | |
| Reg 2018 Irrevocable Trust U/A/D 1/1/18 (organization) | Administrator · NOT APPLICABLE | |
| Uddin, Shahaab (individual) | Administrator · NOT APPLICABLE | |
| Williams, Lisa (individual) | Administrator · NOT APPLICABLE | |
| Zeffren, Eitan (individual) | Administrator · NOT APPLICABLE | |
| Ez Holdco LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Ez Holdco LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Hooli Holdings LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Reg 2018 Irrevocable Trust U/A/D 1/1/18 (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Zeffren, Eitan (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Zeffren, Eitan (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Pearlstone Consulting LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Uddin, Shahaab (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Williams, Lisa (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Zeffren, Eitan (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of The Pearl of Downers Grove?
The Pearl of Downers Grove has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Illinois.
How many beds does The Pearl of Downers Grove have?
It has 145 certified beds and cares for about 93 residents per day.
Has The Pearl of Downers Grove been fined?
Yes. CMS lists 1 penalty totaling $30,794 in the last three years.
Who owns The Pearl of Downers Grove?
It is part of Pearl Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of The Pearl of Downers Grove?
(630) 969-2900. The facility is located at 3450 Saratoga Avenue, Downers Grove, IL 60515.
Other nursing homes in Downers Grove
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Oak Trace
Nursing Home · Downers Grove, IL · 104 beds
★★★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.