PEARL OF ORCHARD VALLEY
State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2026-03-17 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-11-21 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-09-18 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-03-21 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-02-11 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-06-02 — ACTUAL HARM (tag F0580, severity G)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-02-08 — ACTUAL HARM (tag F0697, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
2023-09-29 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
2.67
state median 3.09
Weekend staffing gap
−9%
fewer nursing hours on weekends · state median −8%
RN hours / resident / day
0.28
registered nurses only
Contract (agency) staff
14%
share of all nursing hours
Days with zero RN hours reported
1
with residents present
Nursing staff turnover
58%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
7 enforcement action(s), totaling $542,423 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-03-17 | Fine | $277,045 |
| 2025-11-21 | Fine | $40,740 |
| 2025-09-18 | Fine | $183,450 |
| 2025-03-21 | Payment Denial | payment denial |
| 2025-02-11 | Fine | $12,191 |
| 2024-06-02 | Fine | $15,360 |
| 2024-02-08 | Fine | $13,637 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the PEARL HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- PEARL OF NAPERVILLE, THE (NAPERVILLE, IL) —
- PEARL OF HINSDALE, THE (HINSDALE, IL) —
- PEARL OF ROLLING MEADOWS,THE (ROLLING MEADOWS, IL) —
- PEARL OF JOLIET, THE (JOLIET, IL) —
- PEARL OF CRYSTAL LAKE, THE (CRYSTAL LAKE, IL) —
- THE PEARL OF DOWNERS GROVE (DOWNERS GROVE, IL) —
- PEARL OF ELK GROVE, THE (ELK GROVE VILLAGE, IL) —
- The Pearl of Fox River Valley (ELGIN, IL) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-17 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-17 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2026-03-17 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-11-21 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-09-18 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2025-09-18 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-09-18 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-06-04 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2025-06-04 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-21 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-03-21 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-03-21 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-03-21 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-03-21 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-03-21 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-21 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-03-21 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-21 | F0691 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-21 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-21 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-03-21 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-03-21 | F0808 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-03-21 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-02-11 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-11 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-08-01 | F0659 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-08-01 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-26 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-07-26 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-26 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-08 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-08 | F0808 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-06-02 | F0580 | Resident Rights Deficiencies | G | not recorded |
| 2024-06-02 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-04-18 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-04-18 | F0882 | Infection Control Deficiencies | F | not recorded |
| 2024-02-08 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-08 | F0574 | Resident Rights Deficiencies | C | not recorded |
| 2024-02-08 | F0577 | Resident Rights Deficiencies | C | not recorded |
| 2024-02-08 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-08 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-02-08 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-08 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-08 | F0697 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-02-08 | F0725 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2024-02-08 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2024-02-08 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-02-08 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-02-08 | F0804 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-02-08 | F0805 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-02-08 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-02-08 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2023-10-04 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2023-09-29 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-09-29 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-09-29 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-09-29 | F0725 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2023-09-29 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2023-07-18 | F0804 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-01-12 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-01-12 | F0803 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-01-12 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-01-12 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |