PlainNursing
CMS Nursing Home Compare · August 2026

The Pearl of Fox River Valley

1950 Larkin Avenue, Elgin, IL 60123

The Pearl of Fox River Valley, a 112-bed for profit - limited liability company nursing facility in Elgin, IL, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #227 of 661 rated homes in IL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8477427070

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3 / 5
Average · CMS overall · nat'l 3.0
#227 of 661
In-state rank among rated IL homes
3.48
Below average · nurse hrs/day · nat'l 3.86
30
Inspection findings · 3 serious

The verdict

The Pearl of Fox River Valley, a 112-bed for profit - limited liability company nursing facility in Elgin, IL, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #227 of 661 rated homes in IL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

3 / 5
CMS overall · national 3.0
#227 of 661
In-state rank among rated IL homes
3.48
Nurse hrs/resident-day · national 3.86
30
Inspection findings · 3 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 666 IL nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
145699
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
112
Residents
95
In Hospital
No
County
Kane
Last Inspection
Sep 4, 2025

Staffing Data

How the 3.48 total nursing hours per resident-day are staffed:

RN Hours
1.21 (nat'l avg: 0.69)
LPN Hours
0.35
CNA Hours
1.92
Total Nursing Hours
3.48 (nat'l avg: 3.86)
PT Hours
0.07
Nursing Turnover
48.5%
RN Turnover
37.9%

What the CMS Record Reveals About The Pearl of Fox River Valley

According to CMS Nursing Home Compare, The Pearl of Fox River Valley ranks #227 of 661 rated nursing homes in IL on overall stars (tie-broken by health+staffing+quality, then fewer fines). The Pearl of Fox River Valley operates 112 certified beds in Elgin, IL with approximately 95 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 3★ · staffing 3★ · quality 4★).

The inspection file contains 30 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 2 times by CMS, for a combined $142K. Reported nurse staffing runs 3.48 total hours per resident day (national average 3.86); RN hours specifically are 1.21 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, The Pearl of Fox River Valley falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 48.5% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (30 most recent)

D - Isolated - Minimal harm Sep 4, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 5, 2025

D - Isolated - Minimal harm Sep 4, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Sep 5, 2025

D - Isolated - Minimal harm Sep 4, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 5, 2025

D - Isolated - Minimal harm Sep 4, 2025 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Sep 5, 2025

D - Isolated - Minimal harm Sep 4, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Sep 5, 2025

E - Pattern - Minimal harm Sep 4, 2025 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 5, 2025

E - Pattern - Minimal harm Sep 4, 2025 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 5, 2025

E - Pattern - Minimal harm Sep 4, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 5, 2025

E - Pattern - Minimal harm Sep 4, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 5, 2025

D - Isolated - Minimal harm Nov 21, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Nov 27, 2024

D - Isolated - Minimal harm Nov 21, 2024 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Nov 27, 2024

D - Isolated - Minimal harm Jul 11, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 19, 2024

D - Isolated - Minimal harm Jul 11, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 19, 2024

E - Pattern - Minimal harm Jul 11, 2024 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 19, 2024

E - Pattern - Minimal harm Jul 11, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 19, 2024

E - Pattern - Minimal harm Jul 11, 2024 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Jul 19, 2024

G - Isolated - Actual harm Jul 11, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 19, 2024

D - Isolated - Minimal harm Dec 16, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 18, 2023

D - Isolated - Minimal harm Nov 30, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 1, 2023

G - Isolated - Actual harm Nov 30, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 1, 2023

J - Isolated - Jeopardy Nov 30, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 1, 2023

D - Isolated - Minimal harm Nov 22, 2023 Tag: 0887

Educate 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.

Category: Infection Control Deficiencies

Corrected: Nov 23, 2023

D - Isolated - Minimal harm Aug 16, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 17, 2023

D - Isolated - Minimal harm Aug 16, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Aug 17, 2023

D - Isolated - Minimal harm Aug 16, 2023 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Aug 17, 2023

D - Isolated - Minimal harm Aug 16, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 17, 2023

D - Isolated - Minimal harm Aug 16, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 17, 2023

D - Isolated - Minimal harm Aug 16, 2023 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 17, 2023

D - Isolated - Minimal harm Aug 16, 2023 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Aug 17, 2023

E - Pattern - Minimal harm Aug 16, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 17, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 3.3% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.2% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 12.9% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.8% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 13.6% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.9% No
Percentage of long-stay residents who have depressive symptoms Long Stay 97.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 89.5% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 16.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 82.6% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 25.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 33.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 18.5% No

Penalty History 2 penalties totaling $142K

Date Type Amount
Jul 11, 2024 Fine $10K
Nov 22, 2023 Fine $132K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for The Pearl of Fox River Valley, both outside IL so the neighborhoods are not the same-state geography list below.

What the CMS records show for The Pearl of Fox River Valley

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The IL registry aggregates state averages and the highest-rated homes in this cohort. View IL registry
  • Peer homes near 112 beds show how CMS stars vary at a similar scale in IL. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for The Pearl of Fox River Valley?
The Pearl of Fox River Valley has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (4★).
Where does The Pearl of Fox River Valley rank among nursing homes in IL?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), The Pearl of Fox River Valley ranks 227th among 661 rated nursing homes in IL (#227 of 661). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at The Pearl of Fox River Valley?
The Pearl of Fox River Valley reports 3.48 total nursing hours per resident day (national average: 3.86). RN hours are 1.21 per resident day (national average: 0.69). Nursing staff turnover is 48.5%.
How many beds does The Pearl of Fox River Valley have?
The Pearl of Fox River Valley has 112 certified beds with approximately 95 residents. The facility is located at 1950 Larkin Avenue, Elgin, IL 60123.
Does The Pearl of Fox River Valley have any deficiencies on record?
Yes, The Pearl of Fox River Valley has 30 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has The Pearl of Fox River Valley received any fines or penalties?
Yes, The Pearl of Fox River Valley has received 2 penalties totaling $142K.
Who owns The Pearl of Fox River Valley?
The Pearl of Fox River Valley is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was The Pearl of Fox River Valley last inspected?
The most recent health inspection for The Pearl of Fox River Valley was on Sep 4, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for The Pearl of Fox River Valley?
The Pearl of Fox River Valley is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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