Starfile

Starfile / Illinois

PEARL OF MONTCLARE, THE

2833 NORTH NORDICA AVENUE, CHICAGO, IL 60634 · CCN 145844

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★☆☆ 3
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Limited Liability company
Certified beds
96
Avg residents/day
104.2
Phone
7736226144

Inspection history vs Illinois & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityIllinois avgNational avgvs state
12025-03-141612.29.5+3.8 worse
22024-04-121912.79.8+6.3 worse
32023-05-052013.19.3+6.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care5
Resident assessment and care planning1
Resident rights1
Nutrition and dietary4
Pharmacy service3
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.4249.6%
RN staffing (reported)0.6725.0%
Total nurse staffing (adjusted)2.90

Fines & penalties

Total fines
$124,281
Number of fines
3
Number of penalties
4
Payment denials
1

Chain

Chain
PEARL HEALTHCARE
Facilities in chain
13
Chain avg overall
2.80 / 5

Inspection citations (55)5 actual harm

  1. DF0759Ensure medication error rates are not 5 percent or greater.2025-05-29 · Health · corrected 2025-06-04

    Potential for more than minimal harm

  2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-04-18 · Health · corrected 2025-04-23

    Potential for more than minimal harm

  3. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-03-14 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  4. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-03-14 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  5. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-14 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  6. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-14 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  7. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-14 · Health · corrected 2025-04-01

    Actual harm

  8. EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-14 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  9. EF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2025-03-14 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  10. DF0758Implement 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.2025-03-14 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  11. DF0759Ensure medication error rates are not 5 percent or greater.2025-03-14 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  12. DF0803Ensure 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.2025-03-14 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  13. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-03-14 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  14. EF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2025-03-14 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  15. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-14 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  16. EF0880Provide and implement an infection prevention and control program.2025-03-14 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  17. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-14 · Health · corrected 2024-11-22

    Potential for more than minimal harm

  18. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-12 · Health · corrected 2024-08-28

    Actual harm

  19. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-03 · Health · corrected 2024-06-14

    Potential for more than minimal harm

  20. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-19 · Health · corrected 2024-05-01

    Potential for more than minimal harm

  21. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-12 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  22. EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-04-12 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  23. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-12 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  24. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-12 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  25. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-12 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  26. EF0692Provide enough food/fluids to maintain a resident's health.2024-04-12 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  27. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2024-04-12 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  28. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-12 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  29. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-04-12 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  30. EF0758Implement 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.2024-04-12 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  31. EF0761Ensure 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.2024-04-12 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  32. EF0803Ensure 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.2024-04-12 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  33. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-04-12 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  34. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-12 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  35. FF0880Provide and implement an infection prevention and control program.2024-04-12 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  36. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-17 · Health · corrected 2023-12-07

    Actual harm

  37. FF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-09-10 · Health · corrected 2023-10-02

    Potential for more than minimal harm

  38. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-09-10 · Health · corrected 2023-10-02

    Potential for more than minimal harm

  39. DF0625Notify 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.2023-09-10 · Health · corrected 2023-10-02

    Potential for more than minimal harm

  40. DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2023-09-10 · Health · corrected 2023-10-02

    Potential for more than minimal harm

  41. DF0880Provide and implement an infection prevention and control program.2023-09-10 · Health · corrected 2023-10-02

    Potential for more than minimal harm

  42. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-05-05 · Health · corrected 2023-05-26

    Actual harm

  43. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-05 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  44. DF0610Respond appropriately to all alleged violations.2023-05-05 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  45. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-05-05 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  46. DF0758Implement 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.2023-05-05 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  47. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-05 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  48. FF0814Dispose of garbage and refuse properly.2023-05-05 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  49. FF0880Provide and implement an infection prevention and control program.2023-05-05 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  50. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-05-05 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  51. FF0886Perform COVID19 testing on residents and staff.2023-05-05 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  52. EF0887Educate 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.2023-05-05 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  53. FF0888Ensure staff are vaccinated for COVID-192023-05-05 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  54. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-12 · Health · corrected 2023-05-01

    Potential for more than minimal harm

  55. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-12 · Health · corrected 2023-05-01

    Actual harm

Ownership

OwnerTypeRolePercentSince
MONTCLARE HOLDING COMPANY LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-07-01
BEN COHEN TRUST FBO JOANNA DAVISONOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-07-01
BEN COHEN TRUST FBO JOHN C. DAVISONOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-07-01
BEN COHEN TRUST FBO MARK EDWARD DAVISONOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-07-01
EZ HOLDCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-07-01
REG 2018 IRREVOCABLE TRUST U/A/D 1/1/18Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-07-01
ZEFFREN, EITANIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-07-01
ZEFFREN, EITANIndividualCORPORATE OFFICER2023-07-01
CONLEY, ERINIndividualW-2 MANAGING EMPLOYEE2023-06-01

Other facilities in CHICAGO

NameOverallBeds
HARMONY HEALTHCARE & REHAB CTR★★★★★180
SELFHELP HOME OF CHICAGO★★★★★72
LAKEFRONT NURSING & REHAB CTR★★★★★99
COMMUNITY FIRST MEDICAL CENTER★★★★★66
TERRACES AT THE CLARE★★★★★50

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.