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.
| Cycle | Inspection date | This facility | Illinois avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-14 | 16 | 12.2 | 9.5 | +3.8 worse |
| 2 | 2024-04-12 | 19 | 12.7 | 9.8 | +6.3 worse |
| 3 | 2023-05-05 | 20 | 13.1 | 9.3 | +6.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 4 |
| Pharmacy service | 3 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.42 | 49.6% |
| RN staffing (reported) | 0.67 | 25.0% |
| 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
- DF0759Ensure medication error rates are not 5 percent or greater.2025-05-29 · Health · corrected 2025-06-04
Potential for more than minimal harm
- 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
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-03-14 · Health · corrected 2025-04-01
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0759Ensure medication error rates are not 5 percent or greater.2025-03-14 · Health · corrected 2025-04-01
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2025-03-14 · Health · corrected 2025-04-01
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0692Provide enough food/fluids to maintain a resident's health.2024-04-12 · Health · corrected 2024-04-26
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- FF0880Provide and implement an infection prevention and control program.2024-04-12 · Health · corrected 2024-04-26
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2023-09-10 · Health · corrected 2023-10-02
Potential for more than minimal harm
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2023-05-05 · Health · corrected 2023-05-26
Potential for more than minimal harm
- 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
- 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
- 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
- FF0814Dispose of garbage and refuse properly.2023-05-05 · Health · corrected 2023-05-26
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-05-05 · Health · corrected 2023-05-26
Potential for more than minimal harm
- 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
- FF0886Perform COVID19 testing on residents and staff.2023-05-05 · Health · corrected 2023-05-26
Potential for more than minimal harm
- 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
- FF0888Ensure staff are vaccinated for COVID-192023-05-05 · Health · corrected 2023-05-26
Potential for more than minimal harm
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MONTCLARE HOLDING COMPANY LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-07-01 |
| BEN COHEN TRUST FBO JOANNA DAVISON | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-07-01 |
| BEN COHEN TRUST FBO JOHN C. DAVISON | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-07-01 |
| BEN COHEN TRUST FBO MARK EDWARD DAVISON | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-07-01 |
| EZ HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-07-01 |
| REG 2018 IRREVOCABLE TRUST U/A/D 1/1/18 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-07-01 |
| ZEFFREN, EITAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-07-01 |
| ZEFFREN, EITAN | Individual | CORPORATE OFFICER | — | 2023-07-01 |
| CONLEY, ERIN | Individual | W-2 MANAGING EMPLOYEE | — | 2023-06-01 |
Other facilities in CHICAGO
| Name | Overall | Beds |
|---|---|---|
| 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.