Starfile / Illinois

PEARL PAVILION

900 SOUTH KIWANIS DRIVE, FREEPORT, IL 61032 · CCN 145234

Inspection history vs Illinois & national averages

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

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$150,091

Number of fines

3

Number of penalties

5

Payment denials

2

Chain

Chain

SABA HEALTHCARE

Facilities in chain

11

Chain avg overall

1.50 / 5

Inspection citations (65)2 immediate jeopardy5 actual harm

1. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-29 · Health · corrected 2026-02-05

   Potential for more than minimal harm

2. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2026-01-29 · Health · corrected 2026-02-05

   Potential for more than minimal harm

3. DF0584Honor 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.2026-01-20 · Health · corrected 2026-01-23

   Potential for more than minimal harm

4. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2026-01-20 · Health · corrected 2026-01-23

   Potential for more than minimal harm

5. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2026-01-20 · Health · corrected 2026-01-23

   Potential for more than minimal harm

6. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-11-24 · Health · corrected 2025-12-02

   Potential for more than minimal harm

7. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-11-24 · Health · corrected 2025-12-02

   Potential for more than minimal harm

8. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-24 · Health · corrected 2025-12-02

   Potential for more than minimal harm

9. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-11-19 · Health · corrected 2025-12-01

   Potential for more than minimal harm

10. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-11-19 · Health · corrected 2025-12-10

    Potential for more than minimal harm

11. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-11-19 · Health · corrected 2025-12-01

    Potential for more than minimal harm

12. EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-11-19 · Health · corrected 2025-12-01

    Potential for more than minimal harm

13. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-11-19 · Health · corrected 2025-12-01

    Potential for more than minimal harm

14. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-11-19 · Health · corrected 2025-12-10

    Potential for more than minimal harm

15. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-11-19 · Health · corrected 2025-12-10

    Potential for more than minimal harm

16. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-19 · Health · corrected 2025-12-01

    Actual harm

17. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-11-19 · Health · corrected 2025-12-01

    Potential for more than minimal harm

18. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-11-19 · Health · corrected 2025-12-01

    Potential for more than minimal harm

19. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-11-19 · Health · corrected 2025-12-01

    Potential for more than minimal harm

20. EF0880Provide and implement an infection prevention and control program.2025-11-19 · Health · corrected 2025-12-01

    Potential for more than minimal harm

21. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-10-16 · Health · corrected 2025-10-18

    Potential for more than minimal harm

22. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-14 · Health · corrected 2025-03-20

    Potential for more than minimal harm

23. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-14 · Health · corrected 2025-03-20

    Potential for more than minimal harm

24. FF0803Ensure 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.2025-02-19 · Health · corrected 2025-02-26

    Potential for more than minimal harm

25. EF0584Honor 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.2024-11-14 · Health · corrected 2024-11-23

    Potential for more than minimal harm

26. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-14 · Health · corrected 2024-11-23

    Potential for more than minimal harm

27. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-14 · Health · corrected 2024-11-23

    Potential for more than minimal harm

28. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-11-14 · Health · corrected 2024-11-23

    Potential for more than minimal harm

29. DF0692Provide enough food/fluids to maintain a resident's health.2024-11-14 · Health · corrected 2024-11-23

    Potential for more than minimal harm

30. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-11-14 · Health · corrected 2024-11-23

    Potential for more than minimal harm

31. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-11-14 · Health · corrected 2024-11-23

    Potential for more than minimal harm

32. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-11-14 · Health · corrected 2024-11-23

    Potential for more than minimal harm

33. DF0759Ensure medication error rates are not 5 percent or greater.2024-11-14 · Health · corrected 2024-11-23

    Potential for more than minimal harm

34. DF0761Ensure 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.2024-11-14 · Health · corrected 2024-11-23

    Potential for more than minimal harm

35. FF0803Ensure 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.2024-11-14 · Health · corrected 2024-11-23

    Potential for more than minimal harm

36. 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.2024-11-14 · Health · corrected 2024-11-23

    Potential for more than minimal harm

37. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-14 · Health · corrected 2024-11-23

    Potential for more than minimal harm

38. EF0880Provide and implement an infection prevention and control program.2024-11-14 · Health · corrected 2024-11-23

    Potential for more than minimal harm

39. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-01 · Health · corrected 2024-10-05

    Potential for more than minimal harm

40. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-01 · Health · corrected 2024-10-05

    Potential for more than minimal harm

41. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-01 · Health · corrected 2024-10-05

    Potential for more than minimal harm

42. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-10-01 · Health · corrected 2024-10-05

    Potential for more than minimal harm

43. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-05-24 · Health · corrected 2024-05-25

    Potential for more than minimal harm

44. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-07 · Health · corrected 2024-05-22

    Potential for more than minimal harm

45. GF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-02 · Health · corrected 2024-04-18

    Actual harm

46. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-02 · Health · corrected 2024-04-18

    Potential for more than minimal harm

47. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-12-19 · Health · corrected 2024-01-12

    Potential for more than minimal harm

48. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-12-19 · Health · corrected 2024-01-12

    Potential for minimal harm

49. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-12-19 · Health · corrected 2024-01-12

    Potential for more than minimal harm

50. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-19 · Health · corrected 2024-01-12

    Actual harm

51. GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-12-19 · Health · corrected 2024-01-12

    Actual harm

52. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-19 · Health · corrected 2024-01-12

    Potential for more than minimal harm

53. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-19 · Health · corrected 2024-01-12

    Potential for more than minimal harm

54. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-12-19 · Health · corrected 2024-01-12

    Potential for more than minimal harm

55. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-11-28 · Health · corrected 2023-12-18

    Immediate jeopardy

56. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-28 · Health · corrected 2023-12-18

    Immediate jeopardy

57. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-02 · Health · corrected 2023-11-17

    Potential for more than minimal harm

58. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-08-16 · Health · corrected 2023-08-31

    Potential for more than minimal harm

59. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-16 · Health · corrected 2023-08-31

    Potential for more than minimal harm

60. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-07-05 · Health · corrected 2023-07-07

    Potential for more than minimal harm

61. DF0679Provide activities to meet all resident's needs.2023-07-05 · Health · corrected 2023-07-07

    Potential for more than minimal harm

62. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-15 · Health · corrected 2023-06-29

    Actual harm

63. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-15 · Health · corrected 2023-06-29

    Potential for more than minimal harm

64. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-05-31 · Health · corrected 2023-06-06

    Potential for more than minimal harm

65. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-31 · Health · corrected 2023-06-06

    Potential for more than minimal harm

Ownership

Other facilities in FREEPORT

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