Starfile / Illinois

THE PEARL OF DOWNERS GROVE

3450 SARATOGA AVENUE, DOWNERS GROVE, IL 60515 · CCN 145657

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

$30,264

Number of fines

1

Number of penalties

1

Payment denials

0

Inspection citations (69)4 immediate jeopardy5 actual harm

1. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2026-01-23 · Health · corrected 2026-02-05

   Actual harm

2. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2026-01-23 · Health · corrected 2026-02-05

   Potential for more than minimal harm

3. FF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-04-14 · Health · corrected 2025-04-30

   Potential for more than minimal harm

4. FF0625Notify 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.2025-04-14 · Health · corrected 2025-04-30

   Potential for more than minimal harm

5. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-04-14 · Health · corrected 2025-04-30

   Potential for more than minimal harm

6. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-14 · Health · corrected 2025-05-01

   Potential for more than minimal harm

7. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-04-14 · Health · corrected 2025-04-30

   Potential for more than minimal harm

8. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-04-14 · Health · corrected 2025-04-30

   Potential for more than minimal harm

9. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-14 · Health · corrected 2025-04-30

   Potential for more than minimal harm

10. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-14 · Health · corrected 2025-04-30

    Actual harm

11. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-04-14 · Health · corrected 2025-04-30

    Potential for more than minimal harm

12. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-14 · Health · corrected 2025-04-30

    Actual harm

13. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-04-14 · Health · corrected 2025-04-30

    Potential for more than minimal harm

14. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-04-14 · Health · corrected 2025-04-30

    Potential for more than minimal harm

15. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-04-14 · Health · corrected 2025-04-30

    Potential for more than minimal harm

16. 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.2025-04-14 · Health · corrected 2025-04-30

    Potential for more than minimal harm

17. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-04-14 · Health · corrected 2025-04-30

    Potential for more than minimal harm

18. 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.2025-04-14 · Health · corrected 2025-04-30

    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.2025-04-14 · Health · corrected 2025-04-30

    Potential for more than minimal harm

20. FF0880Provide and implement an infection prevention and control program.2025-04-14 · Health · corrected 2025-04-30

    Potential for more than minimal harm

21. FF0881Implement a program that monitors antibiotic use.2025-04-14 · Health · corrected 2025-04-30

    Potential for more than minimal harm

22. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-24 · Health · corrected 2025-03-24

    Potential for more than minimal harm

23. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-24 · Health · corrected 2025-03-26

    Potential for more than minimal harm

24. DF0880Provide and implement an infection prevention and control program.2025-02-24 · Health · corrected 2025-03-24

    Potential for more than minimal harm

25. DF0567Honor the resident's right to manage his or her financial affairs.2024-10-01 · Health · corrected 2024-11-15

    Potential for more than minimal harm

26. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-04 · Health · corrected 2024-05-08

    Actual harm

27. 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.2024-04-30 · Health · corrected 2024-05-09

    Potential for more than minimal harm

28. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-30 · Health · corrected 2024-05-09

    Potential for more than minimal harm

29. DF0585Honor 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.2024-03-25 · Health · corrected 2024-04-16

    Potential for more than minimal harm

30. FF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-25 · Health · corrected 2024-04-16

    Potential for more than minimal harm

31. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-25 · Health · corrected 2024-04-16

    Potential for more than minimal harm

32. DF0583Keep residents' personal and medical records private and confidential.2024-02-02 · Health · corrected 2024-02-27

    Potential for more than minimal harm

33. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-02 · Health · corrected 2024-02-27

    Potential for more than minimal harm

34. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-02 · Health · corrected 2024-02-27

    Potential for more than minimal harm

35. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-02 · Health · corrected 2024-02-27

    Potential for more than minimal harm

36. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-02-02 · Health · corrected 2024-02-27

    Potential for more than minimal harm

37. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-02 · Health · corrected 2024-02-27

    Potential for more than minimal harm

38. DF0759Ensure medication error rates are not 5 percent or greater.2024-02-02 · Health · corrected 2024-02-27

    Potential for more than minimal harm

39. EF0760Ensure that residents are free from significant medication errors.2024-02-02 · Health · corrected 2024-02-27

    Potential for more than minimal harm

40. 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.2024-02-02 · Health · corrected 2024-02-27

    Potential for more than minimal harm

41. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-18 · Health · corrected 2024-02-14

    Potential for more than minimal harm

42. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-23 · Health · corrected 2023-09-13

    Potential for more than minimal harm

43. DF0610Respond appropriately to all alleged violations.2023-08-23 · Health · corrected 2023-09-13

    Potential for more than minimal harm

44. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-23 · Health · corrected 2023-09-13

    Potential for more than minimal harm

45. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-05-06 · Health · corrected 2023-05-12

    Potential for more than minimal harm

46. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-20 · Health · corrected 2023-05-12

    Potential for more than minimal harm

47. EF0685Assist a resident in gaining access to vision and hearing services.2023-04-20 · Health · corrected 2023-05-12

    Potential for more than minimal harm

48. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-04-20 · Health · corrected 2023-05-12

    Actual harm

49. DF0808Ensure 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.2023-04-20 · Health · corrected 2023-05-12

    Potential for more than minimal harm

50. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-07 · Health · corrected 2023-05-04

    Potential for more than minimal harm

51. JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-04-07 · Health · corrected 2023-05-04

    Immediate jeopardy

52. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-17 · Health · corrected 2023-03-24

    Immediate jeopardy

53. KF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-03-17 · Health · corrected 2023-03-24

    Immediate jeopardy

54. KF0610Respond appropriately to all alleged violations.2023-03-17 · Health · corrected 2023-03-24

    Immediate jeopardy

55. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-03-17 · Health · corrected 2023-03-24

    Potential for more than minimal harm

56. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-03-17 · Health · corrected 2023-03-24

    Potential for more than minimal harm

57. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-03-01 · Health · corrected 2023-03-24

    Potential for more than minimal harm

58. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-01 · Health · corrected 2023-03-24

    Potential for more than minimal harm

59. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-01 · Health · corrected 2023-03-24

    Potential for more than minimal harm

60. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-03-01 · Health · corrected 2023-03-24

    Potential for more than minimal harm

61. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-01 · Health · corrected 2023-03-24

    Potential for more than minimal harm

62. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-03-01 · Health · corrected 2023-03-24

    Potential for more than minimal harm

63. EF0692Provide enough food/fluids to maintain a resident's health.2023-03-01 · Health · corrected 2023-03-24

    Potential for more than minimal harm

64. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-03-01 · Health · corrected 2023-03-24

    Potential for more than minimal harm

65. 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.2023-03-01 · Health · corrected 2023-03-24

    Potential for more than minimal harm

66. DF0759Ensure medication error rates are not 5 percent or greater.2023-03-01 · Health · corrected 2023-03-24

    Potential for more than minimal harm

67. DF0760Ensure that residents are free from significant medication errors.2023-03-01 · Health · corrected 2023-03-24

    Potential for more than minimal harm

68. EF0880Provide and implement an infection prevention and control program.2023-03-01 · Health · corrected 2023-03-24

    Potential for more than minimal harm

69. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-03-01 · Health · corrected 2023-03-24

    Potential for more than minimal harm

Ownership

Other facilities in DOWNERS GROVE

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