Skilled NursingCMS verified

Pearl at the Tillers

4390 Route 71, Oswego, IL 60543 · Kendall County

Chicagoland's Premier SKILLED NURSING Provider

5.0CMS overall rating(630) 554-1001 Visit website ↗

Strong

Haven Scout Score

Our composite of CMS ratings, staffing, and safety. This community rates strong.

Photos via google places, facility website.

Availability outlookUsually has openings

Typically 62% full — availability is generally good.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

One of Oswego's top-rated skilled nursing communities

Pearl at the Tillers is a for-profit skilled nursing facility in Oswego, IL, with 105 certified beds and an average of about 65 residents per day. It operates as part of the Pearl Healthcare network.

Medicare rates it 5 out of 5 stars overall — above the national average of about 3 stars. Component ratings: 4/5 on health inspections, 2/5 on staffing, 5/5 on quality measures.

Staff provide about 3.41 total nurse hours per resident each day (1.09 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 42.9%, better than the ~52% national average — a sign of staffing stability. On the safety record, CMS notes 7 health deficiencies at its most recent standard survey.

Strengths

✓5-star overall CMS rating
✓Strong health-inspection rating
✓No federal fines on record
✓Full sprinkler system
✓Active resident & family council

Things to ask about

•Below-average nurse staffing (3.41 hrs/resident/day)

Best for: Families who want a highly rated, well-staffed setting in Oswego for 24/7 skilled nursing or post-hospital rehabilitation.

At a glance

Certified beds: 105
Avg. residents/day: 65
Ownership: For profit - Limited Liability company
Part of a chain: Pearl Healthcare
Continuing care: No
CMS provider #: 146034

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating

Health inspections

Staffing

Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of care	Monthly cost	Source
Skilled Nursing	$7,790–$10,410/mo (median $8,830)	Local market estimate

2024–2026 published survey medians, state median adjusted to local Elgin prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for Pearl at the Tillers →

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day: 3.41; National avg ≈ 3.9
RN hrs / resident / day: 1.09; National avg ≈ 0.75
Nursing staff turnover: 42.9%; National avg ≈ 52%

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

Health deficiencies (last survey): 7
Federal fines: None on record
Total penalties: 0
Last standard survey: 2025-03-06
Sprinkler system: Yes
Resident & family council: Resident

What inspectors found

The most recent findings from federal health inspections (27 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2026-04-09Severity D — potential for harmFrom a complaintQuality of Life and Care Deficiencies

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

2025-12-24Severity D — potential for harmFrom a complaintQuality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

2025-04-29Severity D — potential for harmFrom a complaintFreedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

2025-03-06Severity F — potential for harmNutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-03-06Severity E — potential for harmNutrition and Dietary Deficiencies

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.

2025-03-06Severity D — potential for harmQuality of Life and Care Deficiencies

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

2025-03-06Severity D — potential for harmQuality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

2025-03-06Severity D — potential for harmInfection Control Deficiencies

Provide and implement an infection prevention and control program.

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Services & amenities

✓ Full automatic sprinkler system
✓ Medicare & Medicaid certified
✓ 24-hour licensed nursing
✓ On-site rehabilitation therapy
✓ Rehabilitation services
✓ Memory care
✓ Daily activities & events
✓ Library

Location

4390 Route 71, Oswego, IL

Monday: Open 24 hours
Tuesday: Open 24 hours
Wednesday: Open 24 hours
Thursday: Open 24 hours
Friday: Open 24 hours
Saturday: Open 24 hours
Sunday: Open 24 hours

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Google

4.4

294 reviews →

Verified family reviews

No verified family reviews yet for Pearl at the Tillers.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

Talk to an advisor about this community

Common questions about Pearl at the Tillers

How much does Pearl at the Tillers cost?

Pearl at the Tillers does not publish exact rates. Comparable skilled nursing in the Oswego, IL area typically runs $7,790–$10,410 per month (median $8,830, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is Pearl at the Tillers's Medicare rating?

Medicare (CMS) rates Pearl at the Tillers 5 out of 5 stars overall, including 4/5 for health inspections, 2/5 for staffing, 5/5 for quality measures. The national average is about 3 stars.

How is the staffing at Pearl at the Tillers?

Staff provide about 3.41 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 42.9% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.

What did inspectors find at Pearl at the Tillers?

Pearl at the Tillers has 27 health citations on its recent federal inspection record (last standard survey: 2025-03-06). The full citation-by-citation detail, with severity levels, is published on this page.

Does Pearl at the Tillers have availability?

Typically 62% full — availability is generally good. Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does Pearl at the Tillers offer?

Pearl at the Tillers in Oswego, IL offers skilled nursing and is licensed for 105 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Elgin.
The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

Start with a free shortlist →Take the 2-minute assessment

Your next steps — this week

1
Confirm the fit
Check the inspection record and staffing data on this page against your loved one's needs.
2
Get exact pricing & availability
Request current rates for Pearl at the Tillers — takes one minute, answered same day.
3
Tour 2–3 communities
Compare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
4
Hold a spot
Most communities hold a residence with a small refundable deposit while you decide.