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Nursing homeFAID #3155

The Pearl of Downers Grove

3450 SARATOGA AVENUE, DOWNERS GROVE, IL, 60515
(630) 969-2900
145 licensed beds
★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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Photo of THE PEARL OF DOWNERS GROVE
Photo via Google · Glenda Hayes

Address

3450 Saratoga Avenue
Downers Grove, IL 60515
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What we can show you for free.
Bed capacity
145
CMS facility ID
145657
Care type
Nursing home
County
Du Page
Facility name
The Pearl of Downers Grove
Street address
3450 SARATOGA AVENUE
City / state / ZIP
Downers Grove, IL 60515
Phone
(630) 969-2900

The Pearl of Downers Grove is a Medicare/Medicaid-certified skilled nursing facility in Downers Grove, Illinois. It is licensed for 145 beds — above the median for skilled nursing facilities in Illinois (112 beds).

It is one of 4 senior care facilities in Downers Grove and 667 skilled nursing facilities across Illinois. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited The Pearl of Downers Grove 88 times across 15 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $30,794 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Pearl Healthcare
Ownership type
For profit - Corporation

Registered owners & officers

Ez Holdco Llc
Direct owner · Indirect owner · Additional disclosable party — since 2025
Hooli Holdings Llc
Indirect owner · Additional disclosable party — since 2025
Pearlstone Consulting Llc
Operational control · Additional disclosable party — since 2025
Reg 2018 Irrevocable Trust U/a/d 1/1/18
Indirect owner · Additional disclosable party — since 2025
Uddin, Shahaab
Operational control · Additional disclosable party — since 2025
Williams, Lisa
Operational control · Additional disclosable party — since 2025
Zeffren, Eitan
Indirect owner · Governing body · Operational control · Additional disclosable party — since 2025

Regulatory standing

Federal court records
1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1989-08-22
CMS overall rating
1 of 5 stars
Health deficiencies
22 at the last standard inspection
Federal fines
$30,794 total
Last standard inspection
2025-04-14
Nurse staffing
3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$286 per day (≈ $8,690/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
34% Medicaid · 10% Medicare · 56% private/other
Occupancy
55% (fiscal year 2023)
Vs. state median
16% below the IL median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
145
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-17Health inspectionComplaint-triggered1 citation
F-0690
E · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-05-19
2026-01-23Health inspectionComplaint-triggered2 citations
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-02-05
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-02-05
13 earlier / fire-safety inspections (85 citations)
2025-04-14Health inspection19 citations
F-0623
F · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-04-30
F-0625
F · No harm found
Notify 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.
Corrected 2025-04-30
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-04-30
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-01
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-04-30
F-0676
D · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-04-30
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-30
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-30
F-0688
D · No harm found
Provide 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.
Corrected 2025-04-30
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-30
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-04-30
F-0725
F · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-04-30
F-0744
D · No harm found
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2025-04-30
F-0758
D · No harm found
Implement 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.
Corrected 2025-04-30
F-0801
F · No harm foundFood safety
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2025-04-30
F-0803
F · No harm foundFood safety
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.
Corrected 2025-04-30
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-30
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-04-30
F-0881
F · No harm found
Implement a program that monitors antibiotic use.
Corrected 2025-04-30
2025-02-24Health inspectionComplaint-triggered3 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-24
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-03-26
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-03-24
2024-10-01Health inspectionComplaint-triggered1 citation
F-0567
D · No harm foundFrom a complaint
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-11-15
2024-05-04Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-08
2024-04-30Health inspectionComplaint-triggered2 citations
F-0584
E · No harm foundFrom a complaint
Honor 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.
Corrected 2024-05-09
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-09
2024-03-25Health inspectionComplaint-triggered3 citations
F-0585
D · No harm foundFrom a complaint
Honor 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.
Corrected 2024-04-16
F-0689
F · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-16
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-04-16
2024-02-02Health inspection9 citations
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2024-02-27
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-27
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-27
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-27
F-0688
D · No harm found
Provide 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.
Corrected 2024-02-27
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-27
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-02-27
F-0760
E · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2024-02-27
F-0761
E · No harm found
Ensure 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.
Corrected 2024-02-27
2024-01-18Health inspectionComplaint-triggered1 citation
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-14
2023-08-23Health inspectionComplaint-triggered3 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-09-13
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2023-09-13
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-09-13
2023-03-01Health inspection13 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-03-24
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-03-24
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-03-24
F-0688
D · No harm found
Provide 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.
Corrected 2023-03-24
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-03-24
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-03-24
F-0692
E · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-03-24
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-24
F-0758
D · No harm found
Implement 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.
Corrected 2023-03-24
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-03-24
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2023-03-24
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-03-24
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-03-24
2025-04-14Fire-safety inspection5 citations
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-04-28
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-29
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-04-29
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-04-28
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-29
2024-02-02Fire-safety inspection10 citations
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2024-03-12
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-03-12
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-03-12
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-02-22
K-0293
F · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2024-02-22
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-23
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-12
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-02-22
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-02-28
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-23
2023-03-01Fire-safety inspection15 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-04-14
E-0013
F · No harm found
Develop Emergency Preparedness policies and procedures.
Corrected 2023-04-14
E-0015
F · No harm found
Address subsistence needs for staff and patients.
Corrected 2023-04-14
E-0022
F · No harm found
Establish policies and procedures for sheltering.
Corrected 2023-04-14
E-0029
F · No harm found
Develop a communication plan.
Corrected 2023-04-14
E-0036
F · No harm found
Establish emergency prep training and testing.
Corrected 2023-04-14
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2023-04-14
K-0133
F · No harm found
Install a two-hour-resistant firewall separation.
Corrected 2023-04-14
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-04-14
K-0293
F · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2023-04-14
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-12
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-14
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-04-14
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-04-14
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-14

Federal penalties

2025-04-14Fine$30,794
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 145657.
What people say on Google.
4.398 ratings on Google
★★★★★J W · 2026-06-23 · via Google

“The Pearl has been and continues to be a great experience for my grandmother. The staff are professional, caring and supportive as they make every effort to create a happy and healthy environment. My grandmother has lots of activities to engage in, and really enjoys the daily exercise class and coffee in the beautiful main dining room. My family feels very comfortable and appreciative that our gra…”

★★★★★Al Garza · 2026-03-17 · via Google

“I would like to take a moment and thank the entire staff starting with Lisa Williams the administrator of the Pearl of Downers Grove. Lisa was a very wonderful person to work with in reference to my mother's stay at the Pearl of Downers Grove. Lisa would always call back in a timely manner whenever I had an important question if she wasn't there working her usual 10 hour day. She is someone with h…”

★★★★★Destiney Gates · 2026-01-29 · via Google

“The Pearl of Downers Grove is truly an amazing place. The staff genuinely care about their residents and go above and beyond to make everyone feel valued, safe, and supported. You can feel the compassion and dedication in everything they do. The environment is warm, welcoming, and well maintained, and it’s clear that the residents are treated with respect and kindness every single day. It gives so…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 88 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered