Nursing homes › Illinois › The Pearl of Downers Grove
3450 Saratoga Avenue, Downers Grove, IL 60515 · 6309692900 · 145 certified beds
Per CMS filings, this facility is affiliated with Pearl Healthcare, a group operating 15 facilities in 1 states. Group record: average rating 2.7/5, 1 abuse citation icons, 0 facilities on the Special Focus list, $1,195,606 in federal fines. This facility rates below its group average (2.7/5).
Total nurse staffing: 3.60 (Illinois median: 3.29). RN hours: 0.82. Weekend total: 3.32. Nursing staff turnover: 65%.
All-time on record: 58 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-17 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | complaint | corrected 2026-05-19 |
| 2026-01-23 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2026-02-05 |
| 2026-01-23 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2026-02-05 |
| 2025-04-14 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2025-04-30 |
| 2025-04-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2025-04-30 |
| 2025-04-14 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | F | Health | corrected 2025-04-30 |
| 2025-04-14 | 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. | F | Health | corrected 2025-04-30 |
| 2025-04-14 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Health | corrected 2025-04-30 |
| 2025-04-14 | 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. | F | Health | corrected 2025-04-30 |
| 2025-04-14 | 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. | F | Health | corrected 2025-04-30 |
| 2025-04-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-04-30 |
| 2025-04-14 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-04-30 |
| 2025-04-14 | Implement a program that monitors antibiotic use. | F | Health | corrected 2025-04-30 |
| 2025-04-14 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2025-05-01 |
| 2025-04-14 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2025-04-30 |
| 2025-04-14 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-04-30 |
| 2025-04-14 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2025-04-30 |
| 2025-04-14 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-04-30 |
| 2025-04-14 | 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. | D | Health | corrected 2025-04-30 |
| 2025-04-14 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2025-04-30 |
| 2025-04-14 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Health | corrected 2025-04-30 |
| 2025-04-14 | 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. | D | Health | corrected 2025-04-30 |
| 2025-02-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-03-24 |
| 2025-02-24 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2025-03-26 |
| 2025-02-24 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-03-24 |
| 2024-10-01 | Honor the resident's right to manage his or her financial affairs. | D | complaint | corrected 2024-11-15 |
| 2024-05-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-05-08 |
| 2024-04-30 | 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. | E | complaint | corrected 2024-05-09 |
| 2024-04-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-05-09 |
| 2024-03-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | F | complaint | corrected 2024-04-16 |
| 2024-03-25 | 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. | D | complaint | corrected 2024-04-16 |
| 2024-03-25 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-04-16 |
| 2024-02-02 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2024-02-27 |
| 2024-02-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2024-02-27 |
| 2024-02-02 | Ensure that residents are free from significant medication errors. | E | Health | corrected 2024-02-27 |
| 2024-02-02 | 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. | E | Health | corrected 2024-02-27 |
| 2024-02-02 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2024-02-27 |
| 2024-02-02 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2024-02-27 |
| 2024-02-02 | 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. | D | Health | corrected 2024-02-27 |
| 2024-02-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-02-27 |
| Date | Type | Amount |
|---|---|---|
| 2025-04-14 | Fine | $30,794 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| EZ HOLDCO LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 04/10/2025 |
| EZ HOLDCO LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 04/10/2025 |
| HOOLI HOLDINGS LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 04/10/2025 |
| REG 2018 IRREVOCABLE TRUST U/A/D 1/1/18 | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 04/10/2025 |
| ZEFFREN, EITAN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 04/10/2025 |
| ZEFFREN, EITAN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 04/10/2025 |
| PEARLSTONE CONSULTING LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/10/2025 |
| UDDIN, SHAHAAB | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/10/2025 |
| WILLIAMS, LISA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/10/2025 |
| ZEFFREN, EITAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/10/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 145657. Corrections: data@carerecords.org.