306 North Larkin Avenue, Joliet, IL 60435 · Will County · (815) 744-5560
214 certified beds, about 136 residents a day · For profit - Partnership · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145372 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 7, 2026, inspectors cited 11 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 55 health citations since November 2023, 5 were rated as actual harm or immediate jeopardy to residents.
CMS lists 3 fines totaling $106,223 in the last three years; the largest was $72,450, and the latest is dated April 30, 2026.
Nurses and nurse aides worked 3.13 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.
42.6% of nursing staff left within the year CMS measured (Illinois average 44.5%).
CMS links it to Pearl Healthcare, an affiliated group of 15 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 55 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to assure the facility dishwasher consistently achieved the required temperature to disinfect facility dishware. This applies to all 125 residents that receive dietary service from the facility kitchen.
Inspectors wroteBased on observation, interview, and record review, the facility failed to prevent and treat for an insect infestation in the kitchen area. This applies to all 125 residents that receive dietary service from the facility kitchen.
Inspectors wroteBased on observation, interview, and record review, the facility failed to prioritize resident discharge goals and preferences and facilitate timely discharge. This applies to one resident (R8) reviewed for discharges in a sample of 30 residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide personal hygiene for residents who required assistance from staff. This applies to 3 of 3 residents (R93, R48, R34) reviewed for ADLs (Activities of Daily Living) in a sample of 30.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide foot care to a diabetic resident. This applies to 1 of 1 residents (R88) reviewed for podiatry services in a sample of 30.
Inspectors wroteBased on observation, interview, and record review, the facility failed to assess a resident for limited ROM (range of motion) and implement interventions to prevent a decline in ROM. This applies to 2 of 6 residents (R90 and R113) reviewed for Range of Motion in a sample of 30.
Inspectors wroteBased on observation, interview, and record review, the facility failed to assess and care plan for a resident to ensure he is a safe smoker and failed to ensure the resident did not keep his smoking materials unsecured. This applies to 1 of 2 residents (R32) reviewed for smoking in a sample of 30.
Inspectors wroteBased on observation, interview, and record review, the facility failed to check for G-tube (Gastrostomy Tube) placement before flushing the gastrostomy tube and before providing tube feeding. This applies to 2 out of 2 (R6, R13) residents reviewed for feeding tubes in a sample of 30.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the treatment dressing on a venous access device (VAD) site was in place for resident on dialysis, and failed to ensure the dressing replacement was completed in a sterile manner. This applies to 1 of 1 residents (R9) reviewed for dialysis.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that a resident was free from a significant medication error. This applies to 1 of 1 resident (R20) reviewed for significant medication errors in a sample size of 30.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow infection control and prevention practices with PPE (Personal Protective Equipment) usage. This applies to 2 residents (R9 and R1) reviewed for infection control in a sample of 30 residents.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident who was admitted with an unstageable pressure ulcer was seen by a wound care physician or nurse practitioner in a timely manner and failed to follow recommended wound treatment. This failure resulted in a resident (R1) to develop an infection in the wound and require surgical debridement. This applies to 1 of 3 residents (R1) reviewed for wound care in the sample of 3.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain the head of bed at thirty degrees while a resident's tube feeding was infusing. This applies to 1 of 4 residents R1 reviewed for their tube feeding in a sample of 8.
Inspectors wroteBased on interview and record review, the facility failed to administer the ordered initial dose of an antibiotic. This applies to 1 of 4 residents R1 reviewed for antibiotic administration in a sample of 8.
Inspectors wroteBased on interview, observation, and record review, the facility failed to maintain palatable and appetizing food temperature when serving meals. This applies to all 121 residents receiving meals from the facility.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow standard infection control practices with regards to donning of gowns during provisions of care to residents who are on EBP (Enhance Barrier Precautions). This applies to 3 of the 4 residents (R1, R4, R5) reviewed for EBP in the sample of 14.
Inspectors wroteBased on observation, interview, and record review, the facility failed to complete a wound or skin event in risk management when a skin abnormality was found on a resident, failed to seek medical attention for a resident who developed rash-like skin redness, failed to monitor the skin rash/redness for improvement or worsening, failed to implement wound nurse practitioner's recommendations to keep the area clean and dry, and failed to implement wound nurse practitioner's recommendations for treatment of the rash. These failures resulted in R1 developing a rash/reddened area under her breasts that went without assessment or treatment, experiencing a rash/redness on her groin and buttocks that did not improve, and R1 expressing she experienced extreme pain and discomfort for many months due to the rash/redness. [...]
Inspectors wroteBased on interview and record review, the facility failed to complete thorough abuse investigations to ensure abuse is recognized/identified and failed to maintain proof of thorough investigations. This has the potential to affect all residents in the facility.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain the kitchen facility in a manner to prevent foodborne illness. This applies to 133 residents in the facility receiving dietary services.
Inspectors wrote3. R46's face sheet shows an admission date of 9/8/23. R46's face sheet shows diagnoses of metabolic encephalopathy, acute embolism and thrombosis of unspecified deep veins of unspecified lower extremity, and facial weakness following cerebral infarction. R46's MDS (Minimum Data Set), dated 12/11/24, shows a blank score for the BIMS (Brief Interview for Mental Status). R46 was triggered as moderately impaired under cognitive skills for daily decision making. R46 has impairment on both sides of his upper and lower extremities. R46's POS (Physician Order Sheet) shows the following orders: Don right rest hand splint for contracture management daily, doff at NOC (Night Shift/Nocturnal) and for hygiene, check skin integrity every shift. Apply cervical collar when up in the wheelchair, may remove for feeding, hygiene, check for redness, discomfort, and pain. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to securely store oxygen cylinders and cleaning supplies, and failed to maintain residents bed at a safe height to minimize potential injuries from falls. This applies to 17 of 17 residents (R2, R22, R34, R35, R39, R41, R44, R50, R57, R65, R105, R110, R126, R128, R129, R138, R141) reviewed for accident hazards in a sample of 30.
Inspectors wroteBased on observation, interview, and record review, the facility failed to assess a resident who was self-administering medication. This applies to 1 of 1 residents (R76) reviewed for self-medication administration in a sample of 30.
Inspectors wroteBased on observation, interview, and record review, the facility failed to place call lights within reach of residents. This applies to 3 of 3 residents (R114, R2, R44) reviewed for call lights in a sample of 30.
Inspectors wroteBased on interview and record review, the facility failed to protect the residents' right to be free from verbal and mental abuse. This applies to 3 of 6 residents (R81, R13, R45) reviewed for abuse.
Inspectors wroteBased on interview and record review, the facility failed to report an allegation of verbal abuse to the Illinois Department of Public Health (IDPH). This applies to 1 of 6 residents (R81) reviewed for abuse in the sample of 30.
Inspectors wroteBased on observation, interview, and record review, the facility failed to assess incontinent residents for toileting programs and placed multiple layers of disposable incontinence products on a resident. This applies to 1 (R32) of 3 residents reviewed for incontinence care in the sample of 30.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide necessary services and care to maintain a midline intravenous (IV) catheter. This applies to 1 resident (R81) reviewed for IV catheter care in a sample of 30.
Inspectors wroteBased on interview and record review, the facility failed to provide completed documentation of the pharmacy's monthly MRR (Medication Regimen Reviews) recommendations with the physician / prescriber response. This applies to 2 of 5 residents (R55 and R64) reviewed for unnecessary medications in a sample of 30.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that resident's personal food items were properly stored. This applies to 1 (R45) of 3 residents reviewed for stored food in the sample of 30.
Inspectors wroteBased on observation, interview, and record review, the facility failed to wear the appropriate PPE (Personal Protective Equipment) before entering a isolation room. This applies to 1 of 4 resident (R447) reviewed for infection control in a sample of 30.
Inspectors wroteBased on interview and record review, the facility failed to utilize an antibiotic use protocol tool for residents who were placed on antibiotics. This applies to 2 of 5 residents (R27, R120) reviewed for antibiotic stewardship in a sample of 30.
Inspectors wroteBased on observation, interview, and record review, the facility failed to identify an area of possible entrapment on a resident's bed. This applies to 1 of 17 residents (R22) reviewed for safety.
Inspectors wroteBased on observation, interview, and record review, the facility failed to identify a resident's skin breakdown. As a result of this failure, R7 developed a Stage 3 pressure ulcer. This applies to 1 of 1 resident (R7) reviewed for pressure ulcers in a sample of 10.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide information to install cameras in a resident's room. This applies to 1 of 1 resident (R2) reviewed for resident rights in a sample of 10.
Inspectors wroteBased on interview and record review, the facility failed to provide a resident with his scheduled anxiety medications, as ordered. This applies to 1 of 1 resident (R9) reviewed for pharmacy services in a sample of 10.
Inspectors wroteBased on observation, interview, and record review, the facility failed to report a new skin alteration for a resident (R3) with a known history of a right hip pressure injury. This failure resulted in R3's right distal hip stage 3, and right proximal hip stage 2, new facility-acquired pressure injuries not being assessed and treated once identified. This applies to 1 of 3 residents (R3) reviewed for pressure wounds.
Inspectors wroteBased on observation, interview, and record review, the facility failed to assess and obtain treatment orders for a resident (R2) with known skin tears. This applies to 1 of 4 residents (R2) reviewed for quality of care.
Inspectors wroteBased on observation, interview, and record review, the facility failed provide a clean, comfortable, homelike environment. This applies to 6 of 6 residents (R1, R2, R3, R4, R5, R6) reviewed for clean, comfortable, homelike environment in the sample of 6.
Inspectors wroteBased on observation, interview, record review, the facility failed to provide timely incontinence care, and failed to ensure a resident who requires total assistance is being assisted to get up from bed. This applies to 3 of the 6 residents (R1, R2, R3) reviewed for activities of daily living (ADL) care in the sample of 6.
Inspectors wroteBased on observation, interview, and record review, the facility failed to monitor and check glucose blood sugar levels for a resident with a known history of Diabetic Ketoacidosis and elevated blood sugars. This failure resulted in R1 needing hospitalization for Diabetic Ketoacidosis (grossly elevated blood sugars). This applies to 1 of 3 residents (R1) review for Diabetes and blood glucose monitoring in the sample of 4.
Inspectors wroteBased on interview and record review, the facility failed to implement a physician's order. This applies to 1 of 3 residents (R1) reviewed for having an NPO (Nothing by Mouth) order.
Inspectors wroteBased on interview, observation, and record review, the facility failed to maintain residents bed equipment. This applies to 1of 3 residents (R1) reviewed for maintenance of furnishings and equipment in a sample of 3.
Inspectors wroteBased on interview and record review, the facility failed to assist a resident to the bathroom with his oxygen equipment. This applies to 1 of 4 residents (R1) reviewed for transfer assistance and ADL's (Activities of Daily Living) in a sample of 4.
Inspectors wroteBased on observation, interview, and record review, the facility failed to administer medications as ordered by the physician to a resident. This applies to 1 of 4 residents (R1) reviewed for medications in a sample of 4.
Inspectors wroteBased on observation, interview, and record review, the facility failed to notify a resident's POA (Power of Attorney) of a change in condition. This applies to 1 of 3 residents (R1) reviewed for notification of changes.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide personal hygiene (Oral care, incontinence care, nail trimming, grooming, shaving, and showering) to dependent residents. This applies to 8 of 12 residents (R20, R26, R33, R38, R50, R62, R70, and R82) reviewed for activities of living (ADL) in a sample of 34.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident using oxygen had physician orders in place for it, and failed to date and contain respiratory equipment. This applies to 4 of 4 residents reviewed (R58, R88, R103, and R318) for respiratory care and treatment in a sample of 34.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain dignity and privacy for residents by not knocking on doors and asking permission before entering a resident's room; failed to close the door and privacy curtain before providing resident care; and failed to dress a resident properly which exposed a resident's private area. This applies to 2 of 2 residents (R14, R79) reviewed for dignity in a sample of 34.
Inspectors wroteBased on observation, interview, and record review, the facility failed to have call lights accessible to dependent residents. This applies to 3 of 3 residents (R36, R47, and R316) reviewed for accommodation of needs in a sample of 34.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a safe, comfortable, and homelike environment. This applies to 3 residents (R66, R7, and R99) reviewed for environment in a sample of 34 residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to properly obtain a blood sample for 1 diabetic resident that required blood glucose levels prior to receiving insulin. This applies to 1 of 10 residents (R14) reviewed for glucose testing in a sample of 34.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide foot care to meet the needs of all residents. This applies to 1 resident (R1) reviewed for foot care in a sample of 34 residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide supervision for smokers with smoking materials, and failed to provide a safe environment in resident's rooms. This applies to 2 of 2 residents (R53, R413) reviewed for accidents/hazards and supervision in the sample of 34.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents' urinary catheter drainage bags were secured in a sanitary manner. This applies to 2 residents (R38, R321) reviewed for urinary catheters in a sample of 34.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident's wheelchair was in working condition to prevent the risk of falls. This applies to 1 of 3 residents (R2) reviewed for safe operating equipment.
1 fire safety citation on file: 1 on December 1, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| April 30, 2026 | Fine | $25,920 |
| December 27, 2024 | Fine | $72,450 |
| December 27, 2024 | Payment Denial | 23 days from January 28, 2025 |
| September 26, 2024 | Fine | $7,853 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Illinois | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.13 | 3.45 | 3.86 |
| Registered nurses | 0.61 | 0.72 | 0.69 |
| All nursing staff on weekends | 2.64 | 3.07 | 3.42 |
| Nurse aides | 1.76 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | 42.6% | 44.5% | 45.8% |
| Registered nurse turnover | 42.9% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.88 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.33 on weekdays and 2.64 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.98 in April to June 2025 to 3.13 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.13 | 0.61 | 3.33 | 2.64 | 5.8% | 0 of 90 | 136 |
| Oct to Dec 2025 | 3.14 | 0.63 | 3.33 | 2.65 | 4.8% | 0 of 92 | 137 |
| Jul to Sep 2025 | 3.16 | 0.66 | 3.36 | 2.65 | 4.6% | 0 of 92 | 137 |
| Apr to Jun 2025 | 2.98 | 0.66 | 3.20 | 2.42 | 5.0% | 0 of 91 | 141 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Illinois, Jan to Mar 2026 | 3.26 | 0.65 | 3.40 | 2.92 | 5.4% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Illinois, all employers | |||
| CNAs (nursing assistants) | $22.10 | $18.95 to $23.26 | 68,640 |
| LPNs and LVNs | $36.06 | $30.57 to $38.25 | 17,440 |
| Registered nurses | $46.15 | $38.47 to $50.94 | 138,910 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Illinois | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.6 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.8 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.2 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.4 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.3 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.9 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.3 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.4 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 2.2 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Pearl of Joliet, the's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (36.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
36.8% this home
Worse than the national rate
US median of homes 51.5% · Illinois: 106 better, 85 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 77 eligible stays.
11.0% this home
No different from the national rate
US median of homes 10.7% · Illinois: 2 better, 14 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 101 eligible stays.
8.0% this home
No different from the national rate
US median of homes 7.1% · Illinois: 3 better, 10 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 68 eligible stays.
46.7% this home
Median of homes: Illinois50.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 45 residents counted.
0.0% this home
Median of homes: Illinois0.3% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 75 residents counted.
5.2% this home
Median of homes: Illinois1.5% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 75 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Illinois100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 7 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: PEARL OF JOLIET LLC. CMS links this home to Pearl Healthcare, a group of 15 nursing homes averaging 2.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Phc Ovj LLC | 5% or greater direct ownership interest | Organization | 99% | 05/01/2022 |
| Kushner Family Idf LLC | 5% or greater indirect ownership interest | Organization | 8% | 05/01/2022 |
| Kothera, Kyle | W-2 managing employee | Individual | 05/01/2022 | |
| Zeffren, Eitan | Corporate officer | Individual | 05/01/2022 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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