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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Pearl at the Tillers is a nursing home in Oswego, IL, that offers long-term care, post-hospital care, respite care, and rehabilitation. Fostering comfort and healing, the community has a nurturing and welcoming environment. A maintenance-free lifestyle is also guaranteed, with 24-hour care, nutritious meals, and comprehensive therapies. The community also strives to get to know residents’ unique needs and habits to provide the best possible care for their recovery.
Light exercises and fun gatherings encourage residents to make friends and maintain their holistic wellness. Cozy lounge and naturally lit therapy room also promote interactions and relaxation. Set along the road, near restaurants and shops in Oswego, the community guarantees accessibility and convenience. This nursing home has high standards of care and upscale amenities, making it one of the best choices for senior living in Illinois.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 81st out of 167 homes in Illinois. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
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Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
|
3h 2m per day | ■ Avg State avg: 3h 5m per day · National avg: 3h 25m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
37% better than Illinois average
9% worse than Illinois average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
No contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,828 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 63 | 0 | 63 | 11,741 | 92 | 100% | 6.9 |
| Registered Nurse | 24 | 0 | 24 | 5,250 | 92 | 100% | 6.8 |
| Licensed Practical Nurse | 9 | 0 | 9 | 2,166 | 92 | 100% | 7.5 |
| Speech Language Pathologist | 0 | 8 | 8 | 966 | 83 | 90% | 7.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 885 | 62 | 67% | 7.8 |
| Physical Therapy Assistant | 0 | 9 | 9 | 858 | 86 | 93% | 6.6 |
| Other Dietary Services Staff | 3 | 0 | 3 | 676 | 89 | 97% | 6 |
| Mental Health Service Worker | 2 | 0 | 2 | 537 | 63 | 68% | 7.3 |
| Administrator | 1 | 0 | 1 | 450 | 60 | 65% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 435 | 58 | 63% | 7.5 |
| Dietitian | 1 | 0 | 1 | 420 | 56 | 61% | 7.5 |
| Qualified Social Worker | 0 | 5 | 5 | 383 | 73 | 79% | 5.1 |
| Respiratory Therapy Technician | 0 | 11 | 11 | 340 | 69 | 75% | 4.2 |
| Physical Therapy Aide | 0 | 4 | 4 | 277 | 39 | 42% | 5.4 |
| Qualified Activities Professional | 1 | 0 | 1 | 143 | 19 | 21% | 7.5 |
| Medical Director | 0 | 1 | 1 | 4 | 7 | 8% | 0.6 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.8
50% better than Illinois average
Illinois average: 9.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.9
20% better than Illinois average
Illinois average: 18.6
Percent of long-stay residents whose need for help with daily activities has increased
6.2%
60% better than Illinois average
Illinois average: 15.5%
Percent of long-stay residents whose ability to move independently worsened
6.7%
64% better than Illinois average
Illinois average: 18.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.8%
47% worse than Illinois average
Illinois average: 21.6%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Illinois average
Illinois average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
7.3%
38% worse than Illinois average
Illinois average: 5.3%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Illinois average
Illinois average: 1.8%
Percent of long-stay residents who lose too much weight
3.9%
40% better than Illinois average
Illinois average: 6.5%
Percent of long-stay residents who have depressive symptoms
74.3%
55% worse than Illinois average
Illinois average: 48.1%
Percent of long-stay residents who received an antipsychotic medication
6.0%
71% better than Illinois average
Illinois average: 20.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
12% better than Illinois average
Illinois average: 89.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.4%
In line with Illinois average
Illinois average: 91.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.3%
31% better than Illinois average
Illinois average: 68.3%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
9% better than Illinois average
Illinois average: 2.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.4%
45% better than Illinois average
Illinois average: 63.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
27% of new residents, usually for short-term rehab.
20% of new residents, often for short stays.
54% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
59
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for The Pearl at The Tillers based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #158 / 166Payroll — State benchmarkedThis home is ranked 158th out of 166 homes in Illinois. Shows total annual staff payroll benchmarked to the Illinois average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Building Type: Single-story
On-site Medical Care and Health Services
Rehabilitative Support
Most residents stay for extended periods and receive ongoing daily care.
0.7 miles from city center
Estimated distance in miles from Oswego's city center to The Pearl at The Tillers's address, calculated via Google Maps.
Add your location
The Pearl at The Tillers is located in Oswego, Illinois.
Here are the financial assistance programs available to residents in Illinois.
The information below is reported by the Illinois Department of Public Health, Office of Health Care Regulation.
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| The Pearl at The Tillers |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. |
Oswego | 105 | 66.4% | -4% | 2.88 | +17% | -7% | $0 | 24 | 4.8 | - | 69 | 61 | Phc Oswego Holdings LLC | $6.0M | $3.1M | 51.6% | 146034 | ||||
| The Pearl of Orchard Valley |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
Aurora (West Galena Boulevard) | 203 | 51.8% | -25% | 2.80 | +112% | -10% | $47.8k | 60 | 4.0 | 7 | 133 | 61 | Brittany Herwig | $11.0M | $6.6M | 60.1% | 145473 |
The Pearl at The Tillers has a walk score of 61. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
The team at The Pearl at The Tillers can be reached at [email protected].
The Pearl at The Tillers is located at 4390 IL-71, Oswego, IL 60543.
(630) 554-1001 will put you in contact with the team at The Pearl at The Tillers.
Yes — The Pearl at The Tillers is a CMS-certified provider of Medicare and Medicaid.
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