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Other Senior care options in Oswego:

Best Nursing Homes in Oswego, IL

Reviewed by Dr. Jordan Weiss
Updated Apr 2026

Sources: CMS Centers for Medicare and Medicaid Services, and Illinois Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Nursing Homes facilities in Oswego, Illinois.

Watch this Video to see Oswego's Top-rated Senior Communities

Compare Nursing Homes around Oswego

The information below is reported by the Illinois Department of Public Health, Office of Health Care Regulation.

2 facilities compared · CMS & IL Dept. of Health data

Click column headers to sort
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
Facility 203
IL AVG 87
Rank #27 / 425
51.8%
Facility 51.8%
IL AVG 69.3%
Rank #174 / 199
-25%
2.80
Facility 2.80
IL AVG 3.10
Rank #89 / 167
+112%-10%
$47.8k
Facility $47.8k
IL AVG $151.3k
Rank #98 / 168
60
Facility 60
IL AVG 36.8
Rank #141 / 167
4.0
Facility 4.0
IL AVG 3.7
Rank #116 / 167
7133
61
Facility 61
IL AVG 51
Rank #223 / 648
Brittany Herwig
$11.0M
Facility $11.0M
IL AVG $12.2M
Rank #118 / 166
$6.6M
Facility $6.6M
IL AVG $4.8M
Rank #97 / 166
60.1%
Facility 60.1%
IL AVG 44.3%
Rank #30 / 166
145473
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
Facility 105
IL AVG 87
Rank #122 / 425
66.4%
Facility 66.4%
IL AVG 69.3%
Rank #133 / 199
-4%
2.88
Facility 2.88
IL AVG 3.10
Rank #81 / 167
+17%-7%
$0
Facility $0
IL AVG $151.3k
Rank #1 / 168
24
Facility 24
IL AVG 36.8
Rank #58 / 167
4.8
Facility 4.8
IL AVG 3.7
Rank #140 / 167
-69
61
Facility 61
IL AVG 51
Rank #223 / 648
Phc Oswego Holdings LLC
$6.0M
Facility $6.0M
IL AVG $12.2M
Rank #155 / 166
$3.1M
Facility $3.1M
IL AVG $4.8M
Rank #158 / 166
51.6%
Facility 51.6%
IL AVG 44.3%
Rank #67 / 166
146034
Overview of The Pearl of Orchard Valley

The Pearl of Orchard Valley is a nursing home in Aurora, IL, that offers comprehensive care options, including long-term care, memory care, rehabilitation, and in-house dialysis. The community also ensures older adults are well-cared for with its supportive and welcoming environment. Therapy services, respite care, and 24-hour support are among the exceptional services provided to meet residents’ needs and preferences. Focusing on residents’ welfare, the community seamlessly combines compassionate care and clinical excellence.

Chess, light exercises, and fun gatherings provide residents with more opportunities to interact with friends and live actively. State-of-the-art rehabilitation equipment and spacious gathering areas are also available for residents’ relaxation and wellness. Restaurants, a bank, shops, bus stops, and green spaces also surround the area, ensuring a laid-back and convenient lifestyle. This nursing home has high standards of care, making it a great choice for senior living in Illinois.

Contact The Pearl of Orchard Valley

Overview of The Pearl at the Tillers

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.

Contact The Pearl at The Tillers

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
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Frequently Asked Questions about Nursing Homes in Oswego, IL

What's the difference between assisted living and a nursing home in Illinois?

Assisted living in Illinois is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Illinois Medicaid cover nursing home care?

Yes — Illinois Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 2 nursing homes in Oswego, IL. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Oswego, IL?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Oswego, IL, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Oswego, IL?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.