5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 90th out of 154 nursing homes we track in Illinois for nurse hours. 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.
2h 38mStandout metric: RN, weekends is +52% above Illinois average
3 of 6 metrics below Illinois average
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 24 are the facility's own employees; no agency contractors work in this role.
24 staff · 6.8-hour shifts
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 9 are the facility's own employees; no agency contractors work in this role.
9 staff · 7.5-hour shifts
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 63 are the facility's own employees; no agency contractors work in this role.
63 staff · 6.9-hour shifts
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
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.
RN + LPN + aide · Sat–Sun
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
145
107 employees · 38 contractors · 40 on an average day
145 total staff / 66 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.20 : 1
↑ 25% · IL 1.76This facility: 2.20 staff per resident, 25% above the Illinois average of 1.76 (among Illinois facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
145 staff ÷ 66 residents
See full Illinois ranking →
Average hours one staff member works on a day they are on shift, across every role.
6.9 h
↓ 9% · IL 7.6 hThis facility: 6.9 h, 9% below the Illinois average of 7.6 h (among Illinois facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
25,528 staff hours this quarter
See full Illinois ranking →88.9% of staff hours were worked by the facility's own employees
Illinois average: 90.1% · Contractors this quarter: Respiratory Therapy Technician (11), Physical Therapy Assistant (9), Speech Language Pathologist (8), Qualified Social Worker (5), Physical Therapy Aide (4), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
A mid-sized community that may balance personal attention with shared amenities and social activities.
105
Rank #86 / 164Bed count — State benchmarked This nursing home is ranked 86th out of 164 nursing homes we track in Illinois for bed count. Shows this facility's certified or reported bed count compared to other Illinois facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #71 / 188Walk Score — State benchmarked This nursing home is ranked 71st out of 188 nursing homes we track in Illinois for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Illinois facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #103 / 132Occupancy rate — State benchmarked This nursing home is ranked 103rd out of 132 nursing homes we track in Illinois for occupancy. Shows this facility's occupancy rate versus the Illinois average, with its Statewide rank out of 132. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Illinois that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Based on residents per day and 105 beds.
Lower than the Illinois average: 79%
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
Source: CMS Provider Information, average daily residents (data as of Aug 2026)
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
14 points above the Illinois average for CMS-certified facilities (83/100)
Category breakdown
60 severity-weighted points (27 deficiencies) · 34% lower than the typical CMS-certified IL facility (median: 91)
No fines on record · 0 enforcement actions
10 days to fix issues · faster than the typical CMS-certified IL facility (median: 15)
100% corrected
27 of 27 citations corrected Latest inspection: Apr 09, 2026 · 1 citation (Quality of Care, moderate), corrected
Most cited category: Quality of Life & Care, 11 of 27 citations · 8 categories in total
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Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 27 citations resulted from standard inspections; and 5 of 27 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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.
How residents at this home fare on health outcomes and preventive care, compared with the Illinois average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
3
/ 5
Average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
8.0
Score · lower is better
↓ 4% · IL 8.3This facility: 8.0, 4% below the IL average of 8.3 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
19.9
Score · lower is better
↑ 23% · IL 16.2This facility: 19.9, 23% above the IL average of 16.2 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 6 better, 4 worse, 1 near IL average
3 short-stay measures: 2 better, 1 worse
People who live at the home · 11 measures
Percent of long-stay residents whose need for help with daily activities has increased
11.9%
↓ 11% · IL 13.4This facility: 11.9, 11% below the IL average of 13.4 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
13.1%
↓ 8% · IL 14.3This facility: 13.1, 8% below the IL average of 14.3 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
34.8%
↑ 69% · IL 20.6This facility: 34.8, 69% above the IL average of 20.6 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · IL 1.5This facility: 0.0, 100% below the IL average of 1.5 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
↓ 24% · IL 3.1This facility: 2.3, 24% below the IL average of 3.1 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
5.5%
↑ 14% · IL 4.8This facility: 5.5, 14% above the IL average of 4.8 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
6.9%
↑ 11% · IL 6.3This facility: 6.9, 11% above the IL average of 6.3 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
82.7%
↑ 53% · IL 54.2This facility: 82.7, 53% above the IL average of 54.2 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
6.6%
↓ 70% · IL 21.7This facility: 6.6, 70% below the IL average of 21.7 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 11% · IL 90.3This facility: 100.0, 11% above the IL average of 90.3 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.4%
↑ 4% · IL 91.8This facility: 95.4, 4% above the IL average of 91.8 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rehab and recovery after a hospital stay · 3 measures
Percent of short-stay residents who newly received an antipsychotic medication
3.1%
↑ 37% · IL 2.2This facility: 3.1, 37% above the IL average of 2.2 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.6%
↑ 36% · IL 69.7This facility: 94.6, 36% above the IL average of 69.7 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.4%
↑ 45% · IL 63.1This facility: 91.4, 45% above the IL average of 63.1 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
62% of new residents, usually for short-term rehab.
8% of new residents, often for short stays.
31% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
66Residents 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 from 2011–2024, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2024.
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (62% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
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The Pearl at The Tillers is located in IL-71 Oswego, Illinois.
Here are the financial assistance programs available to residents in Illinois.
The Pearl at The Tillers has a walk score of 61. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
The Pearl at The Tillers's occupancy is 69.4%.
No, The Pearl at The Tillers has a no-pet policy.
The team at The Pearl at The Tillers can be reached at info@pearltillers.com.
The Pearl at The Tillers is registered as a for-profit.
The Pearl at The Tillers received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
The Pearl at The Tillers has 105 beds.
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