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.
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 83rd out of 172 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 1h 6m per day | ▲ 52% State avg: 43m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 22m per day | ▼ 44% State avg: 39m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 1h 57m per day | ▼ 8% State avg: 2h 7m per day · National avg: 2h 20m per day |
|
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.
| 2h 53m per day | ▼ 7% State avg: 3h 6m per day · National avg: 3h 27m per day |
|
Physical Therapist
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.
| 3m per day | ▲ 11% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
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.
| 49m per day | ▲ 46% State avg: 33m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
37% more staff per resident 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.
All 24 RN Staff are full-time employees. No contractors work on this role.
24
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursAssists with medical care and medications.
All 9 LPN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursHelps with daily care and mobility.
All 63 CNA Staff are full-time employees. No contractors work on this role.
63
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
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 averageIllinois average: 9.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.9
20% better than Illinois averageIllinois average: 18.6
Percent of long-stay residents whose need for help with daily activities has increased
6.2%
60% better than Illinois averageIllinois average: 15.5%
Percent of long-stay residents whose ability to move independently worsened
6.7%
64% better than Illinois averageIllinois average: 18.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.8%
47% worse than Illinois averageIllinois average: 21.6%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Illinois averageIllinois average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
7.3%
38% worse than Illinois averageIllinois average: 5.3%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Illinois averageIllinois average: 1.8%
Percent of long-stay residents who lose too much weight
3.9%
40% better than Illinois averageIllinois average: 6.5%
Percent of long-stay residents who have depressive symptoms
74.3%
55% worse than Illinois averageIllinois average: 48.1%
Percent of long-stay residents who received an antipsychotic medication
6.0%
71% better than Illinois averageIllinois average: 20.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
12% better than Illinois averageIllinois average: 89.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.4%
In line with Illinois averageIllinois average: 91.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.3%
31% better than Illinois averageIllinois average: 68.3%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
9% better than Illinois averageIllinois average: 2.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.4%
45% better than Illinois averageIllinois 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
59Residents 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 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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.
Rank #163 / 171Payroll — State benchmarkedThis home is ranked 163rd out of 171 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.Rankings are based only on facilities in Illinois that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.
Rank #69 / 171Payroll % — State benchmarkedThis home is ranked 69th out of 171 homes in Illinois. Shows payroll as a percentage of revenue versus the Illinois average. Well-run Illinois facilities typically land around 54–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Illinois that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
Building Type: Single-story
On-site Medical Care and Health Services
Rehabilitative Support
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (54% of admissions), and a typical Medicaid stay runs around 3 - 4 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.
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 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 Pearl at The Tillers's occupancy is 66.4%.
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.
Yes — there are 7 photos of The Pearl at The Tillers in the photo gallery on this page.
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.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
