The Pearl at The Tillers
Nursing Home, Memory Care, Respite Care & Skilled Nursing · Oswego, IL
ALM Inspection Grade A+ Info ALM's inspection grade is 97 / 100, an A+ — 15 points above the Illinois average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating Info 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

Nursing Home, Memory Care, Respite Care & Skilled Nursing · Oswego, IL
ALM Inspection Grade A+ Info ALM's inspection grade is 97 / 100, an A+ — 15 points above the Illinois average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating Info 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 accepts Medicare, Medicaid, and private pay.
The Pearl at The Tillers accepts Medicare, Medicaid, and private pay.

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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 55.2% Above IL avg. ▲ 55.2% Above IL avg.IL average: 2.6Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 47.1% Above IL avg. ▲ 47.1% Above IL avg.IL average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 37.6% Above IL avg. ▲ 37.6% Above IL avg.IL average: 2.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 30.1% Above IL avg. ▲ 30.1% Above IL avg.IL average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing Info Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).

Total nursing care per resident / day Info This nursing home is ranked 61st out of 152 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.
↓ 3% · IL 3h 3mThis facility: 2h 58m per resident per day, 3% below the Illinois average of 3h 3m (among Illinois facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. Rank #61 / 152Nurse hours — State benchmarked This nursing home is ranked 61st out of 152 nursing homes we track in Illinois for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Illinois average, with a ranking across 152 Illinois facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag. 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.
2h 58m

Standout metric: RN, weekends is +53% above Illinois average

3 of 6 metrics below Illinois average

Staff by category

Q2 2026 · Apr 1 – Jun 30 More info This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2026.
Certified Nursing Assistant5505513,05691100%7.3
Registered Nurse230235,01291100%6.8
Licensed Practical Nurse100102,60691100%7.1
Clinical Nurse Specialist4041,2107178%7.4
Physical Therapy Assistant0449807987%7.3
Other Dietary Services Staff2026778998%6.1
Mental Health Service Worker2026016571%6.7
Speech Language Pathologist0445767380%7.2
Administrator1015126470%8
Physical Therapy Aide0224956470%7.5
Qualified Activities Professional1014886571%7.5
Dietitian2024656268%7.5
Nurse Practitioner1014626268%7.4
Respiratory Therapy Technician0883366470%4.7
Qualified Social Worker0333246470%5.1
55 Certified Nursing Assistant
Coverage 100%
23 Registered Nurse
Coverage 100%
10 Licensed Practical Nurse
Coverage 100%
4 Clinical Nurse Specialist
Coverage 78%
By The Numbers

Community insights.

Bed count Info A mid-sized community that may balance personal attention with shared amenities and social activities. 105 Rank #106 / 167Bed count — State benchmarked This nursing home is ranked 106th out of 167 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.

Walk Score Info Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities. Rank #71 / 187Walk Score — State benchmarked This nursing home is ranked 71st out of 187 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.
61 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #112 / 123Occupancy rate — State benchmarked This nursing home is ranked 112th out of 123 nursing homes we track in Illinois for occupancy. Shows this facility's occupancy rate versus the Illinois average, with its Statewide rank out of 123. 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.
62% This home usually has availability

Based on residents per day and 105 beds.

Lower than the Illinois average: 79.1%
Residents per day (avg) Info 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.
65

Source: CMS Provider Information, average daily residents (data as of Oct 2026)

Avg. Length of Stay Info 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.
98 days

About This Community

Safety & Compliance

Resident Council

Therapy & Rehabilitation

9 services
Short-Term Post-Hospital Rehabilitation
Cardiac Care & Recovery
Joint Replacement & Orthopedic Rehabilitation
Pulmonary Care & Recovery
Stroke Recovery Care
Respiratory Therapy
Physical Therapy
Occupational Therapy
Speech Therapy

Staffing & Medical

3 services
Chronic Disease Care & Management
Complex Wound CareSpecialized treatment for wounds that are deep, slow to heal, infected, or otherwise difficult to manage. Care may include cleaning, dressings, and monitoring for healing.
IV Therapy

Additional Services

2 services
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Social Work & Case Management

Additional Policies & Features

Pets not allowed

Room Accommodations

Building TypeSingle-story
Room Types
Private Room Semi-Private / Shared Room

Contact The Pearl at The Tillers

Inspections

CMS Health Inspection History

Since 2023 · 3 years of data · Last health inspection Apr 2026

ALM Inspection Grade

97 / 100 Calculated from CMS inspection data for this community's nursing-home beds
How it compares

15 points above the Illinois average for CMS-certified facilities (82/100)

Category breakdown

Citations Typical

60 severity-weighted points (27 deficiencies) · 33% lower than the typical CMS-certified IL facility (median: 90)

Enforcement Strong

No fines on record · 0 enforcement actions

Persistence Strong

10 days to fix issues · faster than the typical CMS-certified IL facility (median: 14)

Inspection grade: 97 out of 100, letter grade A+.
Total health inspections
8 ↓ 30% · IL 11.5This facility: 8, 30% below the Illinois average of 11.5 (among Illinois facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
27 Rank #64 / 154Health citations — State benchmarked This nursing home is ranked 64th out of 154 nursing homes we track in Illinois for health citations. Shows this facility's total health deficiency citations benchmarked to the Illinois State average, with a ranking across all 154 IL facilities. Lower citation counts earn a better rank. 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.↓ 29% · IL 38.2This facility: 27, 29% below the Illinois average of 38.2 (among Illinois facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
3.38 Rank #78 / 154Citations per inspection — State benchmarked This nursing home is ranked 78th out of 154 nursing homes we track in Illinois for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Illinois mean across 154 facilities with citation data. Lower is better. 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.↓ 2% · IL 3.46This facility: 3.38, 2% below the Illinois average of 3.46 (among Illinois facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected 27 of 27 citations corrected
Bar = mix of this home's 27 citations, not a state comparison

Lighter shade = corrected

Critical J–L
0 ↓ 100% · IL 0.7This facility: 0, 100% below the Illinois average of 0.7 (among Illinois facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious G–I
0 ↓ 100% · IL 3.8This facility: 0, 100% below the Illinois average of 3.8 (among Illinois facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate D–F
27 ↓ 19% · IL 33.2This facility: 27, 19% below the Illinois average of 33.2 (among Illinois facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor A–C
0 ↓ 100% · IL 0.5This facility: 0, 100% below the Illinois average of 0.5 (among Illinois facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal risk

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

Citations history
Most recent first
Apr 09, 2026 1 citation
Quality of Care moderate citation Corrected
Dec 24, 2025 1 citation
Quality of Care moderate citation Corrected
Apr 29, 2025 1 citation
Abuse/Neglect moderate citation Corrected
Mar 06, 2025 5 citations
Nutrition moderate citation Corrected
Nutrition moderate citation Corrected
Quality of Care moderate citation Corrected
Quality of Care moderate citation Corrected
Infection Control moderate citation Corrected
Oct 09, 2024 1 citation
Quality of Care moderate citation Corrected
Jun 24, 2024 1 citation
Abuse/Neglect moderate citation Corrected
Feb 09, 2024 7 citations
Resident Rights moderate citation Corrected
Quality of Care moderate citation Corrected
Quality of Care moderate citation Corrected
Quality of Care moderate citation Corrected
Pharmacy moderate citation Corrected
Infection Control moderate citation Corrected
Environmental moderate citation Corrected
Jan 12, 2023 10 citations
Nutrition moderate citation Corrected
Quality of Care moderate citation Corrected
Quality of Care moderate citation Corrected
Infection Control moderate citation Corrected
Infection Control moderate citation Corrected
Care Planning moderate citation Corrected
Quality of Care moderate citation Corrected
Pharmacy moderate citation Corrected
Pharmacy moderate citation Corrected
Infection Control moderate citation Corrected
Top deficiency categories
Share of 27 citations
Quality of Life & Care 11 deficiencies (41%)
Infection Control 5 deficiencies (19%)
Nutrition & Dietary 3 deficiencies (11%)
Pharmacy Services 3 deficiencies (11%)
Abuse, Neglect & Exploitation 2 deficiencies (7%)
Resident Rights 1 deficiency (4%)
Resident Assessment & Care Planning 1 deficiency (4%)
Environmental 1 deficiency (4%)
How citations are counted

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.

Source

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.

Enforcement

Penalties and fines About penalties and fines 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 · Data as of Oct 2026

No penalties in the past 3 years

No civil money penalties or payment denials on record since Oct 2023.

Clean record
Total fines
$0 IL avg $150KIllinois average: $149,918. Average among the 484 Illinois facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0 IL avg 3.01Illinois average: 3.01. Average among the 484 Illinois facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials What is a payment denial? Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0 IL avg 1.02Illinois average: 1.02. Average among the 484 Illinois facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Health Outcomes

Quality of care over time

How residents at this home fare on health outcomes and preventive care, compared with the Illinois average.

Data as of Oct 2026 · CMS Care Compare

Long-stay quality rating Info 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
Short-stay quality rating Info 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
High-risk clinical events Info 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. 7.7 Score · lower is better ↓ 2% · IL 7.9This facility: 7.7, 2% below the IL average of 7.9 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Functional decline Info 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. 17.3 Score · lower is better ↑ 13% · IL 15.3This facility: 17.3, 13% above the IL average of 15.3 (among IL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.

11 long-stay measures: 5 better, 2 worse, 4 near IL average

3 short-stay measures: 2 better, 1 worse

Financials

Money and staffing.

The Pearl at The Tillers’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 146 Illinois nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.

FY Dec 2024

Is it financially stable?

Profitable on care

6.6% operating margin

−1.1 pts vs prior year

Positive margin in 7 of the last 8 reported years. Net income $0.7M after other income.

Does it invest in staff?

Spends less on payroll than most Illinois homes

43.1% payroll share of revenue

IL average 58.1%Rank #119 / 146Payroll % of net patient revenue — State benchmarked This nursing home is ranked 119th out of 146 nursing homes we track in Illinois for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Illinois average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. 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.

Payroll rose $0.8M while revenue rose $3.0M. A low share can mean leaner staffing; check hours per resident in the staffing section.

Who this home usually serves

Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024 Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Resident snapshot
66 residents · Sep 2026 Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare 15 · 23%
Medicaid 51 · 77%
Private pay & other 0 · 0%
Shows care patterns over time; not used to rate this facility.

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Typical stay

Medicare 1 - 2 months Medicaid 4 - 5 months Private pay & other 1 year

Places of interest near The Pearl at The Tillers

Address 0.7 miles from city center Info Estimated distance in miles from Oswego's city center to The Pearl at The Tillers's address, calculated via Google Maps.

Calculate Travel Distance to The Pearl at The Tillers

Add your location

Address
Financial assistance

Programs that may help with care and living costs in Illinois

The Pearl at The Tillers is in IL-71 Oswego, Illinois. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.

Get financial aid guidance
Residential care support

Supportive Living Program (SLP)

Illinois Medicaid Supportive Living Program

Eligibility

General
Low-income older adults and adults with physical disabilities who meet Illinois Supportive Living Program requirements and are accepted at a participating setting.
IL specifics
This is a Medicaid waiver alternative to nursing-home care.

What it provides

  • Personal care; homemaking; laundry; medication assistance; activities and staff support. Residents remain responsible for room and board.
Cash support · veterans

VA Aid and Attendance (A&A) and Housebound Benefits

VA Pension Aid and Attendance and Housebound Benefits (Federal)

Who it is for
Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
Income limit
No single monthly income cutoff. VA compares countable annual income, after permitted deductions, with the applicable Maximum Annual Pension Rate for the household and benefit category.
Asset limit
Net-worth limit is $163,699 from December 1, 2025 through November 30, 2026. Net worth includes countable assets plus annual income; exclusions and transfer rules apply.

Eligibility

General
Veterans or eligible survivors who qualify for VA Pension or Survivors Pension and meet the additional Aid and Attendance or Housebound criteria. Service, discharge, family status and pension eligibility rules also apply.
IL specifics
A federal VA pension benefit; Aid and Attendance and Housebound enhancements cannot be received together.

What it provides

  • A higher pension ceiling for eligible Aid and Attendance or Housebound recipients. Actual pension equals the applicable annual maximum minus countable income; the two enhancements cannot be paid together.
In-home support

Community Care Program

Illinois CCP

Asset limit
Nonexempt assets of $17,500 or less; the home, car and personal furnishings are exempt.

Eligibility

General
Illinois residents age 60 or older with assessed long-term care need; citizenship/eligible noncitizen requirements apply; apply for Medicaid and enroll if eligible.

What it provides

  • In-home assistance; adult day services and emergency home response; authorized services depend on assessment.
Caregiver support

Family Caregiver Support Program

Family Caregiver Support Program (Illinois)

Who it is for
Family or informal caregivers of an adult 60+ or of someone of any age with dementia

Eligibility

General
Adult family or informal caregivers of adults age 60 or older or people of any age with Alzheimer's disease or a related disorder. The federal program also supports specified older-relative caregiver categories.

What it provides

  • Caregiver information and access assistance; counseling and training; support groups; respite and limited supplemental services under the federal caregiver-support framework.
In-home & community support

Persons Who Are Elderly Waiver

Illinois Medicaid Elderly Waiver

Eligibility

General
Illinois residents age 60 or older who are Medicaid-eligible, meet the DON assessment standard for risk of nursing-facility placement, can be safely supported in the community and meet cost-effectiveness rules.
IL specifics
The current eligibility minimum is age 60.

What it provides

  • In-home homemaker service; adult day service; emergency home response and automated medication dispenser services.
Medicare costs

Medicare Savings Program (MSP)

Illinois Medicare Savings Program

Who it is for
Medicare beneficiaries with limited income who need help with premiums or cost sharing

Eligibility

General
Medicare beneficiaries meeting the applicable state Medicare Savings Program eligibility rules.
IL specifics
Applications are administered by the state Medicaid program.

What it provides

  • Assistance with Medicare premiums and; for qualified QMB beneficiaries; Medicare-covered deductibles and coinsurance. The qualifying category determines which costs are paid.
Know before you visit

Frequently Asked Questions about The Pearl at The Tillers

Quick answers from public records and the community's own listing.
01 Is The Pearl at The Tillers in a walkable area?
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.
02 What is the occupancy rate at The Pearl at The Tillers?
The Pearl at The Tillers's occupancy is 62%.
03 Are pets allowed at The Pearl at The Tillers?
No, The Pearl at The Tillers has a no-pet policy.
04 What is the best email address for The Pearl at The Tillers?
The team at The Pearl at The Tillers can be reached at info@pearltillers.com.
05 Does The Pearl at The Tillers operate as a for-profit or non-profit?
The Pearl at The Tillers is registered as a for-profit.
06 What is the overall rating for The Pearl at The Tillers?
The Pearl at The Tillers received a 4-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
07 How many beds does The Pearl at The Tillers have?
The Pearl at The Tillers has 105 beds.