Pearl of St Charles: Foot Care Deficiency Found - IL
Federal inspectors responding to a complaint found the extensive buildup on January 28. The facility's nurse practitioner examined the resident's feet and began chipping off the waxy substance to reveal pink, dry skin underneath.
"The orange-brown waxy substance condition was preventable with daily foot care by washing and moisturizing," the nurse practitioner told inspectors. She described the buildup as covering approximately 50 percent of the bottom of both feet.
The resident's medication records showed staff performed daily skin checks at 7 p.m. throughout January. But multiple staff members acknowledged the feet should have been washed more frequently.
One staff member told inspectors they had never seen the resident's feet with such extensive brown-orange crust. Another said the resident usually had buildup between his toes and on the bottom of his foot, and that staff should wash his feet daily, not only during bed baths.
The director of nursing admitted the resident's feet should not have had the brownish-orange waxy buildup to the extent observed that morning. She said if she had seen such buildup when applying lotion during morning care, she would have washed the resident's feet to remove it.
The nurse practitioner's progress note described the buildup as "waxy and yellow looking dry skin which is easy to remove." She recommended cleaning with a wet washcloth to remove the dry skin buildup and applying moisturizer.
The facility's foot care policy requires staff to provide treatment "in accordance with professional standards of practice, including preventing complications from the resident's medical conditions."
The nurse practitioner told inspectors that staff should have returned after the resident's moisturizer absorbed to clean his feet and remove any remaining buildup.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Pearl of St Charles, The from 2026-01-29 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
PEARL OF ST CHARLES, THE in ST CHARLES, IL was cited for violations during a health inspection on January 29, 2026.
Federal inspectors responding to a complaint found the extensive buildup on January 28.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.