PEARL PAVILION

πŸ“ 900 SOUTH KIWANIS DRIVE, freeport, IL 61032 πŸ“ž 8152356196 πŸ›οΈ 109 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐
2/5

Quality Measures

⭐
1/5

Inspection History Overview

169
Total Violations
9 years of data
$168,465
Total Fines
7 penalties
34
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 3 violations

Tag 0677 D Mar 14, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Mar 20, 2025
Tag 0755 D Mar 14, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Mar 20, 2025
Tag 0803 F Feb 19, 2025

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

βœ“ Corrected: Feb 26, 2025

2024 4 violations

Tag 0582 D May 24, 2024

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: May 25, 2024
Tag 0684 D May 7, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: May 22, 2024
Tag 0677 G Apr 2, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Apr 18, 2024
Tag 0686 D Apr 2, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Apr 18, 2024

2023 42 violations

Tag 0550 D Dec 19, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jan 12, 2024
Tag 0577 C Dec 19, 2023

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

βœ“ Corrected: Jan 12, 2024
Tag 0677 D Dec 19, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jan 12, 2024
Tag 0684 G Dec 19, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jan 12, 2024
Tag 0697 G Dec 19, 2023

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Jan 12, 2024
Tag 0755 D Dec 19, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jan 12, 2024
Tag 0812 F Dec 19, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jan 12, 2024
Tag 0921 D Dec 19, 2023

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Jan 12, 2024
Tag 0600 J Nov 28, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Dec 18, 2023
Tag 0684 J Nov 28, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Dec 18, 2023
Tag 0689 D Nov 2, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Nov 17, 2023
Tag 0550 D Aug 16, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Aug 31, 2023
Tag 0677 D Aug 16, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Aug 31, 2023
Tag 0677 D Jul 5, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jul 7, 2023
Tag 0679 D Jul 5, 2023

Provide activities to meet all resident's needs.

βœ“ Corrected: Jul 7, 2023
Tag 0684 G Jun 15, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jun 29, 2023
Tag 0686 D Jun 15, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jun 29, 2023
Tag 0677 D May 31, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jun 6, 2023
Tag 0689 D May 31, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jun 6, 2023
Tag 0550 D Mar 9, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Apr 4, 2023

2022 25 violations

Tag 0694 D Dec 7, 2022

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

βœ“ Corrected: Dec 8, 2022
Tag 0698 D Oct 27, 2022

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Nov 1, 2022
Tag 0684 D Oct 19, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Oct 31, 2022
Tag 0689 D Oct 19, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Oct 31, 2022
Tag 0880 D Oct 19, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 31, 2022
Tag 0550 D Sep 8, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Sep 20, 2022
Tag 0698 D Sep 8, 2022

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Sep 20, 2022
Tag 0725 F Sep 8, 2022

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Sep 20, 2022
Tag 0677 E Aug 30, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Sep 2, 2022
Tag 0679 E Aug 30, 2022

Provide activities to meet all resident's needs.

βœ“ Corrected: Sep 2, 2022
Tag 0677 D Jun 8, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jun 19, 2022
Tag 0684 D Jun 8, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jun 19, 2022
Tag 0686 E Jun 8, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jun 19, 2022
Tag 0690 D Jun 8, 2022

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Jun 19, 2022
Tag 0692 D Jun 8, 2022

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Jun 19, 2022
Tag 0755 D Jun 8, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jun 19, 2022
Tag 0758 D Jun 8, 2022

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Jun 19, 2022
Tag 0760 D Jun 8, 2022

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Jun 19, 2022
Tag 0803 D Jun 8, 2022

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

βœ“ Corrected: Jun 19, 2022
Tag 0812 F Jun 8, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jun 19, 2022

2021 37 violations

Tag 0684 D Dec 15, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Dec 22, 2021
Tag 0880 F Nov 23, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Dec 3, 2021
Tag 0677 D Nov 9, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Nov 22, 2021
Tag 0557 D Oct 29, 2021

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

βœ“ Corrected: Nov 5, 2021
Tag 0684 D Sep 21, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Sep 24, 2021
Tag 0755 D Sep 21, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Sep 24, 2021
Tag 0755 D Aug 19, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Aug 26, 2021
Tag 0760 D Aug 19, 2021

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Aug 26, 2021
Tag 0684 D Jul 21, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jul 27, 2021
Tag 0755 D Jul 21, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jul 27, 2021
Tag 0760 D Jul 21, 2021

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Jul 27, 2021
Tag 0602 D Jun 15, 2021

Protect each resident from the wrongful use of the resident's belongings or money.

βœ“ Corrected: Jul 6, 2021
Tag 0755 E Jun 15, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jul 6, 2021
Tag 0761 D Jun 15, 2021

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Jul 6, 2021
Tag 0691 D May 20, 2021

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

βœ“ Corrected: May 21, 2021
Tag 0550 E May 6, 2021

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: May 21, 2021
Tag 0578 D May 6, 2021

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: May 21, 2021
Tag 0583 D May 6, 2021

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: May 21, 2021
Tag 0609 D May 6, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: May 21, 2021
Tag 0610 D May 6, 2021

Respond appropriately to all alleged violations.

βœ“ Corrected: May 21, 2021

2020 5 violations

Tag 0880 D Dec 1, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Dec 9, 2020
Tag 0755 D Aug 12, 2020

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Aug 14, 2020
Tag 0686 D Mar 3, 2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Mar 9, 2020
Tag 0697 D Feb 18, 2020

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Feb 26, 2020
Tag 0725 D Feb 18, 2020

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Feb 26, 2020

2019 18 violations

Tag 0550 D Dec 12, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jan 2, 2020
Tag 0658 D Dec 12, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Jan 2, 2020
Tag 0677 D Dec 12, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jan 2, 2020
Tag 0690 D Dec 12, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Jan 2, 2020
Tag 0740 D Dec 12, 2019

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

βœ“ Corrected: Jan 2, 2020
Tag 0758 D Dec 12, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Jan 2, 2020
Tag 0761 D Dec 12, 2019

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Jan 2, 2020
Tag 0812 F Dec 12, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jan 2, 2020
Tag 0580 D Nov 13, 2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Nov 25, 2019
Tag 0600 J Nov 13, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Nov 25, 2019
Tag 0760 G Nov 13, 2019

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Nov 25, 2019
Tag 0842 D Nov 13, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Nov 25, 2019
Tag 0610 D Sep 20, 2019

Respond appropriately to all alleged violations.

βœ“ Corrected: Oct 2, 2019
Tag 0686 D Sep 20, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Oct 2, 2019
Tag 0689 D Sep 20, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Oct 2, 2019
Tag 0725 F Sep 20, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Oct 2, 2019
Tag 0600 D Apr 24, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: May 9, 2019
Tag 0610 D Apr 24, 2019

Respond appropriately to all alleged violations.

βœ“ Corrected: May 9, 2019

2018 33 violations

Tag 0600 G Dec 19, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jan 17, 2019
Tag 0609 D Dec 19, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Jan 17, 2019
Tag 0610 D Dec 19, 2018

Respond appropriately to all alleged violations.

βœ“ Corrected: Jan 17, 2019
Tag 0686 G Dec 19, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jan 17, 2019
Tag 0689 D Dec 19, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jan 17, 2019
Tag 0550 D Oct 31, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Nov 7, 2018
Tag 0583 D Oct 31, 2018

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Nov 7, 2018
Tag 0607 D Oct 31, 2018

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: Nov 7, 2018
Tag 0609 D Oct 31, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Nov 7, 2018
Tag 0686 D Oct 31, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Nov 7, 2018
Tag 0688 D Oct 31, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Nov 7, 2018
Tag 0689 D Oct 31, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Nov 7, 2018
Tag 0690 D Oct 31, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Nov 7, 2018
Tag 0698 D Oct 31, 2018

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Nov 7, 2018
Tag 0755 E Oct 31, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Nov 7, 2018
Tag 0759 D Oct 31, 2018

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Nov 7, 2018
Tag 0761 F Oct 31, 2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Nov 7, 2018
Tag 0803 E Oct 31, 2018

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

βœ“ Corrected: Nov 7, 2018
Tag 0812 F Oct 31, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Nov 7, 2018
Tag 0842 D Oct 31, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Nov 7, 2018

2017 2 violations

Tag 0221 D Nov 15, 2017

Keep each resident free from physical restraints, unless needed for medical treatment.

βœ“ Corrected: Nov 29, 2017
Tag 0441 D Nov 15, 2017

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: Nov 29, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 3 penalties totaling $24,750

$15,000
Fine
October 19, 2022
$15,000
Fine
June 8, 2022
$9,750
Fine
June 8, 2022
Average: $12,375 | Range: $9,750 - $15,000

2021 3 penalties totaling $40,934

$13,000
Fine
November 23, 2021
$3,250
Fine
May 6, 2021
$24,684
Fine
March 3, 2021
Average: $13,645 | Range: $3,250 - $24,684

2019 1 penalties totaling $102,781

$102,781
Fine
November 13, 2019
Average: $102,781 | Range: $102,781 - $102,781

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

May 24, 2024
0.00

Health

May 7, 2024
0.00

Health

April 2, 2024
0.00

Health

December 19, 2023
0.00

Health

November 28, 2023
0.00

Health

November 2, 2023
0.00

Health

August 16, 2023
0.00

Health

July 5, 2023
0.00

Health

June 15, 2023
0.00

Health

May 31, 2023
0.00

Health

March 9, 2023
0.00

Health

February 23, 2023
0.00

Health

January 13, 2023
0.00

Health

December 7, 2022
0.00

Health

October 27, 2022
0.00

Health

October 19, 2022
0.00

Health

September 8, 2022
0.00

Health

August 30, 2022
0.00

Health

June 8, 2022
0.00

Health

January 31, 2022
0.00

Health

January 18, 2022
0.00

Health

December 15, 2021
0.00

Health

November 23, 2021
0.00

Health

November 9, 2021
0.00

Health

October 29, 2021
0.00

Health

September 21, 2021
0.00

Health

August 19, 2021
0.00

Health

July 21, 2021
0.00

Health

June 15, 2021
0.00

Health

May 20, 2021
0.00

Health

May 6, 2021
0.00

Health

March 3, 2021
0.00

Health

February 5, 2021
0.00

Health

January 5, 2021
0.00

Quality Measures

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Ownership Information

For profit - Partnership
Independent (Not part of a chain)
145234
145234
8152356196
Stephenson

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual