Beacon Hill
Lombard · 1.3 mi · 45 beds
Citations0Substantiated0
The Pearl of Downers Grove
3450 SARATOGA AVENUE, Downers Grove, IL, 60515
Nursing home145 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 22 deficiencies against The Pearl of Downers Grove in Downers Grove, Illinois at its most recent standard inspection on 2025-04-14, 3 of them arising from complaints. 3 findings have been recorded at the actual-harm level. Medicare has fined it 1 time, totalling $30,794. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
145certified beds
22deficiencies at the last inspection
0immediate-jeopardy findings on record
3actual-harm findings on record
1federal fines, $30,794
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.3
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.55
Potential for minimal harmThe least serious band.0
Most recentEDDGGFFFFFFFFEDDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2026-05-17 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2026-01-23 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2026-01-23 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2025-04-14 · standard survey · Actual harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-04-14 · standard survey · Actual harm to a resident
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · F0623 · 2025-04-14 · standard survey · No actual harm, potential for more than minimal harm
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · F0625 · 2025-04-14 · standard survey · No actual harm, potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · F0725 · 2025-04-14 · standard survey · No actual harm, potential for more than minimal harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · F0801 · 2025-04-14 · standard survey · No actual harm, potential for more than minimal harm
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.
Nutrition and Dietary Deficiencies · F0803 · 2025-04-14 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-04-14 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-04-14 · standard survey · No actual harm, potential for more than minimal harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · F0881 · 2025-04-14 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2025-04-14 · standard survey · No actual harm, potential for more than minimal harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · F0644 · 2025-04-14 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2025-04-14 · standard survey · No actual harm, potential for more than minimal harm
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · F0676 · 2025-04-14 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2025-04-14 · standard survey · No actual harm, potential for more than minimal harm
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.
Quality of Life and Care Deficiencies · F0688 · 2025-04-14 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2025-04-14 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS3.59593
Nursing staff turnoverShare of nursing staff who left in a year64.9%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$30,794
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns The Pearl of Downers Grove
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| EZ HOLDCO LLC | Organization | NOT APPLICABLE | since 04/10/2025 |
| EZ HOLDCO LLC | Organization | NOT APPLICABLE | since 04/10/2025 |
| HOOLI HOLDINGS LLC | Organization | NOT APPLICABLE | since 04/10/2025 |
| REG 2018 IRREVOCABLE TRUST U/A/D 1/1/18 | Organization | NOT APPLICABLE | since 04/10/2025 |
| ZEFFREN, EITAN | Individual | NOT APPLICABLE | since 04/10/2025 |
| ZEFFREN, EITAN | Individual | NOT APPLICABLE | since 04/10/2025 |
| PEARLSTONE CONSULTING LLC | Organization | NOT APPLICABLE | since 04/10/2025 |
| UDDIN, SHAHAAB | Individual | NOT APPLICABLE | since 04/10/2025 |
| WILLIAMS, LISA | Individual | NOT APPLICABLE | since 04/10/2025 |
| ZEFFREN, EITAN | Individual | NOT APPLICABLE | since 04/10/2025 |
| EZ HOLDCO LLC | Organization | NOT APPLICABLE | since 04/10/2025 |
| HOOLI HOLDINGS LLC | Organization | NOT APPLICABLE | since 04/10/2025 |
Part of the PEARL HEALTHCARE group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Bella Terra Lombard
Lombard · 1.6 mi · 224 beds
Citations0Substantiated0
Alta Rehab at Oak Brook
Oak Brook · 3.0 mi · 156 beds
Citations0Substantiated0
Oakwood Rehab and Nursing Center
Westmont · 3.3 mi · 149 beds
Citations0Substantiated0
Burgess Square Healthcare CTR
Westmont · 3.7 mi · 203 beds
Citations0Substantiated0
Oak Trace
Downers Grove · 4.2 mi · 104 beds
Citations0Substantiated0
Contact
Ask The Pearl of Downers Grove a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 145657.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction