Pearl at the Tillers in Oswego, IL

Pearl at the Tillers is a medicare and medicaid certified nursing home in Oswego, Illinois. It is located in Kendall county at 4390 Route 71, Oswego, Illinois 60543. You can reach out to the office of Pearl at the Tillers via phone at (630) 554-1001. This skilled nursing facility has 105 federally certified beds with average occupancy rate of 69.43%. Its legal business name is Pearl of Oswego, LLC and has the following ownership type - For Profit - Limited Liability Company. It is part of Pearl Healthcare, a chain of 15 nursing homes.

Pearl at the Tillers (Medicare CCN 146034) is certified by CMS (Centers for Medicare & Medicaid Services) and participates in both medicare and medicaid program. This means if you are part of medicare or medicaid program, you may consider this nursing facility for your medical needs. It was first certified by CMS in 2002 (24 years certified) and the last quality survey was conducted in March, 2025.

Contact Information

Pearl at the Tillers
4390 Route 71, Oswego, Illinois 60543
(630) 554-1001

Map and Direction



Nursing Home Profile

NamePearl at the Tillers
Location4390 Route 71, Oswego, Illinois
Certified ByMedicare and Medicaid
No. of Certified Beds105
Occupancy Rate69.43%
Medicare ID (CCN)146034
Legal Business NamePearl of Oswego, LLC
Ownership TypeFor Profit - Limited Liability Company
ChainPearl Healthcare (15 nursing homes)
Chain Average Overall Rating2.7 out of 5

NPI Associated with this Nursing Home:

Nursing homes may have several NPI numbers. NPIs marked Confirmed are listed with Pearl at the Tillers in Medicare enrollment records; Possible ones were matched in NPPES by name, address or phone number, so please use them accordingly.

NPI Number1609566348
MatchConfirmed listed in Medicare enrollment records
Organization NamePearl of Oswego, LLC
Address4390 Route 71, Oswego, IL 60543
Phone Number630-554-1001

NPI Number1063661999
MatchPossible same name, address or phone number
Organization NameThe Tillers Nursing and Rehabilitation
Address4390 Route 71, Oswego, IL 60543
Phone Number630-554-1001

NPI Number1215007588
MatchPossible same name, address or phone number
Organization NameThe Tillers Nursing and Rehabilitation Center
Address4390 State Route 71, Oswego, IL 60543
Phone Number630-554-1001

NPI Number1508239880
MatchPossible same name, address or phone number
Organization NameSymphony Oswego LLC
Address4390 Route 71, Oswego, IL 60543
Phone Number630-554-1001

NPI Number1790142768
MatchPossible same name, address or phone number
Organization NameSymphony Oswego, LLC
Address4390 Route 71, Oswego, IL 60543
Phone Number630-554-1001

Quality Ratings:

Nursing homes vary in the quality of care and services they provide to their residents. The below quality ratings for Pearl at the Tillers are calculated from three sources - health inspection results, staffing data, and quality measure data. This information gives you an indication of the care Pearl at the Tillers give to their patients.
Ratings from Surveys (Inspections):
Ratings from Quality Measures:
Ratings from Staffing Data:
Overall Rating:

Staffing and Staff Turnover:

Staffing hours per resident per day and staff turnover of Pearl at the Tillers, from the payroll data it reports to CMS, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Staffing MeasureProviderNational Avg.
Total nurse staff hours per resident per day3.593.86
Registered nurse (RN) hours per resident per day1.120.69
Licensed practical nurse (LPN) hours per resident per day0.420.86
Nurse aide hours per resident per day2.052.32
Total nurse staff hours per resident per day on the weekend3.043.42
RN hours per resident per day on the weekend0.840.48
Physical therapist hours per resident per day0.060.07
Total nursing staff turnover42.4%45.8%
Registered nurse turnover40%42.9%
Number of administrators who have left the nursing home00.5

Complaints, Fines and Penalties:

Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon)No
Number of Fines0
Total Amount of Fines in Dollars$0
Number of Payment Denials0
Total Number of Penalties0

Health Inspections:

In its most recent inspection cycle (standard health inspection in March, 2025, plus any complaint inspections), inspectors cited Pearl at the Tillers for 7 health deficiencies (national average: 9.3). All 27 citations since 2023 are listed below.

DateDeficiencyHarm LevelStatus
Apr 9, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677, Quality of Life and Care, Complaint inspection
Potential for harm, isolatedCorrected by Apr 17, 2026
Dec 24, 2025Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694, Quality of Life and Care, Complaint inspection
Potential for harm, isolatedCorrected by Jan 13, 2026
Apr 29, 2025Protect each resident from the wrongful use of the resident's belongings or money.
F0602, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection
Potential for harm, isolatedCorrected by Apr 30, 2025
Mar 6, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812, Nutrition and Dietary, Standard inspection
Potential for harm, widespreadCorrected by Mar 11, 2025
Mar 6, 2025Ensure 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.
F0803, Nutrition and Dietary, Standard inspection
Potential for harm, patternCorrected by Mar 11, 2025
Mar 6, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690, Quality of Life and Care, Standard inspection
Potential for harm, isolatedCorrected by Mar 11, 2025
Mar 6, 2025Provide safe, appropriate pain management for a resident who requires such services.
F0697, Quality of Life and Care, Standard inspection
Potential for harm, isolatedCorrected by Mar 11, 2025
Mar 6, 2025Provide and implement an infection prevention and control program.
F0880, Infection Control, Standard inspection
Potential for harm, isolatedCorrected by Mar 11, 2025
Oct 9, 2024Provide safe and appropriate respiratory care for a resident when needed.
F0695, Quality of Life and Care, Complaint inspection
Potential for harm, isolatedCorrected by Oct 24, 2024
Jun 24, 2024Protect each resident from the wrongful use of the resident's belongings or money.
F0602, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection
Potential for harm, isolatedCorrected by Jul 5, 2024
Feb 9, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550, Resident Rights, Standard inspection
Potential for harm, isolatedCorrected by Feb 12, 2024
Feb 9, 2024Provide 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.
F0688, Quality of Life and Care, Standard inspection
Potential for harm, isolatedCorrected by Feb 12, 2024
Feb 9, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690, Quality of Life and Care, Standard inspection
Potential for harm, isolatedCorrected by Feb 12, 2024
Feb 9, 2024Provide safe and appropriate respiratory care for a resident when needed.
F0695, Quality of Life and Care, Standard inspection
Potential for harm, isolatedCorrected by Feb 12, 2024
Feb 9, 2024Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757, Pharmacy Service, Standard inspection
Potential for harm, isolatedCorrected by Feb 12, 2024
Feb 9, 2024Provide and implement an infection prevention and control program.
F0880, Infection Control, Standard inspection
Potential for harm, isolatedCorrected by Feb 12, 2024
Feb 9, 2024Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919, Environmental, Standard inspection
Potential for harm, isolatedCorrected by Feb 12, 2024
Jan 12, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812, Nutrition and Dietary, Standard inspection
Potential for harm, widespreadCorrected by Jan 30, 2023
Jan 12, 2023Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677, Quality of Life and Care, Standard inspection
Potential for harm, patternCorrected by Jan 30, 2023
Jan 12, 2023Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690, Quality of Life and Care, Standard inspection
Potential for harm, patternCorrected by Jan 30, 2023
Jan 12, 2023Provide and implement an infection prevention and control program.
F0880, Infection Control, Standard inspection
Potential for harm, patternCorrected by Jan 29, 2023
Jan 12, 2023Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
F0887, Infection Control, Standard inspection
Potential for harm, patternCorrected by Jan 24, 2023
Jan 12, 2023Ensure services provided by the nursing facility meet professional standards of quality.
F0658, Resident Assessment and Care Planning, Standard inspection
Potential for harm, isolatedCorrected by Jan 29, 2023
Jan 12, 2023Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684, Quality of Life and Care, Standard inspection
Potential for harm, isolatedCorrected by Jan 27, 2023
Jan 12, 2023Ensure medication error rates are not 5 percent or greater.
F0759, Pharmacy Service, Standard inspection
Potential for harm, isolatedCorrected by Jan 29, 2023
Jan 12, 2023Ensure that residents are free from significant medication errors.
F0760, Pharmacy Service, Standard inspection
Potential for harm, isolatedCorrected by Jan 29, 2023
Jan 12, 2023Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883, Infection Control, Standard inspection
Potential for harm, isolatedCorrected by Jan 29, 2023

Quality of Resident Care:

These quality measures of Pearl at the Tillers, from the regular health assessments of its residents, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Quality MeasureProviderNational Avg.
Percentage of long-stay residents whose need for help with daily activities has increased11.8913.87
Percentage of long-stay residents who lose too much weight6.945.19
Percentage of long-stay residents with a catheter inserted and left in their bladder0.560.82
Percentage of long-stay residents with a urinary tract infection01.59
Percentage of long-stay residents who have depressive symptoms82.6912.8
Percentage of long-stay residents who were physically restrained00.13
Percentage of long-stay residents experiencing one or more falls with major injury2.343.23
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10093.55
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine94.5682.04
Percentage of short-stay residents who newly received an antipsychotic medication3.061.56
Percentage of long-stay residents whose ability to walk independently worsened13.1314.07
Percentage of long-stay residents who received an antianxiety or hypnotic medication8.0519.52
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine95.3595.46
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine91.4479.75
Percentage of long-stay residents with pressure ulcers5.514.62
Percentage of long-stay residents with new or worsened bowel or bladder incontinence34.7819.01
Percentage of long-stay residents who received an antipsychotic medication6.6115.38

Reviews and Comments


Nursing Home

A nursing home (also called skilled nursing facility) is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living.

A skilled nursing facility (SNF) may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation.

Medicare Care Compare

Medicare's Care Compare (which replaced Nursing Home Compare in 2020) lets you compare nursing homes. It covers the star ratings, health inspections, staffing and quality of care of the nearly 15,000 nursing homes that take part in Medicare or Medicaid.

Note: Nursing homes that are not Medicare or Medicaid certified are not on Care Compare; they can be licensed by the state.

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.