Pearl at the Tillers
Strong Medicare quality ratings; families often praise effective physical and occupational therapy programs. Still worth an in-person visit.
based on 294 Google reviews
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What this means for your family
While the facility offers excellent rehabilitation therapy and a clean environment, the recurring reports of understaffing and unresponsiveness are concerning. We strongly recommend visiting during off-hours or weekends to observe staff-to-patient ratios yourself and asking specifically how they handle call-light response times and communication with families.
Google Reviews
Google Reviews
294 reviews on Google“The Pearl at the Tillers receives polarized feedback, with many families praising the facility for its clean environment, friendly staff, and effective rehabilitation programs. However, a significant number of reviewers report serious concerns regarding chronic understaffing, slow response times to call lights, and lapses in basic hygiene and medical care. Families considering this facility should be aware that while many have positive experiences, there are recurring reports of neglect and communication failures that warrant careful investigation.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy programs
- Clean and well-maintained facility
- Friendly and welcoming front-desk staff
- Compassionate care during end-of-life stages
Concerns
- Chronic understaffing leading to long wait times (mentioned by 11 reviewers)
- Poor hygiene and failure to assist with basic toileting (mentioned by 8 reviewers)
- Lack of communication and difficulty reaching administration (mentioned by 5 reviewers)
- Medication management and feeding errors (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 201 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given that staffing levels can fluctuate, what is your current process for ensuring residents receive timely assistance with daily needs like toileting and hygiene?
- 2I noticed the facility has a strong reputation for physical and occupational therapy; how do you integrate those programs into a resident's daily routine?
- 3What specific protocols are in place to ensure accuracy in medication management and mealtime assistance for residents who require extra support?
- 4When family members have questions or concerns about their loved one's care, what is the best way to ensure consistent communication with the administrative team?
- 5Since the facility is quite large with 105 residents, how do you foster a sense of community and ensure that individual care plans are closely monitored?
- 6How does your team handle medical emergencies or changes in a resident's health status during evening or weekend hours?
Personalized based on this facility's data
Key Review Excerpts
“The therapy team was outstanding and helped her recover and build back strength and flexibility so she was able to go home.”
“The staff is always kind and the environment is always clean. We appreciate the care residents are given here. The only issue is that we hear constant bells going off for a long time.”
“My father had dementia and I happened to be there and witness them pulling him out of bed resulting in dislodging his feeding tube. They blamed him but I saw it!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
3
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has persistent issues with fire safety systems and care quality, with families filing complaints that led to citations for protection of resident belongings, respiratory care, and unsafe IV fluid administration. The most recurring problems involve fire safety equipment maintenance, infection control, and medication management, with similar deficiencies appearing across multiple surveys from 2023 through 2025. While all cited issues show correction dates, the pattern of repeated violations in critical safety areas suggests ongoing operational challenges that warrant careful consideration.
Apr 9, 2026Complaint1
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Dec 24, 2025Complaint1
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Apr 29, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Mar 6, 2025Routine8
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Nutrition and Dietary Deficiencies
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.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Quality of Life and Care Deficiencies
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
Provide safe, appropriate pain management for a resident who requires such services.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Oct 9, 2024Complaint1
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Jun 24, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Ownership & Operations
Who Operates This Facility
Pearl at the Tillers
for profit
Chain Affiliation
Pearl Healthcare
15 facilities nationwide
Chain avg rating: 2.8/5 · Rank 4 of 13
Ownership & Management
Owners
Phc Oswego Holdings LLC
Owner · Organization
Edss Ventures LLC
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
294 reviews from families & visitors
Official Website
Visit pearlhcm.com
Medicare data downloads
Original nursing home datasets
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