Pearl of Elk Grove, the
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 134 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- High staff turnover (52%)
Below average in IL · Meets national RN staffing standard · Below chain average · $159,227 in fines
What this means for your family
The Pearl of Elk Grove is highly regarded for its physical therapy and clean environment, making it a potential option for short-term rehab. However, families must be vigilant regarding personal care and call-light response times. We strongly recommend visiting frequently and establishing a clear communication plan with the nursing supervisor to ensure your loved one's needs are met consistently.
Google Reviews
Google Reviews
134 reviews on Google“The Pearl of Elk Grove receives polarized feedback, with many families praising the facility for its cleanliness, professional therapy teams, and helpful admissions staff. However, a significant number of reviewers report serious concerns regarding chronic understaffing, slow response times to call lights, and inconsistent nursing care, particularly during overnight shifts. Families should be aware that experiences appear to vary greatly depending on the specific unit and staff members assigned to their loved one.”
Quality Themes
Tap a score for detailsStrengths
- Clean, well-maintained facility
- Professional and effective physical/occupational therapy
- Helpful and responsive admissions and social services staff
- Friendly and compassionate individual staff members
Concerns
- Chronic understaffing leading to slow call light response times (mentioned by 9 reviewers)
- Inconsistent hygiene and personal care for residents (mentioned by 6 reviewers)
- Poor quality or inappropriate meal service (mentioned by 5 reviewers)
- Lack of communication and poor coordination during discharge planning (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 135 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the current staffing levels, what is your specific protocol for ensuring call lights are answered promptly, especially during evening and night shifts?
- 2I noticed some feedback regarding personal care routines; could you walk me through how you ensure consistent hygiene and grooming assistance for residents who need extra help?
- 3With the current CMS ratings for staffing and health inspections, what specific steps is the facility taking to improve oversight and the quality of daily care?
- 4Can you describe how your team coordinates discharge planning and communication with families to ensure a smooth transition when a resident is ready to leave?
- 5I understand that meal service is an area of focus; how do you accommodate individual dietary needs and ensure that residents are receiving appetizing, high-quality meals?
- 6What does a typical day look like for residents in terms of social engagement and activities, and how do you encourage participation for those who may be more reserved?
Personalized based on this facility's data
Key Review Excerpts
“The staff here was very helpful and courteous. The therapists were very professional and courteous. They all made sure I was able to walk, stand and take care of myself before leaving their facility.”
“I find my Mother in food and feces stained pajamas, hair is usually dirty and NEVER combed. It’s just heartbreaking and so depressing, I feel helpless!!”
“The nurses and cna's are rmostly rude. The social workers are completely incompetent. They screwed up my insurance provided transportation home so I ended up stuck there another night.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
2
measures
7
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
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
Nearly half of this facility's 97 federal deficiencies were triggered by families filing complaints, signaling ongoing concerns about resident protection from abuse and neglect, daily care assistance, and food quality and nutrition services. These issues have persisted across multiple years despite corrections, with recent 2024-2025 complaints continuing to cite similar problems. While all deficiencies show correction dates, the pattern of repeated violations in core care areas suggests systemic challenges that families should carefully investigate before placement.
Dec 19, 2025Routine7
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 30, 2025Complaint1
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Jun 4, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
May 8, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Apr 1, 2025Complaint2
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jan 15, 2025Complaint1
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Federal Penalties
Fine
Jun 4, 2025
$29,100
Fine
Sep 26, 2024
$58,852
Payment Denial
Jul 11, 2024
20-day denial
Fine
Jul 11, 2024
$14,307
Fine
Jun 7, 2024
$42,224
Fine
Mar 26, 2024
$9,835
Fine
Jun 20, 2023
$1,764
Fine
May 30, 2023
$3,145
Ownership & Operations
Who Operates This Facility
Pearl of Elk Grove, the
for profit
Chain Affiliation
Pearl Healthcare
15 facilities nationwide
Chain avg rating: 2.8/5 · Rank 11 of 13
Ownership & Management
Owners
Elk Grove Holding Company, LLC
Owner · Organization
Ben Cohen Trust Fbo Joanna Davison
Owner (parent company) · Organization
Ben Cohen Trust Fbo John C. Davison
Owner (parent company) · Organization
Ben Cohen Trust Fbo Mark Edward Davison
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
134 reviews from families & visitors
Official Website
Visit pearlelkgrove.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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