Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 145 Google reviews

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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 99% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
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Concerns
Rating Trends
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Distribution · 146 analyzed
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.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
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 on antipsychotic medication
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
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
Detailed Medicare record · up to 3-year lookback
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.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Federal Penalties
Fine
Jun 4, 2025
$18,915
Fine
Sep 26, 2024
$58,852
Fine
Jul 11, 2024
$14,307
Payment Denial
Jul 11, 2024
20-day denial
Fine
Jun 7, 2024
$42,224
Fine
Mar 26, 2024
$9,835
Fine
Jun 20, 2023
$1,764
Pearl of Elk Grove, the
for profit
Pearl Healthcare
15 facilities nationwide
Chain avg rating: 2.8/5 · Rank 11 of 13
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 this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Google Reviews
145 reviews from families & visitors
Official Website
Visit pearlelkgrove.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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