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Nursing HomeMedicaid Investigative

Pearl of Montclare, the

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2833 North Nordica Avenue, Montclare · Chicago, IL 6063496 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 67 Google reviews

5
4
3
2
1
Pearl of Montclare, the Nursing Home in Chicago, IL — Street View
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4/ 10
moderate Risk

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 (2/5 stars)
  • Above-median deficiencies (16 vs median 11.0)

Below average in IL · Below recommended RN staffing · Below chain average · $124,281 in fines

Source: Medicare data

What this means for your family

The Pearl of Montclare is highly regarded for its rehabilitation services and clean environment, making it a strong candidate for short-term recovery. However, families should be aware of recent reports regarding inconsistent nighttime care and potential issues with medical oversight; we recommend conducting a tour specifically during evening hours to observe staffing levels firsthand.

Google Reviews

Google Reviews

67 reviews on Google
The Pearl of Montclare receives high praise for its attentive nursing staff, professional rehab team, and clean, well-maintained environment. While many families report excellent experiences and a family-like atmosphere, some recent reviews raise serious concerns regarding nighttime staffing, communication, and the management of medical conditions like pressure injuries.

Quality Themes

Tap a score for details
Food7.0Staff8.0Clean9.0Activities9.0Meds5.0MemoryN/AComms6.0ValueN/A

Strengths

  • Attentive and caring nursing staff
  • Strong, professional physical therapy department
  • Clean and well-maintained facility
  • Responsive administrative leadership

Concerns

  • Inadequate or unresponsive nighttime staffing (mentioned by 2 reviewers)
  • Concerns regarding medical care and pressure injury prevention (mentioned by 2 reviewers)
  • Issues with staff honesty and communication (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.72023(9)4.72024(36)4.92025(16)2.62026(8)

Distribution · 69 analyzed

5
56
4
3
3
0
2
1
1
9
15 reviews posted between Jul 26, 2024Jul 26, 2024 · 14 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the facility's focus on physical therapy, how do you integrate those sessions into a resident's daily routine to ensure they stay active?
  • 2Could you walk me through your protocols for skin integrity and pressure injury prevention, especially for residents who spend significant time in bed or chairs?
  • 3How does your nursing team ensure consistent communication and care quality during the overnight hours when staffing levels are typically lower?
  • 4With 16 recent state citations, what specific steps has the leadership team taken to address these findings and improve the overall care environment?
  • 5How do you ensure that families are kept fully informed and updated regarding any changes in their loved one's medical condition or treatment plan?
  • 6I noticed the facility has a strong reputation for its therapy department; how do you balance that clinical focus with opportunities for social engagement and daily enrichment?

Personalized based on this facility's data


Key Review Excerpts

After 23 years, I began learning how to walk again, and the staff supported and encouraged me every single step of the way.

Rehab patient · 2025★★☆☆☆

The CNA's and Nursing staff are attentive and always available to answer concerns or questions that I have. Marie the Administrator as well as Nilda the Director of Nursing have been supportive and highly invested in my dads overall care.

Long-term resident's family · 2025★★☆☆☆

I have been very please with everyone here. All dayti... But need to see about some of the night time help. They are not with it.

Long-term resident's family · 2024★★★★★
Source: 67 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.55hrs
73%
Registered nurses for medical care
Total Nursing
3.41hrs
83%
All nurses + aides combined
Staff Turnover
50%
Lower is better (< 30% = good)
RN Turnover
31%
Lower is better (< 30% = good)

Both 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

Medicare Rating
3/ 5
Better Than Avg

9

measures

Worse Than Avg

6

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility77.6%
Worse than Avg
Here
77.6%
US
12.1%
IL
52.5%
Cook
74.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.7%
Better than Avg
Here
5.7%
US
15.3%
IL
15.9%
Cook
9.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.2%
Better than Avg
Here
10.2%
US
19.5%
IL
18.3%
Cook
10.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility14.7%
Better than Avg
Here
14.7%
US
15.4%
IL
21.8%
Cook
24.1%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility96.3%
Better than Avg
Here
96.3%
US
95.5%
IL
91.8%
Cook
87.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility87.3%
Mixed vs Avgs
Here
87.3%
US
93.4%
IL
90.0%
Cook
85.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility29.2%
Worse than Avg
Here
29.2%
US
81.8%
IL
69.0%
Cook
55.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility37.5%
Worse than Avg
Here
37.5%
US
79.7%
IL
63.1%
Cook
55.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility5.2%
Worse than Avg
Here
5.2%
US
1.6%
IL
2.4%
Cook
2.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

17deficiencies
2penalties
Above state avg (12.0)
19 complaint-triggered
$124,281 in fines

This facility shows persistent safety and care concerns with families filing multiple complaint reports over time. Accident prevention has been problematic across four surveys including three family complaints, indicating ongoing safety hazards. Medication management errors, nutrition and dietary services, and infection control also recur frequently. While all deficiencies show correction dates, the repeated nature of safety violations and family complaints suggests systemic issues that warrant careful consideration before choosing this facility.

Mar 2, 2026Complaint
2
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

May 29, 2025Complaint
1
0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Apr 18, 2025Complaint
2
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Mar 14, 2025Routine
14
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0700Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0808Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0803Potential for harm · IsolatedCorrected

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.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Nov 14, 2024Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Aug 12, 2024Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Federal Penalties

Fine

Mar 14, 2025

$14,505

Fine

Nov 17, 2023

$9,311

Ownership & Operations

Who Operates This Facility

Owner / Operator

Pearl of Montclare, the

Organization Type

for profit

Chain Affiliation

Chain Name

Pearl Healthcare

Chain Size

15 facilities nationwide

Chain avg rating: 2.8/5 · Rank 12 of 13

Ownership & Management

Owners

Montclare Holding Company LLC

Owner · Organization

100%

Ben Cohen Trust Fbo Joanna Davison

Owner (parent company) · Organization

9%

Ben Cohen Trust Fbo John C. Davison

Owner (parent company) · Organization

9%

Ben Cohen Trust Fbo Mark Edward Davison

Owner (parent company) · Organization

9%

Key personnel

Conley, ErinW-2 Managing EmployeeZeffren, EitanOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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. 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.

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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