Pearl of Montclare, the
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 67 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 (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
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 detailsStrengths
- 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
Distribution · 69 analyzed
How They Respond to Reviews
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.”
“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.”
“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.”
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
9
measures
6
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint2
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
May 29, 2025Complaint1
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Apr 18, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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, 2025Routine14
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nov 14, 2024Complaint1
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, 2024Complaint1
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
Pearl of Montclare, the
for profit
Chain Affiliation
Pearl Healthcare
15 facilities nationwide
Chain avg rating: 2.8/5 · Rank 12 of 13
Ownership & Management
Owners
Montclare 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
67 reviews from families & visitors
Official Website
Visit pearlmontclare.com
Medicare data downloads
Original nursing home datasets
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