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Nursing HomeMedicaid Investigative

Pearl of Orchard Valley

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

2330 West Galena Boulevard, Aurora, IL 60506203 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 167 Google reviews

5
4
3
2
1
Pearl of Orchard Valley Nursing Home in Aurora, IL — Street View
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7/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (20 vs median 11.0)
  • High staff turnover (58%)

Bottom 25% in IL · Below recommended RN staffing · Worst in PEARL HEALTHCARE chain · $41,188 in fines · Abuse citation

Source: Medicare data

What this means for your family

While some families report positive outcomes for short-term rehabilitation, the high frequency of reports regarding neglect, medication delays, and poor hygiene is deeply concerning. If you choose this facility, you must be prepared to be a constant, daily advocate for your loved one, as staffing levels appear insufficient to meet basic resident needs reliably.

Google Reviews

Google Reviews

167 reviews on Google
Pearl of Orchard Valley receives highly polarized feedback, with many families reporting severe neglect, poor hygiene, and significant delays in responding to call lights. While some reviewers praise specific staff members and successful rehabilitation outcomes, a recurring pattern of understaffing and unprofessional behavior creates a high-risk environment for residents who cannot advocate for themselves.

Quality Themes

Tap a score for details
Food2.0Staff4.0Clean3.0Activities7.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Dedicated and compassionate individual staff members
  • Effective physical and occupational therapy programs
  • On-site dialysis services
  • Clean and well-maintained common areas in some wings

Concerns

  • Severe understaffing leading to long wait times for call lights and basic hygiene (mentioned by 18 reviewers)
  • Poor quality, cold, and unappealing food (mentioned by 9 reviewers)
  • Medication management errors and delays in pain relief (mentioned by 8 reviewers)
  • Unprofessional or rude staff attitudes (mentioned by 7 reviewers)
  • Theft of personal belongings and clothing (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'16(2)'19(7)'21(22)'23(31)'25(24)'26(8)

Distribution · 171 analyzed

5
84
4
19
3
6
2
7
1
55

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the current staffing levels, what is your specific protocol for ensuring that call lights are answered promptly and that residents receive assistance with hygiene in a timely manner?
  • 2I noticed the facility offers on-site dialysis, which is a great service; how do you coordinate that with daily medication management to ensure there are no delays in pain relief or dosage errors?
  • 3Could you walk me through your current process for tracking and securing personal belongings to ensure that residents' clothing and items remain safe and accounted for?
  • 4I understand you have a 1-star CMS rating for staffing; what concrete steps is the facility taking to improve staff retention and ensure there is enough coverage to provide consistent, compassionate care?
  • 5How do you gather feedback on the dining experience, and what improvements are being made to ensure the food served is both nutritious and appealing to the residents?
  • 6Beyond the physical and occupational therapy programs, what does a typical day look like for a resident here in terms of social engagement and meaningful daily activities?

Personalized based on this facility's data


Key Review Excerpts

The nurses are not attentive and does not answer the call button. My mother who is a...

Long-term resident's family · 2019☆☆☆☆

My wife’s cousin, Leslie, is there and, thanks to the staff’s loving persistence, Leslie has bounced back to a degree I NEVER would or could have imagined!!!

Family member · 2024★★★★★

I had to tell the nurses and the CNA how to do their job! My grandma waited two hours for someone to come see her, my family and I always had to go out and get the nurses for help and ask for pain medication.

Grandchild of resident · 2024☆☆☆☆
Source: 167 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.76hrs
OK
Registered nurses for medical care
Total Nursing
3.20hrs
78%
All nurses + aides combined
Staff Turnover
59%
Lower is better (< 30% = good)
RN Turnover
52%
Lower is better (< 30% = good)

Total 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

Medicare Rating
3/ 5
Better Than Avg

6

measures

Worse Than Avg

8

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility95.1%
Worse than Avg
Here
95.1%
US
12.1%
IL
52.5%
Kane
59.6%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility60.3%
Worse than Avg
Here
60.3%
US
93.4%
IL
90.0%
Kane
90.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility80.9%
Worse than Avg
Here
80.9%
US
95.5%
IL
91.8%
Kane
93.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.1%
Better than Avg
Here
12.1%
US
19.5%
IL
18.3%
Kane
18.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.2%
Better than Avg
Here
9.2%
US
15.3%
IL
15.9%
Kane
15.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.9%
Better than Avg
Here
7.9%
US
14.4%
IL
14.2%
Kane
12.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility18.9%
Worse than Avg
Here
18.9%
US
81.8%
IL
69.0%
Kane
69.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility29.5%
Worse than Avg
Here
29.5%
US
79.7%
IL
63.1%
Kane
62.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
IL
2.4%
Kane
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

22deficiencies
7penalties
Well above state avg (12.0)
39 complaint-triggered
$41,188 in fines

Pearl of Orchard Valley shows concerning patterns with 81 deficiencies across 17 surveys, including 32 complaint-triggered issues where families filed reports with authorities. The most recurring problems involve pressure ulcer care, basic daily care assistance, and food service quality. Particularly troubling are repeated issues with protecting residents from abuse and neglect, including a recent high-severity abuse protection deficiency. While all violations show correction dates, the persistent recurrence of care quality problems suggests ongoing challenges families should carefully consider.

Mar 17, 2026Complaint
3
0600Immediate jeopardy · IsolatedCorrected

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.

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.

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.

Nov 21, 2025Complaint
1
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Sep 18, 2025Complaint
3
0600Immediate jeopardy · IsolatedCorrected

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.

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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Jun 4, 2025Complaint
2
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Mar 21, 2025Routine
19
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0311Potential for harm · Widespread

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

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.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · PatternCorrected

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.

0600Potential for harm · IsolatedCorrected

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.

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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0690Potential for harm · IsolatedCorrected

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.

0691Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0808Potential for harm · IsolatedCorrected

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.

Feb 11, 2025Complaint
2
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

Federal Penalties

Fine

Mar 17, 2026

$277,045

Fine

Nov 21, 2025

$40,740

Fine

Sep 18, 2025

$183,450

Payment Denial

Mar 21, 2025

4-day denial

Fine

Feb 11, 2025

$12,191

Fine

Jun 2, 2024

$15,360

Fine

Feb 8, 2024

$13,637

Ownership & Operations

Who Operates This Facility

Owner / Operator

Pearl of Orchard Valley

Organization Type

for profit

Chain Affiliation

Chain Name

Pearl Healthcare

Chain Size

15 facilities nationwide

Chain avg rating: 2.8/5 · Rank 13 of 13 (Worst)

Ownership & Management

Owners

Phc Ovj LLC

Owner · Organization

99%

Kushner Family Idf LLC

Owner (parent company) · Organization

16%

Key personnel

Herwig, BrittanyW-2 Managing EmployeeHerwig, BrittanyOfficer / DirectorZeffren, 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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