All citations for The Pearl of Downers Grove

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to The Pearl of Downers Grove

Last standard health inspection on record

April 14, 2025

Showing 1 to 25 of 35 citations

  1. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 4, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 8, 2024).

  2. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 16, 2024).

  3. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2023).

  4. No harm, with potential for more than minimal harm

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2023).

  5. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2023).

  6. No harm, with potential for more than minimal harm

    Establish policies and procedures for sheltering.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2023).

  7. No harm, with potential for more than minimal harm

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2023).

  8. No harm, with potential for more than minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2023).

  9. No harm, with potential for more than minimal harm

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2023).

  10. No harm, with potential for more than minimal harm

    Install a two-hour-resistant firewall separation.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0133, Construction Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2023).

  11. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2023).

  12. No harm, with potential for more than minimal harm

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2023).

  13. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 2023).

  14. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2023).

  15. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2023).

  16. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2023).

  17. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2023).

  18. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of April 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

  19. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 18, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 14, 2024).

  20. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 24, 2023).

  21. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 24, 2023).

  22. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of April 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

  23. No harm, with potential for more than minimal harm

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of March 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 16, 2024).

  24. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 16, 2024).

  25. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 24, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.