Pearl at the Tillers
Nursing home in Oswego, Illinois, CMS certification number 146034
4390 Route 71, Oswego, IL 60543 · Kendall County
- CMS overall rating
- 4 of 5 stars
- Certified beds
- 105
- Certified for
- Medicare and Medicaid
- Last standard inspection
- March 6, 2025
- Deficiencies at that inspection
- 7
- Fines in 3 years
- No fines
Does Pearl at the Tillers take Medicare and Medicaid?
Yes to both. Pearl at the Tillers is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 4 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 3 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 3 of 5 |
Nurse staffing hours and turnover
These are the hours Pearl at the Tillers reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.77
- Registered nurse hours
- 1.13
- Licensed practical nurse hours
- 0.44
- Nurse aide hours
- 2.20
- Weekend total hours
- 3.29
- Nursing staff turnover
- 41.7%
- Registered nurse turnover
- 37.5%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on March 6, 2025 and cited 7 deficiencies, plus 2 from complaint visits.
The visit before, on February 9, 2024, found 7.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Pearl at the Tillers in the past 3 years.
Beds and residents
On an average day 65.1 residents live here, about 62% of its 105 certified beds.
- Certified beds
- 105
- Average residents per day
- 65.1
- Certified since
- October 9, 2002
- Resident or family council
- Resident
Who owns Pearl at the Tillers
- Legal business name
- Pearl of Oswego, LLC
- Ownership type
- For profit - Limited Liability company
- Chain
- 15 homes nationally under Pearl Healthcare, 2.7-star chain average
Other nursing homes near Pearl at the Tillers
- Jennings Terrace275 South Lasalle, Aurora 60505
- Hillside Rehab & Care Center1308 Game Farm Road, Yorkville 60560
- Alden Courts of Waterford1991 Randi Drive, Aurora 60504
- Alden of Waterford2021 Randi Drive, Aurora 60505
- La Bella of Aurora1017 West Galena Boulevard, Aurora 60506
Who inspects nursing homes in Illinois
Illinois's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Illinois, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Pearl at the Tillers, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Pearl at the Tillers
What is the CMS star rating of Pearl at the Tillers?
4 out of 5 stars overall.
Does Pearl at the Tillers accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Pearl at the Tillers?
7 cited at the last standard visit.
Who owns Pearl at the Tillers?
Pearl of Oswego, LLC, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.