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The Pearl of Elgin

Nursing Home Facility

2355 Royal Boulevard, Elgin, IL 60123

Nursing Home Care Senior Living
The Pearl of Elgin

At Rosewood, we understand the admission process to a nursing home can seem to be overwhelming.

Operated by Rosewood Care Centers, which runs 14 communities in our directory.

With 139 beds, The Pearl of Elgin is one of the larger communities in the area, senior care communities in Elgin average about 96 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 90% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.

Medicare rates this community 4 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in August 2024 and recorded 9 deficiencies.

Residents receive about 3.2 hours of nursing care per day on average, including 0.7 hours from a registered nurse. Nursing staff turnover over the past year was about 40%.

The community is located in Kane County, IL.

Medicare five-star ratings

  • Overall ★★★★★ 4/5
  • Health inspections ★★★★★ 3/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 37 problems at The Pearl of Elgin. 2 findings involved harm to a resident. 3 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $19,250. Medicare also stopped paying for new admissions once in that period.

Findings from the most recent inspection cycle

  • Caused harm to a resident, one or a few residents Quality of Life and Care

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

    Inspected June 2026, after a complaint. Corrected by June 26, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Give the resident's representative the ability to exercise the resident's rights.

    Inspected August 2025, after a complaint. Corrected by September 9, 2025.

  • Could cause more than minimal harm, widespread Infection Control

    Provide and implement an infection prevention and control program.

    Inspected August 2024. Corrected by September 7, 2024.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

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

    Inspected August 2024. Corrected by September 7, 2024.

  • Could cause more than minimal harm, a pattern Infection Control

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Inspected August 2024. Corrected by September 7, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected August 2024. Corrected by September 7, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    PASARR screening for Mental disorders or Intellectual Disabilities

    Inspected August 2024. Corrected by September 7, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected August 2024. Corrected by September 7, 2024.

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  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected August 2024. Corrected by September 7, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide or obtain dental services for each resident.

    Inspected August 2024. Corrected by September 18, 2024.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

The Pearl of Elgin offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 139
  • Occupancy 90%
  • Nursing hours per resident/day 3.2
  • Annual staff turnover 40%
  • Last health inspection August 2024

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