Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

PEARL OF ORCHARD VALLEY

AURORA, IL · 203 certified beds · Last Life Safety survey March 21, 2025

CMS Certification Number 145473 · first certified November 1983

Ownership

Operated by PEARL HEALTHCARE · For profit - Limited Liability company

  • Ownership changed May 1, 2022 (change of ownership)to THE PEARL OF ORCHARD VALLEY from SYMPHONY COUNTRYSIDE LLC
20
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within IL

20 citations — more than 64% of the 666 certified nursing homes in IL. Compared within IL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 5. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (February 2026 to May 2026), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was March 2025. Facilities in IL are typically surveyed 11–13 months after the last one (median 12), measured over 759 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

8 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 20 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in IL, and nationally. Surveyors differ markedly between states, so the IL figure is the meaningful one.

This facility20IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility20
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
42023-0192024-0222024-0452025-03
Citations at each Life Safety survey
Survey dateCitations
January 12, 20234
February 8, 20249
April 10, 20242
March 21, 20255

Most-cited tags

Most-cited tags at this facility
K-03113K-03213K-09232K-09181K-03631K-02111K-03621K-09201
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0311Have an enclosure around a vertical opening shaft.32025-03-21
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.32025-03-21
K-0923Have proper medical gas storage and administration areas.22025-03-21
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-03-21
K-0363Install corridor and hallway doors that block smoke.12023-01-12
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12024-02-08
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.12024-02-08
K-0920Ensure proper usage of power strips and extension cords.12024-02-08

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 11
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Miscellaneous Deficiencies 2
  • Egress Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies11
Gas, Vacuum, and Electrical Systems Deficiencies4
Miscellaneous Deficiencies2
Egress Deficiencies2
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 21, 2025 — 5 citations

Citations issued on March 21, 2025
TagWhat the surveyor checksStatus
K-0311Have an enclosure around a vertical opening shaft.Fire Safety Evaluation Survey (April 8, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 7, 2025)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (April 7, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 11, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 7, 2025)

April 10, 2024 — 2 citations

Citations issued on April 10, 2024
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 18, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (April 18, 2024)

February 8, 2024 — 9 citations

Citations issued on February 8, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (February 15, 2024)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (February 15, 2024)
K-0311Have an enclosure around a vertical opening shaft.Fire Safety Evaluation Survey
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (February 15, 2024)
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (February 15, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (March 8, 2024)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (February 15, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 15, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (February 15, 2024)

January 12, 2023 — 4 citations

Citations issued on January 12, 2023
TagWhat the surveyor checksStatus
K-0311Have an enclosure around a vertical opening shaft.Fire Safety Evaluation Survey
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (January 31, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 1, 2023)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (February 10, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.