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

PEARL OF ST CHARLES, THE

ST CHARLES, IL · 109 certified beds · Last Life Safety survey February 27, 2025

CMS Certification Number 145980 · first certified June 1999

Ownership

Operated by PEARL HEALTHCARE · For profit - Limited Liability company

  • Ownership changed December 1, 2023 (change of ownership)to THE PEARL OF ST. CHARLES from ST CHARLES NH LLC
27
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
13
Inspection & testing records
Of the citations on file

Position within IL

27 citations — more than 78% 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

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 8 citations; the earlier surveys in the window averaged 9.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (January 2026 to April 2026), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was February 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

4 inspection-and-testing tags have 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.

Emergency preparedness

4 of the 27 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

6 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 27 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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 facility27IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility27
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
82023-01112024-0382025-02
Citations at each Life Safety survey
Survey dateCitations
January 25, 20238
March 14, 202411
February 27, 20258

Most-cited tags

Most-cited tags at this facility
K-09183K-07123E-00392K-03532K-03632K-07411K-03241K-02111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.32025-02-27
K-0712Have simulated fire drills held at unexpected times.32025-02-27
E-0039Conduct testing and exercise requirements.22024-03-14
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-02-27
K-0363Install corridor and hallway doors that block smoke.22025-02-27
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12024-03-14
K-0324Provide properly protected cooking facilities.12024-03-14
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12023-01-25

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 11
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Miscellaneous Deficiencies 5
  • Emergency Preparedness Deficiencies 4
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies11
Gas, Vacuum, and Electrical Systems Deficiencies5
Miscellaneous Deficiencies5
Emergency Preparedness Deficiencies4
Egress Deficiencies2

Every citation on file

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

February 27, 2025 — 8 citations

Citations issued on February 27, 2025
TagWhat the surveyor checksStatus
E-0025Create arrangements with other facilities to receive patients.Deficient, Provider has date of correction (March 21, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 28, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 21, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 25, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 20, 2025)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (March 25, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 25, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 25, 2025)

March 14, 2024 — 11 citations

Citations issued on March 14, 2024
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (April 9, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 9, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (April 9, 2024)
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 5, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 20, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 5, 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 (March 20, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 5, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 9, 2024)
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 2, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 25, 2024)

January 25, 2023 — 8 citations

Citations issued on January 25, 2023
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (February 14, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (February 14, 2023)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (February 14, 2023)
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (February 14, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (February 14, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 14, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (February 14, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 14, 2023)

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