PEARL AT THE TILLERS

Pearl at the Tillers is a Medicare and Medicaid certified skilled nursing facility located at 4390 Route 71 in Oswego, Illinois, within Kendall County. The facility operates with 105 certified beds and is owned under a for-profit limited liability company structure. It serves residents requiring short-term rehabilitation and long-term care services in the southwestern suburban Chicago region. The Centers for Medicare and Medicaid Services (CMS) assigns star ratings to nursing facilities based on health inspections, staffing levels, and quality measures. Pearl at the Tillers holds an overall CMS rating of 3 stars, which aligns with the national average of 3.0 stars. Its health inspection rating stands at 2 stars, and its staffing rating is also 2 stars, both falling below the national average. However, the facility's quality measure rating of 5 stars represents the highest tier available in the CMS rating system, indicating performance above national benchmarks on clinical quality indicators such as rates of hospitalizations, medication management, and functional outcomes for residents. As a dually certified Medicare and Medicaid facility, Pearl at the Tillers is able to accept residents covered under both programs. Medicare typically covers short-term skilled nursing care following a qualifying hospital stay, subject to federal guidelines regarding duration and medical necessity. Medicaid coverage for long-term care is available to eligible individuals who meet Illinois state income and asset criteria. The facility may also accept private pay arrangements. Prospective residents and families are encouraged to contact the facility directly to confirm current insurance participation and payment options. When assessed against national benchmarks, Pearl at the Tillers presents a mixed profile. The overall 3-star rating matches the national average, suggesting aggregate performance comparable to many facilities across the country. The below-average ratings in health inspections and staffing indicate areas that may warrant closer review by those researching care options. At the same time, the 5-star quality measure rating places this facility among the higher-performing nursing homes nationally on tracked clinical outcomes. This combination of ratings reflects variation across the three domains that CMS evaluates, and each domain represents a distinct aspect of facility operations and resident care.