Sherri Russell
Mar 2026
Very clean facility. The staff is always talking to the residents, making their stay more enjoyable. Very helpful staff also. We are very happy with The Pearl!!
1 / 4Quick Facts
- Total units
- 105
- Medicare rating
- 5 of 5
- Ownership
- For profit, Limited Liability company
- Certified beds
- 105
- Inspections
- View history (50 citations)
CMS Care Compare
What Families Think
Reviews for The Pearl at The Tillers are sharply divided: some families describe attentive staff and a resident recovering well after a stroke, while others report serious lapses in basic care and communication. The overall Google rating is high, but several detailed reviews raise significant concerns about staffing and hygiene.
The Good
- Staff described as welcoming and friendly
- Residents shown improving with rehab support
- Activities like Bingo and holiday events
- Responsive to questions per some families
The Bad
- Multiple reports of neglect: unbathed, unchanged, unfed residents
- One report of only one nurse for entire building
- Reports of slow or unresponsive call lights
- One reviewer described rude, unresponsive admissions staff
AI-generated from reviews and community data.
The Pearl at The Tillers is a senior living community in Oswego, Illinois offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 4.4 out of 5 across 294 reviews.
About The Pearl at The Tillers
The Pearl at The Tillers is a skilled nursing and long-term care facility in Oswego, Illinois, with a licensed capacity of 105 residents. It provides post-acute rehabilitation and ongoing care services.
Family experiences at the facility are mixed. Some families praise the warmth and attentiveness of staff members by name, noting that certain team members like Megan Thunberg and Olivia Benedict went above and beyond to support residents and families, and highlight good physical therapy and a range of activities. However, other families report significant concerns: delayed notification of falls and medical incidents, communication lapses with leadership, inconsistent hygiene and personal care, staffing shortages that affect response times (patient-to-aide ratios reported at 15–20:1), and instances of unsafe handling that caused injury. One family wrote, "the food was good the facility was clean & they have so much to offer," while others described the facility as old with worn furnishings and questioned cleanliness standards.
The Pearl at The Tillers holds a 4.4-star Google rating based on 294 reviews. Prospective families should expect variability in care quality and strongly encourage direct communication with management about specific concerns before and during residence.
Types of Care at The Pearl at The Tillers
Skilled Nursing / Long Term Care
Amenities
Room Amenities
- Cable or Satellite TV
- Emergency Call System
- Private Bathroom
- Private Rooms
- Wheelchair Accessible
Meals & Dining
- Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
- Restaurant style Dining Room
Community Amenities
- 24-Hour Staff
- Gathering / Activity Spaces
- Housekeeping
- Laundry Service
- Medication Management
- On-Site Nurse (RN)
Activities
- Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)
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Help Me ChooseReviews of The Pearl at The Tillers
4.4overall · 294 ratings combined
4.4★ on Google (294)
Allison S
Feb 2026
No working remote in my dads room for days. No shower or bath. Within 1 week of his stay he had fallen out of the hoyer 3 times. They do not clean him properly after using the bathroom which I've witnessed multiple times. Nothing was explained to him as what he could do there .. they just left him in his room .. rarely changing or even turning on the TV for him as the remote didn't work. Also no working phone in his room. I am so ashamed I put my dad here.
Carolina B
Jan 2026
The tillers staff is always so welcoming. They are always available to answer any questions and concerns to put your mind at ease. Everyone is very friendly and they always have a smile on their face.
Amanda Larrea
Dec 2025
My loved one was not served food, was not bathed, was not given his prescribed medication, and was lying in his own feces for who knows how long. This place works with a skeleton crew, one nurse for the entire building. Call lights all going off and not being tended to. There is not one ounce of care or compassion. The five star review is misleading because they likely know when their audits are.
Nicole Schmidt
Dec 2025
Doesn't appear staff is compassionate. Appears under staffed. Grandpa was left unchanged throughout day. Not placed into clean clothes. Food was not brought into his room. Really sad experience
Government Inspection History
8 inspection visits in the last three years, 50 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Apr 9, 2026Health Complaint1 citation
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 17, 2026
Dec 24, 2025Health Complaint1 citation
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 13, 2026
Apr 29, 2025Health Complaint1 citation
Protect each resident from the wrongful use of the resident's belongings or money.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 30, 2025
Mar 6, 2025Fire Safety StandardHealth Standard8 citations
Install a fire alarm system that can be heard throughout the facility.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 11, 2025
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 24, 2025
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 24, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 11, 2025
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 11, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 11, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 11, 2025
Oct 9, 2024Health Complaint1 citation
Provide safe and appropriate respiratory care for a resident when needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 24, 2024
Jun 24, 2024Health Complaint1 citation
Protect each resident from the wrongful use of the resident's belongings or money.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 5, 2024
Feb 9, 2024Fire Safety StandardHealth Standard21 citations
Have simulated fire drills held at unexpected times.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 23, 2024
Inspect, test, and maintain automatic sprinkler systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 8, 2024
Have approved installation, maintenance and testing program for fire alarm systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 28, 2024
Install emergency lighting that can last at least 1 1/2 hours.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 23, 2024
Conduct testing and exercise requirements.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 26, 2024
Establish staff and initial training requirements.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 23, 2024
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 23, 2024
Have generator or other power source capable of supplying service within 10 seconds.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 15, 2024
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 29, 2024
Ensure proper usage of power strips and extension cords.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 23, 2024
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 23, 2024
Provide properly protected cooking facilities.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 23, 2024
Install an approved automatic sprinkler system.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 23, 2024
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 23, 2024
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 12, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 12, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 12, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 12, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 12, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 12, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 12, 2024
Jan 12, 2023Fire Safety StandardHealth Standard16 citations
Have approved installation, maintenance and testing program for fire alarm systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 30, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 30, 2023
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 31, 2023
Have generator or other power source capable of supplying service within 10 seconds.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 31, 2023
Inspect, test, and maintain automatic sprinkler systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 1, 2023
Ensure proper usage of power strips and extension cords.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 3, 2023
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 24, 2023
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 20, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 30, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 30, 2023
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 29, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 29, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 27, 2023
Ensure medication error rates are not 5 percent or greater.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 29, 2023
Ensure that residents are free from significant medication errors.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 29, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 29, 2023
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Frequently Asked Questions
What types of care does The Pearl at The Tillers offer?
The Pearl at The Tillers offers Skilled Nursing / Long Term Care.
Where is The Pearl at The Tillers located?
The Pearl at The Tillers is located at 4390 Route 71 in Oswego, Illinois.
What do families say about The Pearl at The Tillers?
Reviews for The Pearl at The Tillers are sharply divided: some families describe attentive staff and a resident recovering well after a stroke, while others report serious lapses in basic care and communication. The overall Google rating is high, but several detailed reviews raise significant concerns about staffing and hygiene.
How did The Pearl at The Tillers do on recent health and safety inspections?
The Pearl at The Tillers had 8 government inspection visits in the last three years, with 50 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
How can families visit The Pearl at The Tillers?
Submit the Request Information form on this page to connect with The Pearl at The Tillers and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
Work at The Pearl at The Tillers? Claim this listing to update photos, pricing, and details. It's free.
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