The Pearl at the Tillers

    4390 IL-71, Oswego, IL 60543
    • Skilled Nursing
    3.2ยท11 reviews

    Attentive care, immaculate welcoming community

    I'm very pleased with this senior living community - the staff is excellent and attentive, nursing coverage is strong day/night (1:12) with 24/7 medical support and good Alzheimer's care. The facility is immaculate, smells pleasant, and is welcoming (electric fireplaces, well-kept aquarium, on-site Starbucks), with appetizing, varied dining and meal assistance. Rehab/therapy is outstanding and personalized, the small long-term census (~24) fosters conversation and roommate matching, and administration communicates regularly - residents appear happy and well cared for.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.18ยท(11)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.0
    • Staff

      3.0
    • Meals

      2.7
    • Amenities

      3.8
    • Value

      1.3

    Pros

    • Compassionate and skilled nursing staff
    • Low nurse-to-patient ratios and strong nurse coverage
    • Robust rehabilitation and physical-therapy program
    • Clean, well-maintained interior spaces
    • Private-room options and thoughtful roommate matching
    • On-site amenities (Starbucks counter, aquarium, electric fireplaces)
    • Varied and appealing daily dining options
    • Coordinated care with insurers and available physician visits
    • Active social calendar and event-based celebrations
    • Dedicated memory-care/Alzheimerโ€™s services
    • Limited long-term census supporting a quieter environment

    Cons

    • Inconsistent staffing levels leading to delayed resident attention
    • Incontinence-care and personal-hygiene assistance lapses
    • Medication-administration and clinical follow-up delays
    • Unreliable mealtime assistance and meal-service continuity
    • Gaps in safe-transfer practices and pressure-injury prevention
    • High staff turnover and perceived decline after ownership change
    • Billing transparency and incidental-fee management issues
    • Communication breakdowns during admissions, discharges, and care transitions
    • Environmental noise and access challenges related to location and renovations

    Summary of reviews

    The Pearl at the Tillers presents a mixed profile: many reviewers praise clinical and hospitality strengths while others describe operational deficits that can affect resident experience. On the positive side, the facility is frequently characterized by attentive nursing, low nurse-to-patient ratios, and strong rehabilitation services. Families and short-stay patients often note meaningful progress in physical therapy and an organized rehab area. The campus also offers several resident-focused amenities โ€” an on-site coffee counter, aquarium and fireplace lounges, and a modest long-term census โ€” that contribute to a comfortable, engaging atmosphere for many residents.

    Staff performance is a recurrent dividing line. Numerous accounts highlight compassionate, responsive caregivers, coordinated care with insurers, and reliable physician visits and 24/7 clinical coverage. At the same time, a pattern of inconsistent staffing levels and high turnover is described, with consequence for responsiveness and continuity of care. Reviewers describe delays in responding to call lights, medication timing, and clinical follow-through; these operational weaknesses appear to be episodic but recurrent and are associated with poorer outcomes in short-term or medically complex cases.

    Dining and activities are areas of both praise and criticism. The facility offers varied daily menus, celebratory events, and accessible common spaces that many residents find appetizing and social. However, concerns are raised about inconsistent mealtime assistance and variable dining experience quality, including occasions when residents did not receive adequate support during meals. Activity programming and small celebrations (for example, birthday offerings) are noted positively, and amenities such as the Starbucks counter and social lounges support engagement.

    Facility condition and environment receive mostly favorable comments about cleanliness and upkeep, with several mentions of well-maintained common areas and private rooms. Still, there are recurring mentions of localized sanitation and odor concerns, and some reviewers cite noise or access challenges related to renovations and a busy street location. Operationally, families should also be aware of documented issues around property-management and discharge processing (for example, clothing and personal-item mix-ups) as well as billing and incidental-charge transparency.

    Taken together, the pattern suggests that The Pearl at the Tillers can deliver strong clinical rehabilitation and a pleasant residential environment when staffing levels and management processes are functioning well. Prospective residents and families would benefit from an in-person assessment focused on current staffing ratios and turnover, inspection of hygiene and incontinence-care practices, observation of a mealtime period, review of medication-administration and wound-prevention protocols, and clear written explanations of billing and incidental fees before admission. These targeted checks can help determine whether the facilityโ€™s strengths align with the prospective residentโ€™s clinical and daily-living needs.

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    Medicare Ratings

    5ยท/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of The Pearl at the Tillers

    The Pearl at the Tillers is located at 4390 IL-71, Oswego, IL, 60543.

    About The Pearl at the Tillers

    The Pearl at The Tillers is a skilled nursing facility that sits in a modern building with 105 certified beds and typically cares for about 69 residents per day. It's part of Pearl Healthcare, which has several communities across Chicagoland, like The Pearl of Downers Grove and The Pearl of Joliet, and each has its own unique name and approach while still sharing the main philosophy of care, compassion, and connection. Residents here get both short-term and long-term care, with services that range from post-hospital rehabilitation to long-term nursing support, and there's a strong focus on personalized medical plans-for example, people can get help recovering from a stroke, orthopedic rehab, wound care, pulmonary care, and even dialysis or IV therapy if needed, almost like a small hospital but with a bit more of a community feel.

    Rooms at The Pearl at The Tillers are designed for comfort, offering both private and semi-private suites-most have Wi-Fi, cable TV, private bathrooms, air conditioning, phones, and a small kitchenette, making things easy if someone likes to keep snacks handy or wants to call family on their own time. Residents get professional dining with chefs preparing meals that work for almost any diet, including diabetes and food allergies, and there's restaurant-style service in the dining area, though you can also get help eating if you need it, and staff can accommodate special diets pretty well. Nurses and caregiver aides provide about 3.40 hours of direct nursing care per resident per day, and there's 12 to 16-hour nursing care along with 24-hour supervision from a dedicated team, though some folks might notice that the nurse turnover rate is 48.4%, which means the staff might change a bit more often than some places, but people still describe the team as experienced and compassionate.

    The community offers a few extra touches with amenities like a beauty and barber shop, a state-of-the-art movie theater, a library, furnished rooms, emergency alert systems, and even a concierge to help coordinate move-ins or schedule housekeeping and laundry services. People can walk along landscaped grounds, spend time in a community garden, or join others in programs in the music and arts room or the wellness room, and planned activities-some led by staff and some run by residents-help keep everyone connected and active throughout the day. There's also transportation if someone needs to go to an appointment, fitness and exercise rooms for staying active, and a focus on keeping the facility clean with daily housekeeping and professional laundry.

    The Pearl at The Tillers accepts both Medicare and Medicaid, making it a possibility for people who need those options, and their team manages support with bathing, dressing, grooming, toileting, and medication management, plus specialized wound care if someone has a chronic wound or is recovering from surgery. For people who need more help, they've got customized stays for respite care, sheltered care, and advanced rehabilitation services; clinical options include speech, physical, and occupational therapy. Management has been handled by Eitan Zeffren since June of 2023, and like all nursing facilities, it goes through regular state and federal inspections-most recently, inspectors have documented 27 deficiencies, including some related to infection control, which means there are areas where the facility needs to improve to keep everyone safe from infections.

    The Pearl at The Tillers runs as a for-profit limited liability company and is mainly a place for people who need skilled care with a bit more medical support than at a standard assisted living facility, offering comprehensive plans to match the health needs and preferences of each resident. The facility emphasizes a resident-centered model, making adjustments to services as needed throughout someone's stay, and families often appreciate the wide range of amenities with dedicated medical support, though maybe not everything feels perfect, especially when it comes to staff changes or inspection results, but the community does try to blend comfortable living with needed health care in one place.

    People often ask...

    The Pearl at the Tillers offers skilled nursing.

    The full address for this community is 4390 IL-71, Oswego, IL 60543.

    No, The Pearl at the Tillers does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of The Pearl at the Tillers. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Pearl at the Tillers directly. There is no cost for this service. We are compensated by the community you select.

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