THE PEARL OF DOWNERS GROVE

DOWNERS GROVE, IL 2025 Assisted Living / Long-Term Care
CMS Actual Harm Documentation Failure Immediate Jeopardy Inadequate Staffing Infection Control Medication Error Nutrition Care Resident Neglect Wound Care
Penalty
$30,264

Outcome

THE PEARL OF DOWNERS GROVE in DOWNERS GROVE, IL was fined $30,264 by CMS following 69 deficiency citations identified during federal surveys.

Details

THE PEARL OF DOWNERS GROVE (DOWNERS GROVE, IL) — $30,264 in CMS Fines

Outcome: THE PEARL OF DOWNERS GROVE in DOWNERS GROVE, IL was fined $30,264 by CMS following 69 deficiency citations identified during federal surveys.

Deficiency areas cited:


  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

How Crucible Prevents This

Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.

Source: CMS Nursing Home Penalties Dataset — THE PEARL OF DOWNERS GROVE

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