Skilled nursing facility · CMS certification number 146034
PEARL AT THE TILLERS
OSWEGO, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 105
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 12, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,822,713 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $10,822,713 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,109,537 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $713,176 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,551 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $721,727 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $721,727 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 38,430 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 5,684 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 10,923 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,454 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 25,061 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 157 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 80 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 20 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 257 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 136.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448478, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for June 1, 2023 to December 31, 2023 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,016,175 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,016,175 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,695,762 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $320,413 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,622 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $328,035 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $328,035 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,945 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 195 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 97.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433483, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 14, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,597,055 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,819,782 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,777,273 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,181,369 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $595,904 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $115,724 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $711,628 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $699,085 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,708 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 385 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 250.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 51.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1377696, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 18, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,074,451 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,110,088 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,964,363 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,261,623 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$297,260 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $58,692 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$238,568 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$242,456 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,058 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 384 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 216.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1362492, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,443,834 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,779,642 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,664,192 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,488,028 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $176,164 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,049,969 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,226,133 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,187,832 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,834 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 439 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 157.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 54.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335679, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 16, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,419,868 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,500,739 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,919,129 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,019,297 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $899,832 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,896 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $902,728 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $874,987 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,542 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 529 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 208.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 55.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1307327, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 3, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,439,612 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,608,321 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,831,291 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,013,971 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $817,320 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,856 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $821,176 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $804,505 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,717 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 849 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 149.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 31.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1274791, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,517,462 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,875,249 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,642,213 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,359,903 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,282,310 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,468 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,294,778 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,294,778 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,377 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 799 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 230.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 33.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239069, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for December 1, 2015 to December 31, 2016 — a reporting period of 396 days, on form CMS-2540-10, settled, processed by CMS on February 13, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,450,924 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,857,408 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,593,516 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,091,479 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $502,037 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $53,506 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $555,543 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $555,543 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,776 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 780 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 40.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1183762, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended November 30, 2015
Cost report for January 1, 2015 to November 30, 2015 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on September 8, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,375,332 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $13,375,332 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,382,164 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,006,832 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,605,908 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,599,076 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,599,076 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,330 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 505 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 56.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1175751, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 9, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,887,375 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $14,887,375 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,887,320 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $55 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $98,250 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $98,305 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $98,305 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,560 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 531 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 61.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1148087, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 20, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,971,000 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $14,971,000 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,531,001 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $439,999 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $95,830 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $535,829 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $535,831 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,473 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 559 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 59.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1113083, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 21, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,635,389 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,272,636 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,362,753 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,093,759 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $268,994 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $95,030 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $364,024 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $364,024 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,023 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 699 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 45.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1098975, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 5, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,355,190 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,766,952 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,588,238 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,088,560 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $499,678 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $125,609 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $625,287 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $625,287 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,672 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 617 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 51.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1049113, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,994,469 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,064,517 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$70,048 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $170,832 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $100,784 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 106 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,531 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 538 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 176.6 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 53.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 430939, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 24, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,336,630 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,190,727 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $145,903 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $74,035 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $219,938 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 106 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,229 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 475 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 162.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 59.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 386178, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 31, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,783,548 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,280,774 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $502,774 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $64,005 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $566,779 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,085 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 348 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 162.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 83.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355907, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 21, 2008.
None of these figures is carried on this report.
CMS report record 324710, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 24, 2008.
None of these figures is carried on this report.
CMS report record 299926, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 8, 2006.
None of these figures is carried on this report.
CMS report record 265918, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 9, 2006.
None of these figures is carried on this report.
CMS report record 244737, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 9, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,829,609 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,125,295 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$295,686 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $308,461 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $12,775 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,978 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 133 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 187.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 232671, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for October 1, 2002 to December 31, 2002 — a reporting period of 91 days, not a full year, on form CMS-2540-96, as submitted, processed by CMS on July 3, 2003.
Net income: −$153,814 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
CMS report record 151179, read from the public cost report file SNFFY2003.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| PHC OSWEGO HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 99% | since 06/01/2023 |
| EDSS VENTURES LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 7% | since 06/01/2023 |
| ZEFFREN, EITAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2023 |
| MEHTA, NIKI | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 06/01/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PEARL OF OSWEGO, LLC (enrollment ID O20230714000729).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| PHC OSWEGO HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 99 | 6/1/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| EDSS VENTURES LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7 | 6/1/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| EITAN ZEFFREN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 60 | 6/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EZ HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 60 | 6/1/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| REG 2018 IRREVOCABLE TRUST U/A/D 1/1/18 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10 | 6/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| EITAN ZEFFREN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NIKI JO MEHTA | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 6/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- November 1, 2023: MARK HARTMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: MIDCAP FUNDING IV TRUST no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DRAKE LOUIS ENTERPRISE, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DRAKE LOUIS ENTERPRISE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: SPS I LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: ANNMARIE HARRINGTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DAVID HARTMAN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DAVID HARTMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DAVID HARTMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DAVID HARTMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: WILLOW DELTA TRUST no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: FAIRHOME TRUST UAD 12312012 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: BENOIT HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: REG 2018 IRREVOCABLE TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: EITAN ZEFFREN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: EITAN ZEFFREN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: EDSS VENTURES LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: NIKI JO MEHTA (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: PHC OSWEGO HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: EZ HOLDCO LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
Recent changes on this record
- March 12, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 28, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- May 14, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- December 28, 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- November 1, 2023: MARK HARTMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: MIDCAP FUNDING IV TRUST no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DRAKE LOUIS ENTERPRISE, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DRAKE LOUIS ENTERPRISE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: SPS I LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: ANNMARIE HARRINGTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DAVID HARTMAN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DAVID HARTMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DAVID HARTMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DAVID HARTMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: WILLOW DELTA TRUST no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: FAIRHOME TRUST UAD 12312012 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: BENOIT HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: REG 2018 IRREVOCABLE TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: EITAN ZEFFREN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: EITAN ZEFFREN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: EDSS VENTURES LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: NIKI JO MEHTA (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: PHC OSWEGO HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: EZ HOLDCO LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- August 18, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- October 26, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- December 16, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- December 3, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 1, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- February 13, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- September 8, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- December 9, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- November 20, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- June 21, 2015: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- November 5, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- June 26, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- August 24, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- August 31, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- August 21, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- January 24, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 6, 2025 | March 6, 2025 | 7 | 3 |
| 2 | February 9, 2024 | February 9, 2024 | 9 | 14 |
| 3 | January 12, 2023 | January 12, 2023 | 11 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
27 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 9, 2026 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | April 17, 2026 |
| December 24, 2025 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Yes | Deficient, Provider has date of correction | January 13, 2026 |
| April 29, 2025 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Deficient, Provider has date of correction | April 30, 2025 |
| March 6, 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | March 11, 2025 |
| March 6, 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | March 11, 2025 |
| March 6, 2025 | Health | F 0803 | Nutrition and Dietary Deficiencies | 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. | E | No | Deficient, Provider has date of correction | March 11, 2025 |
| March 6, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | March 11, 2025 |
| March 6, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 11, 2025 |
| October 9, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | October 24, 2024 |
| June 24, 2024 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Deficient, Provider has date of correction | July 5, 2024 |
| February 9, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | February 12, 2024 |
| February 9, 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | 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. | D | No | Deficient, Provider has date of correction | February 12, 2024 |
| February 9, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | February 12, 2024 |
| February 9, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | February 12, 2024 |
| February 9, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | February 12, 2024 |
| February 9, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | February 12, 2024 |
| February 9, 2024 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | February 12, 2024 |
| January 12, 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | January 29, 2023 |
| January 12, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | January 30, 2023 |
| January 12, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | January 27, 2023 |
| January 12, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | No | Deficient, Provider has date of correction | January 30, 2023 |
| January 12, 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | January 29, 2023 |
| January 12, 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | January 29, 2023 |
| January 12, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | January 30, 2023 |
| January 12, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | January 29, 2023 |
| January 12, 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | January 29, 2023 |
| January 12, 2023 | Health | F 0887 | Infection Control Deficiencies | 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. | E | No | Deficient, Provider has date of correction | January 24, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | PEARL OF OSWEGO, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2002-10-09 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Kendall |
| Telephone Number | 6305541001 |
| Chain Name | PEARL HEALTHCARE |
| Chain ID | 595 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 105 |
| Average Number of Residents per Day | 72.9 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On March 12, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for PEARL AT THE TILLERS
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Illinois at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 146034.