The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2025 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Symphony of Evanston
Registered name: PEARL OF EVANSTON,THE
EVANSTON, IL · Medicare-certified · 158 beds
In good standing
For-profitChain member
Data as of September 1, 2026
5 of 5 overall
Symphony of Evanston in Evanston, IL has an overall 5-star rating, with strong quality and health inspection scores, but only 3-star staffing and reported nurse staffing below the federal benchmark (3.6 vs. 4.1 hours per resident per day). It had no fines in the last 24 months, though recent inspection citations included treatment/care orders, accident hazards/supervision, and medication storage/labeling.
Facility ratings
Health inspections
Staffing
3.597 hrs/resident/day
Quality measures
Last inspection: June 1, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.597.
Staffing detail
- Registered nurses
- 0.77
- Licensed practical nurses
- 0.88
- Nurse aides
- 1.95
- Weekend nursing
- 3.31
Hours per resident per day.
Total staff turnover: 24%
Registered nurse turnover: 0%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
22.8%19.5%Improving
Residents with a fall causing major injury
4.1%1%Improving
Residents with pressure ulcers (bedsores)
5.4%5.9%Worsening
Residents with a urinary tract infection
1.1%0%Improving
Residents who lost too much weight
9.4%8.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.5%7.8%Improving
Residents whose ability to walk got worse
14.1%9.4%Improving
Long-stay residents on antianxiety or sleep medication
8%8.9%Worsening
Short-stay residents newly given an antipsychotic
1.3%1.2%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
14.7%16.9%Worsening
Residents with depressive symptoms
73.5%98.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—93.1%—
Long-stay residents given the pneumonia vaccine
82.5%85.1%Improving
Short-stay residents given the seasonal flu vaccine
—74.5%—
Short-stay residents given the pneumonia vaccine
75.8%57.8%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to properly label and securely store medications and biologicals. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited February 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to protect residents from abuse and neglect by others. Cited June 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Recent ownership change · Jul 1, 2023
Now operated by The Pearl of Evanston, previously Symphony Evanston.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PEARL HEALTHCARE · 15 homes · 2.6 stars avg
- Occupancy
- 118.8 residents on an average day (75% of 158 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.