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 July 1, 2026
5 of 5 overall
Symphony of Evanston in Evanston, IL has an overall 5 of 5 stars, with strong health inspection and quality ratings but a middling staffing rating. It reported 3.60 nurse hours per resident per day versus the 4.1 federal benchmark, had $0 in fines in the last 24 months, and recent inspection citations included treatment and care, accident hazards/supervision, and drug storage/labeling.
Facility ratings
Health inspections
Staffing
3.597 hrs/resident/day
Quality measures
Last inspection: April 24, 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.
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F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — 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
- 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 · 2.7 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.