Pearl of Evanston: Infection Control Failures Found - IL
The infection control findings centered on enhanced barrier precautions, a practice requiring staff to wear gowns and gloves during high-contact care activities. The facility's own policy, reviewed as recently as October 2024, listed exactly what those activities included: providing hygiene, changing briefs, and assisting with toileting. Inspectors found staff were not following those requirements.
The mattress findings were straightforward. The facility's specialty mattress policy, updated in May 2025, states that no more than one layer of linen should be placed between the mattress and the resident. More linen than that compresses the mattress and reduces its ability to redistribute pressure, increasing a resident's risk of skin breakdown. Inspectors found the policy was not being followed.
Medication supplies were found unsecured when not attended by authorized staff.
The facility's own physician order policy, reviewed in March 2025, requires licensed nurses to follow physician orders and enter all completed orders into the electronic health record. That policy was also cited.
CMS classified the harm level as minimal, with few residents affected. The inspection was completed August 29, 2025, at the facility's Foster Street location.
What the report leaves unresolved is how long these gaps had been running before a complaint prompted someone to call. The enhanced barrier precaution policy had been in place since at least October 2024. The mattress linen policy since May 2025. Neither was new. Neither was being followed when inspectors arrived.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Pearl of Evanston,the from 2025-08-29 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
PEARL OF EVANSTON,THE in EVANSTON, IL was cited for violations during a health inspection on August 29, 2025.
Inspectors found staff were not following those requirements.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.