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Complaint Investigation

Aliya Of Evanston

Inspection Date: January 2, 2026
Total Violations 1
Facility ID 146058
Location EVANSTON, IL
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Inspection Findings

F-Tag F0550

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, and record review, the facility failed to follow its Residents Rights Policy by not ensuring the resident felt safe in the facility. This deficient practice affected one resident (Resident R3) out of three residents reviewed for Resident Rights within a total sample of 3 residents.Resident R3 is a [AGE] year-old male admitted to

the facility on [DATE REDACTED]. R3s medical diagnosis on the admission record are, but are not limited to, other cervical disc degeneration at C5-C6, mild intermittent asthma, type 2 diabetes mellitus, disorders of urethra, acute kidney failure, hypertension, hyperlipidemia, dementia with other behavioral disturbances, bipolar disorder with psychotic features, alcohol abuse, depression, and adult failure to thrive.On 12/31/2025 at 11:05AM, Resident R3 was observed in his room, sitting upright in his room. Resident R3 states Resident R3 usually receives his scheduled morning medications around 8:00AM-9:00AM. Resident R3 states on Christmas day 12/25/2025 he had his breakfast and had not received his scheduled morning medication. Resident R3 stated the CNA was being rude to Resident R3 because he voiced his concerns about there not being a second-floor nurse and not receiving his medications. Resident R3 stated he didn't feel safe and felt abandon in the facility on Christmas Day. Resident R3 stated he was worried because Resident R3 did not have a nurse until way after breakfast and had not received his medication.On 12/30/2025 at 1:45 PM V1 (Director of Nursing/ DON) stated she will have an on-Customer Service.On 12/31/2025 at 9:47 V5 (Staffing Director/ Certified Nurses Assistant/ CNA) stated

they have in service on customer service, respect the patient's rights.On 12/31/2025 at 11:04AM, V8 (Admissions Director) stated, we had an in-service regarding customer service. On 12/31/2025 at 12:15PM V7 (Administrator) stated she has disciplined a lot of staff regarding customer service and some staff have been dismissed.The Resident Rights Policy provided by the facility was reviewed and documents your rights to safety: you must not be abused, neglected

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

ALIYA OF EVANSTON in EVANSTON, IL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in EVANSTON, IL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ALIYA OF EVANSTON or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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