Public Record
Evenglow Lodge
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 48
- Avg. residents per day
- 27
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 29
- Inspections on file
- 5
- Last inspection
- 2024-09-05
*CMS
*CMS
*CMS
Citations
29 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0732Generalno actual harm
Post nurse staffing information every day.
- 0758Generalpotential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- 0351Generalpotential for harm
Install an approved automatic sprinkler system.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0761Generalpotential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0881Generalpotential for harm
Implement a program that monitors antibiotic use.
- 0341Generalpotential for harm
Install a fire alarm system that can be heard throughout the facility.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0554Generalpotential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0645Generalpotential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0688Generalpotential for harm
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.
- 0698Generalpotential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 0758Generalpotential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0039Generalpotential for harm
Conduct testing and exercise requirements.
- 0351Generalpotential for harm
Install an approved automatic sprinkler system.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- Inspection12 deficiencies
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT…
Read full statement of deficiencies - View inspection reportInspection12 deficiencies
- Inspection15 deficiencies
F 0554 Allow residents to self-administer drugs if determined clinically appropriate. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview and record review, the facility failed to complete a self-administration of medication assessment for residents to…
Read full statement of deficiencies - View inspection reportInspection15 deficiencies
- View inspection reportInspection2 deficiencies
FAQ
Questions and answers
- What is Evenglow Lodge?
- Evenglow Lodge is a Medicare- and Medicaid-certified nursing home in Pontiac, IL, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 146095.
- What is the CMS rating for Evenglow Lodge?
- Evenglow Lodge has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Evenglow Lodge have?
- Evenglow Lodge is certified for 48 beds. It serves an average of 27 residents per day.
- How many citations does Evenglow Lodge have?
- Evenglow Lodge has 29 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Evenglow Lodge last inspected?
- Evenglow Lodge was last inspected on September 5, 2024. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/146095-evenglow-lodge