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Public Record

The Mather Evanston

Nursing HomeEvanston, ILCMS 146145
32 citations on record

From CMS

Facility profile

CMS overall rating
5 / 5

*CMS Five-Star

Certified beds
37

*CMS

Avg. residents per day
29.9

*CMS

Inspection record

On record from CMS

Citations on record
32

*CMS

Inspections on file
5

*CMS

Last inspection
2025-03-20

*CMS

Citations

32 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.

  • 0712Generalno actual harm

    Have simulated fire drills held at unexpected times.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0883Generalpotential for harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

  • 0655Generalpotential for harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0727Generalpotential for harm

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

  • 0918Generalpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0914Generalpotential for harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  • 0041Generalpotential for harm

    Implement emergency and standby power systems.

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0351Generalpotential for harm

    Install an approved automatic sprinkler system.

  • 0531Generalpotential for harm

    Have elevators that firefighters can control in the event of a fire.

  • 0363Generalpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0351Generalpotential for harm

    Install an approved automatic sprinkler system.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0920Generalpotential for harm

    Ensure proper usage of power strips and extension cords.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0918Generalpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0920Generalpotential for harm

    Ensure proper usage of power strips and extension cords.

  • 0015Generalpotential for harm

    Address subsistence needs for staff and patients.

  • 0039Generalpotential for harm

    Conduct testing and exercise requirements.

  • 0041Generalpotential for harm

    Implement emergency and standby power systems.

  • 0133Generalpotential for harm

    Install a two-hour-resistant firewall separation.

  • 0293Generalpotential for harm

    Have properly located and lighted "Exit" signs.

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0363Generalpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0364Generalpotential for harm

    Install properly constructed windows in hallway walls or doors.

  • 0531Generalpotential for harm

    Have elevators that firefighters can control in the event of a fire.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 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.

  • 0914Generalpotential for harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

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 0655 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations…

    Read full statement of deficiencies
  • Inspection12 deficiencies
    View inspection report
  • Inspection4 deficiencies
    View inspection report
  • Inspection16 deficiencies
    View inspection report
  • Inspection16 deficiencies

    F 0688 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. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**…

    Read full statement of deficiencies

FAQ

Questions and answers

What is The Mather Evanston?
The Mather Evanston is a Medicare- and Medicaid-certified nursing home in Evanston, IL, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 146145.
What is the CMS rating for The Mather Evanston?
The Mather Evanston 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 The Mather Evanston have?
The Mather Evanston is certified for 37 beds. It serves an average of 29.9 residents per day.
How many citations does The Mather Evanston have?
The Mather Evanston has 32 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was The Mather Evanston last inspected?
The Mather Evanston was last inspected on March 20, 2025. 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.

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