PlainNursing
CMS Nursing Home Compare · March 2026

Evenglow Lodge

215 East Washington, Pontiac, IL 61764

Evenglow Lodge, a 48-bed non profit - corporation nursing facility in Pontiac, IL, holds a 5-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8158424613

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5 / 5
Much above average · CMS overall · nat'l 3.0
4.75
Well above average · nurse hrs/day · nat'l 3.89
21
Inspection findings
$0
Federal penalties (0)

Health Inspection

4/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

4/5

Facility Information

Provider Number
146095
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
48
Residents
27
In Hospital
No
County
Livingston
Last Inspection
Sep 5, 2024

Staffing Data

How the 4.75 total nursing hours per resident-day are staffed:

RN Hours
0.86 (nat'l avg: 0.68)
LPN Hours
0.57
CNA Hours
3.33
Total Nursing Hours
4.75 (nat'l avg: 3.89)
PT Hours
0.02
Nursing Turnover
55.8%
RN Turnover
50.0%

What the CMS Record Reveals About Evenglow Lodge

Evenglow Lodge operates 48 certified beds in Pontiac, IL with approximately 27 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 4★ · staffing 4★ · quality 5★).

The inspection file contains 21 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Reported nurse staffing runs 4.75 total hours per resident day (national average 3.89); RN hours specifically are 0.86 per resident day.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Evenglow Lodge falls into a category where comparative context matters. Reported nursing turnover at this facility is 55.8%, above the level where continuity of care typically begins to suffer.

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (21 most recent)

D - Isolated - Minimal harm Sep 5, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 27, 2024

E - Pattern - Minimal harm Sep 5, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 1, 2024

D - Isolated - Minimal harm Sep 5, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 1, 2024

C - Widespread - No harm Sep 5, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 1, 2024

D - Isolated - Minimal harm Sep 5, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 1, 2024

D - Isolated - Minimal harm Sep 5, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 1, 2024

D - Isolated - Minimal harm Sep 5, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 1, 2024

D - Isolated - Minimal harm Sep 5, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Oct 1, 2024

D - Isolated - Minimal harm Nov 29, 2023 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Dec 21, 2023

F - Widespread - Minimal harm Nov 29, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 21, 2023

F - Widespread - Minimal harm Nov 29, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 21, 2023

D - Isolated - Minimal harm Nov 29, 2023 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Dec 21, 2023

D - Isolated - Minimal harm Nov 29, 2023 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 21, 2023

D - Isolated - Minimal harm Nov 29, 2023 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 21, 2023

D - Isolated - Minimal harm Nov 29, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 21, 2023

D - Isolated - Minimal harm Nov 29, 2023 Tag: 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.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 21, 2023

D - Isolated - Minimal harm Nov 29, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 21, 2023

D - Isolated - Minimal harm Nov 29, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 21, 2023

D - Isolated - Minimal harm Nov 29, 2023 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 21, 2023

D - Isolated - Minimal harm Nov 29, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Dec 21, 2023

D - Isolated - Minimal harm Nov 29, 2023 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Dec 21, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 22.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.2% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 36.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 1.2% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 11.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 10.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 2.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.9% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 26.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 26.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 95.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 95.0% No

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Evenglow Lodge?
Evenglow Lodge has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (5★).
What are the staffing levels at Evenglow Lodge?
Evenglow Lodge reports 4.75 total nursing hours per resident day (national average: 3.89). RN hours are 0.86 per resident day (national average: 0.68). Nursing staff turnover is 55.8%.
How many beds does Evenglow Lodge have?
Evenglow Lodge has 48 certified beds with approximately 27 residents. The facility is located at 215 East Washington, Pontiac, IL 61764.
Does Evenglow Lodge have any deficiencies on record?
Yes, Evenglow Lodge has 21 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Evenglow Lodge received any fines or penalties?
No, Evenglow Lodge has no fines or penalties on record.
Who owns Evenglow Lodge?
Evenglow Lodge is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Evenglow Lodge last inspected?
The most recent health inspection for Evenglow Lodge was on Sep 5, 2024. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Evenglow Lodge?
Evenglow Lodge is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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