All states › Illinois › Evanston › The Pearl of Evanston
820 Foster Street Evanston, IL 60201 · Cook County
All 8 nursing homes in Evanston, IL (6 take Medicaid)
CMS certification number 145803 · See this home on Medicare Care Compare
Is The Pearl of Evanston a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Pearl of Evanston as of October 2026.
CMS rates it 5 out of 5 stars overall, above the Illinois average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.74 hours per resident per day at The Pearl of Evanston, above the Illinois median of 3.33 (US median: 3.72). About 0.74 of those hours are from registered nurses. On weekends it falls to 3.51 hours, 6% below its all-week average. 26.5% of nursing staff left within a year (Illinois median 43.5%). That is lower than most homes in Illinois, a sign of a steadier team.
About this nursing home
Paying for care at The Pearl of Evanston: Medicare and Medicaid
The Pearl of Evanston is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Illinois's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 14, 2026 and found 0 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 17 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 17 citations at The Pearl of Evanston across 9 inspection dates, 9 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on December 16, 2025. The most common areas cited were quality of life and care (8) and freedom from abuse, neglect, and exploitation (3). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level G, December 16, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
June 1, 2026 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
April 24, 2026 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
December 16, 2025 · 1 citation, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
August 29, 2025 · 2 citations · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide 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.
May 15, 2025 · 1 citation, includes actual harm
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
February 25, 2025 · 1 citation · includes complaint inspection
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
November 4, 2024 · 2 citations · includes complaint inspection
DRespond appropriately to all alleged violations.
DGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
May 31, 2024 · 7 citations
EEnsure 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.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DAllow residents to self-administer drugs if determined clinically appropriate.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide 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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide and implement an infection prevention and control program.
February 2, 2024 · 1 citation · includes complaint inspection
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Questions to ask on a tour of The Pearl of Evanston
- Inspectors cited the home at the actual-harm level on December 16, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 1, 2026. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 4/5 | 3/5 | 5/5 |
| August 2026 | 5/5 | 4/5 | 3/5 | 5/5 |
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Location
Hospitals near The Pearl of Evanston
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.8 mi
Evanston Hospital EvanstonEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 4h 33m for patients treated and sent home
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2.0 mi
Rhc St Francis Hospital EvanstonEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 59m for patients treated and sent home
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5.5 mi
Swedish Covenant Hospital ChicagoEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 4h 14m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Pearl Healthcare nursing homes in Illinois
- The Pearl of Crystal Lake · Crystal Lake · 5 stars
- Pearl at the Tillers · Oswego · 4 stars
- The Pearl of Hinsdale · Hinsdale · 4 stars
- The Pearl of St Charles · St Charles · 3 stars
- The Pearl of Naperville · Naperville · 3 stars
- The Pearl of Fox River Valley · Elgin · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 15 Pearl Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.