Evenglow Lodge
215 East Washington, Pontiac, IL 61764 · Livingston County · 48 certified beds · avg 26 residents/day · certified since Dec 15, 2005
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (21)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 5, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 5, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Sep 5, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Sep 5, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 5, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Sep 5, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Sep 5, 2024 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 5, 2024 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Nov 29, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 29, 2023 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Nov 29, 2023 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Nov 29, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Nov 29, 2023 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Nov 29, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Nov 29, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Nov 29, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Nov 29, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Nov 29, 2023 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Nov 29, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Nov 29, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Nov 29, 2023 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 13 | 0 | F |
| 2024 | 8 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Illinois avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.81 | 2.99 | 3.95 | top 2% in Illinois; top 5% in the U.S. |
| Registered Nurse hours | 1.02 | 0.63 | 0.69 | top 13% in Illinois; top 15% in the U.S. |
| Weekend total nurse staffing | 5.14 | 2.67 | 3.50 | top 2% in Illinois; top 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.52 | 0.56 | 0.48 | top 43% in Illinois; top 31% in the U.S. |
| Total nursing staff turnover (%) | 60.0 | 44.5 | 45.8 | bottom 15% in Illinois; bottom 17% in the U.S. |
| RN turnover (%) | 50.0 | 41.8 | 42.9 | bottom 37% in Illinois; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.08, RN 0.89, weekend 4.50. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ray, Darrin | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2023 |
| Wegner, Cynthia | Individual | Direct Ownership Interest | NOT APPLICABLE | 08/16/2021 |
| Arnold, Sharon | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2015 |
| Arnold, Sharon | Individual | Trustee of the SNF | NOT APPLICABLE | 07/01/2015 |
| Dunning, Virginia | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2023 |
| Flessner, Carol | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/25/1992 |
| Flessner, Carol | Individual | Trustee of the SNF | NOT APPLICABLE | 01/25/1992 |
| Geschwind, Richard | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/27/2003 |
| Geschwind, Richard | Individual | Trustee of the SNF | NOT APPLICABLE | 01/27/2003 |
| Hillman, Malinda | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2021 |
| Hillman, Malinda | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2021 |
| Kinate, Alberta | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/26/2009 |
| Kinate, Alberta | Individual | Trustee of the SNF | NOT APPLICABLE | 01/26/2009 |
| McCoy, Douglas | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/25/1992 |
| McCoy, Douglas | Individual | Trustee of the SNF | NOT APPLICABLE | 01/25/1992 |
| Ray, Darrin | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2023 |
| Taylor, Harlan | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/24/1980 |
| Taylor, Harlan | Individual | Trustee of the SNF | NOT APPLICABLE | 01/24/1980 |
| Trewartha, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2015 |
| Trewartha, John | Individual | Trustee of the SNF | NOT APPLICABLE | 07/01/2015 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Accolade Healthcare of Pontiac | 0.7 mi | Pontiac, IL | ★★★☆☆ | 3/5 | |
| Goldwater Pontiac Nursing Home | 2.7 mi | Pontiac, IL | ★★☆☆☆ | 3/5 | |
| Fairview Haven | 10.6 mi | Fairbury, IL | ★★★★★ | 5/5 | |
| Flanagan Rehabilitation and Health Care Center | 14.8 mi | Flanagan, IL | ★★☆☆☆ | 2/5 | |
| Arc at Dwight | 18.2 mi | Dwight, IL | ★★☆☆☆ | 2/5 | abuse |
| Arc at Streator | 19.3 mi | Streator, IL | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 146095.