Evanston, IL

Alden Estates Of Evanston

4-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle

2520 Gross Point Road, Evanston, IL

(847) 328-6000

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

99

Certified beds

Average residents

66

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Alden Network

Operator or chain grouping

Approved since

1996-10-09

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

27 facilities

Chain averages 2 overall / 3 health / 1 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.88

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.89

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.03

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.80

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.77

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

3.40

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.63

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.20

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.75

CMS adjusted RN staffing hours

Adjusted total hours

3.20

CMS adjusted total nurse staffing hours

Case-mix index

1.62

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

12,454

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

12.17

Composite VBP score used to determine payment impact.

Payment multiplier

0.9811

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.77

Baseline 20.57% · Performance 20.15% · Measure score 2.77 · Achievement 2.77 · Improvement 0.71

Healthcare-associated infections

0.88

Baseline 7.17% · Performance 7.57% · Measure score 0.88 · Achievement 0.88 · Improvement 0

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

0

Baseline 3.29 hours · Performance 2.92 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.79%	10.72% 0.9 pts better	No Different than the National Rate · Eligible stays 436 · Observed rate 8.26% · Lower 95% interval 7.66%
Discharge to community	61.65%	50.57% 11.1 pts better	Better than the National Rate · Eligible stays 461 · Observed rate 58.79% · Lower 95% interval 57.44%
Medicare spending per beneficiary	1.26	1.02 0.2 pts worse
Drug regimen review with follow-up	95.5%	95.27% 0.2 pts better	Numerator 297 · Denominator 311
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 311
Discharge self-care score	83.41%	53.69% 29.7 pts better	Numerator 171 · Denominator 205
Discharge mobility score	63.41%	50.94% 12.5 pts better	Numerator 130 · Denominator 205
Pressure ulcers or injuries, new or worsened	1.29%	2.29% 1 pts better	Numerator 4 · Denominator 311 · Adjusted rate 1.11%
Healthcare-associated infections requiring hospitalization	7.57%	7.12% 0.5 pts worse	No Different than the National Rate · Eligible stays 302 · Observed rate 7.28% · Lower 95% interval 5.58%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 109
Staff flu vaccination coverage	45.53%	42% 3.5 pts better	Numerator 56 · Denominator 123
Discharge function score	83.41%	56.45% 27 pts better	Numerator 171 · Denominator 205
Transfer of health information to provider	98.88%	95.95% 2.9 pts better	Numerator 265 · Denominator 268
Transfer of health information to patient	95.24%	96.28% 1 pts worse	Numerator 20 · Denominator 21
Resident COVID-19 vaccinations up to date	26.97%	25.2% 1.8 pts better	Numerator 41 · Denominator 152

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.1	2.0 0.1 pts worse	1.9 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.8 · Expected 2.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	2.3 1.1 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.2%	89.6% 9.6 pts better	93.4% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 96.8% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	94.4%	91.6% 2.8 pts better	95.5% 1.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 94.4%
Percentage of long-stay residents experiencing one or more falls with major injury	1.7%	3.3% 1.6 pts better	3.3% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	23.2%	50.3% 27.1 pts better	11.4% 11.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 37.0% · Q2 33.3% · Q3 9.1% · Q4 11.5% · 4Q avg 23.2%
Percentage of long-stay residents who lose too much weight	3.6%	6.5% 2.9 pts better	5.4% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 0.0% · Q3 3.8% · Q4 0.0% · 4Q avg 3.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.0%	18.5% 5.5 pts better	19.6% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 14.8% · Q3 11.1% · Q4 15.2% · 4Q avg 13.0%
Percentage of long-stay residents who received an antipsychotic medication	11.3%	22.8% 11.5 pts better	16.7% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 8.7% · Q3 8.7% · Q4 14.8% · 4Q avg 11.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	10.2%	17.2% 7 pts better	16.3% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 10.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.2%	15.0% 0.8 pts better	14.9% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 12.0% · Q3 19.2% · Q4 16.1% · 4Q avg 14.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.1% 1.1 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.4%	1.7% 1.7 pts worse	1.7% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 7.1% · Q3 0.0% · Q4 3.1% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.2%	21.3% 2.9 pts worse	19.8% 4.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 23.6% · Q3 37.8% · Q4 10.1% · 4Q avg 24.2%
Percentage of long-stay residents with pressure ulcers	7.5%	5.2% 2.3 pts worse	5.1% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.6% · Q3 8.5% · Q4 10.3% · 4Q avg 7.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	92.3%	68.8% 23.5 pts better	81.7% 10.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 87.8% · Q2 90.1% · Q3 97.0% · Q4 94.5% · 4Q avg 92.3%
Percentage of short-stay residents who had an outpatient emergency department visit	13.7%	14.0% 0.3 pts better	12.0% 1.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.7% · Observed 13.0% · Expected 10.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.8%	2.3% 0.5 pts better	1.6% 0.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.2% · Q3 1.8% · Q4 2.6% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	79.2%	63.0% 16.2 pts better	79.7% 0.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 79.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.2%	26.2% 1 pts better	23.9% 1.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.2% · Observed 24.4% · Expected 23.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-07 · Fire 2025-02-07

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-01-19 · Fire 2024-01-19

7 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-02-09 · Fire 2023-02-09

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-02-07

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-02-25

E · Potential for more than minimal harm 2025-02-07

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-02-25

F · Potential for more than minimal harm 2024-01-19

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-01-30

F · Potential for more than minimal harm 2024-01-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-01-31

F · Potential for more than minimal harm 2023-02-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-02-15

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-06-09

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-24

E · Potential for more than minimal harm 2024-01-19

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-01-23

D · Potential for more than minimal harm 2024-01-19

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-01-23

D · Potential for more than minimal harm 2024-01-19

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-01-23

D · Potential for more than minimal harm 2024-01-19

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-01-23

D · Potential for more than minimal harm 2024-01-19

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-23

D · Potential for more than minimal harm 2024-01-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-23

C · Minimal harm 2023-11-05

F575 · Resident Rights Deficiencies

Health

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Corrected 2023-11-05

Penalties and ownership

What sits behind the stars

Ownership

The Alden Group, Ltd.

5% Or Greater Direct Ownership Interest · Organization

100% 25 facilities 1996-10-09

Audra Elisco Grantor Tr Dated 11/02/2004

5% Or Greater Indirect Ownership Interest · Organization

21% 21 facilities 2018-03-01

Lauren Magnusson Grantor Tr Dated 11/02/2004

5% Or Greater Indirect Ownership Interest · Organization

21% 21 facilities 2018-02-28

Randi Schullo Grantor Tr Dated 11/02/2004

5% Or Greater Indirect Ownership Interest · Organization

21% 21 facilities 2018-02-28

Elisco, Arin