Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ALIYA OF EVANSTON

EVANSTON, IL · 57 certified beds · Last Life Safety survey November 20, 2025

CMS Certification Number 146058 · first certified February 2004

Ownership

Operated by ALIYA HEALTHCARE · For profit - Limited Liability company

  • Ownership changed March 1, 2024 (change of ownership)from EVANSTON NURSING & REHAB CENTER, LLC
33
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
8
Tags cited more than once
Across separate surveys
16
Inspection & testing records
Of the citations on file

Position within IL

33 citations — more than 88% of the 664 certified nursing homes in IL. Compared within IL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 10 citations; the earlier surveys on file averaged 11.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: October 2026 to January 2027. This facility’s last Life Safety survey was November 2025. Facilities in IL are typically surveyed 11–14 months after the last one (median 13), measured over 739 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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Which alerts

5 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 33 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations in CMS's current file

Compared with the median facility in IL, and nationally. Surveyors differ markedly between states, so the IL figure is the meaningful one.

This facility33IL median15National median11
Citations in CMS's current file, compared
MeasureCitations
This facility33
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
132024-02102025-01102025-11
Citations at each Life Safety survey
Survey dateCitations
February 16, 202413
January 24, 202510
November 20, 202510

Most-cited tags

Most-cited tags at this facility
K-07123K-02253K-03632K-03532K-05312K-03452K-03212K-09182
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.32025-11-20
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.32025-11-20
K-0363Install corridor and hallway doors that block smoke.22025-01-24
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-11-20
K-0531Have elevators that firefighters can control in the event of a fire.22025-01-24
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-11-20
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22025-11-20
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-11-20

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 15
  • Egress Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Miscellaneous Deficiencies 4
  • Other 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies15
Egress Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies5
Miscellaneous Deficiencies4
Services Deficiencies3
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

November 20, 2025 — 10 citations

Citations issued on November 20, 2025
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (December 19, 2025)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (January 4, 2026)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (December 19, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (December 19, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (December 19, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 19, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (December 19, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (December 19, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 19, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 19, 2025)

January 24, 2025 — 10 citations

Citations issued on January 24, 2025
TagWhat the surveyor checksStatus
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Fire Safety Evaluation Survey (March 18, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (January 27, 2025)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (January 27, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 27, 2025)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (January 27, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 27, 2025)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (January 27, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 27, 2025)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (January 27, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 27, 2025)

February 16, 2024 — 13 citations

Citations issued on February 16, 2024
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (February 23, 2024)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Fire Safety Evaluation Survey
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (February 23, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (February 23, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 23, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (February 23, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (February 23, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 23, 2024)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (February 23, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 23, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (February 23, 2024)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (February 23, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 11, 2024)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.