Evercare of Granite City

In the surveyor’s words

From the most serious findings on record at Evercare of Granite City, in the surveyor’s own words.

• Actual harm, isolatedF744Dec 8, 2025

  Based on interview and record review, the facility failed to care for a dementia resident in a safe manner for 1 of 2 resident (R2) reviewed for abuse in the sample of 10. This failure resulted in R2 sustaining a left humerus fracture. Findings include:Based on interview and record review, the facility failed to care for a dementia resident in a safe manner for 1 of 2 resident (R2) reviewed for abuse in the sample of 10. This failure resulted in R2 sustaining a left humerus fracture. Findings include:R2's admission Record, print date of 12/1/25, documents R2 was admitted on [DATE] with diagnoses of Osteoarthritis and Dementia. […]

• Actual harm, isolatedF600Jun 26, 2025

  Based on interviews and record reviews the facility failed to prevent abuse for 6 out of 8 residents, (R1, R2, R3, R5, R6, R7) reviewed for abuse in a sample of 8. This failure resulted in R2 being hit in the face resulting in a bruised chin, feeling uncomfortable and R5 feeling unsafe in the facility. Findings include: 1. R1's Minimum Data Set (MDS) dated [DATE] documented R1 was cognitively intact, that he has delusions, verbal behavioral symptoms directed towards others occurring daily, rejection of care occurred daily, and wandering occurred daily. […]

• Actual harm, isolatedF600Jun 6, 2025

  Based on interview and record review the facility failed to prevent a resident-to-resident altercation for 2 of 5 (R2, R3) residents investigated for abuse. This failure resulted in R3 sustaining a minimal fracture to the left nasal bone. This past non-compliance occurred from 4/30/25 to 5/13/25. Findings include: 1.R2's EMR (Electronic Medical Record) undated documents that the resident was admitted to the facility on [DATE]. R2's EMR dated 1/3/25 documents a diagnosis of hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side. R2's EMR dated 5/6/25 documents a diagnosis of unspecified psychosis not due to a substance or known physiological condition. […]

• Actual harm, isolatedF684Apr 3, 2025

  Based on observation, interview, and record review, the facility staff failed to notify the nurse of a resident having a change in condition to ensure timely assessment for 1 of 4 residents (R3) reviewed for quality of care in the sample of 5. This failure resulted in R3 not having timely assessment and subsequently having a Hypoxic/Unresponsive episode, with Cardiopulmonary Resuscitation (CPR) started, and was hospitalized . The Findings Include: R3's Admission Record, dated [DATE], documents R3 was admitted to the facility on [DATE] and was discharged to the hospital on [DATE]. […]

• Actual harm, isolatedF686Oct 11, 2022

  Based on observation, interview and record review the facility failed to prevent pressure ulcers for 1 of 4 residents (R62) reviewed for pressure ulcers in a sample of 36. This failure resulted in R62 sustaining an pressure ulcer on his left BKA. Findings include: R62's Care Plan dated 4/1/2021 documents problem: at increased risk for skin issues related to impaired mobility diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Goal: no break in skin integrity through next review 12/2022. Approaches: observe skin daily with cares, perform weekly skin assessments, notify physician of any abnormal findings. Pressure relieving mattress on bed and cushion in w/c as tolerated. Staff to assist with repositioning, perform a skin risk assessment quarterly and PRN, treatment as ordered. […]