Evercare of Swansea
Swansea, Illinois · CCN 145981
81 surveys since 2010, 27 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 350
- Surveys
- 81
- Harm or worse
- 27
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 94
- Ownership
- For profit - Limited Liability company
- Chain
- EVERCARE SKILLED NURSING
- County
- St. Clair
- Medicare-certified since
- 1999
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 1
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 140 for-profit facilities of 66–99 beds in Illinois.
Last survey on record
Jul 23, 2026
109 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.98 | 3.18 |
| Registered-nurse hours per resident day | 0.24 | — |
| Annual nurse turnover | 60.3% | 45.5% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $193,396 across 3 penalties
- Payment denials
- 2
- Abuse icon
- Flagged by CMS on Care Compare
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J33.8% | K— | L— |
| Actual harm | G78.9% | H— | I— |
| No harm, potential for more than minimal | D2632.9% | E1316.5% | F2936.7% |
| No harm, potential for minimal | A— | B— | C11.3% |
Most frequently cited here
In CMS’s current monthly file.
- F7277×
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- F6005×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6105×
Respond appropriately to all alleged violations.
- F6895×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F8805×
Provide and implement an infection prevention and control program.
In the surveyor’s words
From the most serious findings on record at Evercare of Swansea, in the surveyor’s own words.
- Immediate jeopardy, isolatedF689Dec 17, 2025
Based on interview and record review, the facility failed to provide supervision and monitoring for 1 of 1 (R38) resident reviewed for elopement. This failure allowed a resident with fluctuating cognition impairments to sign himself out of the facility on 11/27/2025 at 3:00 PM with unknown destination, unknown return, and with staff unaware of his whereabouts. At 9:40 PM police found R38 sitting on the ground, very confused, a mile away from the facility by a busy 4 lane highway intersection. R38 was transferred to the emergency room with multiple abrasions, bruises and lethargy where he required IV fluids, a head CT, X-Ray of chest and right knee. On 12/11/2025 at 1:40 PM V2 Director of Nurses, V3 Assistant Director of Nurses, V10, V25, V26 and V27 were notified of the Immediate Jeopardy. […]
- Immediate jeopardy, isolatedF578Jul 24, 2025
Based on interview and record review, the facility failed to follow advanced directives for 1 of 3 (R5) residents reviewed for advanced directives in a sample of 16. This failure resulted in an Immediate Jeopardy on [DATE] when staff performed unnecessary chest compressions, respiratory ventilation for 20 plus minutes, and intubation on R5 against his advanced directive status. On [DATE] at 9:22 AM V1, Administrator was notified of the Immediate Jeopardy. The Surveyor confirmed by observation, interview and record review, the Immediate Jeopardy was removed on [DATE], after abatement reviews dated [DATE] at 7:35 AM and [DATE] at 3:07 PM but remains at Level Two because additional time is needed to evaluate the implementation and effectiveness of the in-servicing training and policies and… […]
- Immediate jeopardy, isolatedF689Jul 9, 2025
Based on observation, interview, and record review the facility failed to ensure residents were supervised to prevent elopement. This failure resulted in R2 eloping from the facility on 6/15/2025, unknown as being gone and spotted 0.2 miles from the facility, alone in a parking lot by V5 (Certified Nurse Assistant) who was returning from lunch. R2 was brought back to the facility but her return condition at the time of her return remains unknown, as she received no assessment for injuries and no longer resides in the facility. This failure also resulted in R22 eloping from the facility on 7/8/25 when R22's nurse (V30) noticed him missing between 9:30 AM to 10 AM. V30 stated R22 was returned to the facility at approximately 12:40 PM. […]
- Actual harm, isolatedF600Dec 17, 2025
Based on interview and record review, the facility failed to prevent resident to resident abuse in 1 of 3 residents (R26) reviewed for abuse in a sample of 32. This failure resulted in R26 obtaining a laceration to the forehead requiring medical treatment.Findings Include:R26's Undated Face Sheet documents R26 was originally admitted to the facility on [DATE] and has a Medical Diagnosis of Hypertension, Schizophrenia, Depression, Type 2 Diabetes, and Hemiplegia Affecting Left Non-Dominant Side.R26's Minimum Data Set (MDS) dated [DATE] documents R26 is cognitively intact and has had verbal behavioral symptoms directed towards others occurring 1-3 days.R26's Care Plan Date Revised 12/2/2025 documents R26 is/has potential to be physically aggressive toward peers related to anger, poor impulse… […]
- Actual harm, isolatedF689Aug 27, 2025
Based on interview and record review, the facility failed to initiate, implement, and add progressive care plan intervention for 2 of 3 residents (R5 and R8) reviewed for falls in a sample of 23. This failure resulted in R5 falling and sustaining a laceration to his head and R8 falling and sustaining a fracture to her left wrist. Finding Include:1. R8's admission Record, print date of 08/05/25, documented R8 has diagnoses of but not limited to Multiple Sclerosis and other abnormalities of gait and mobility. […]
Read 42 findings in full →The most serious and the most recent: 42 of 350 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 23, 2026Complaint2 findings
- Dec 17, 2025Standard and complaint8 findings · 2 harm
- Nov 20, 2025Complaint1 finding
- Aug 27, 2025Complaint6 findings · 2 harm
- Jul 24, 2025Complaint4 findings · 1 harm
- Jul 9, 2025Complaint6 findings · 1 harm
- Jun 12, 2025Complaint2 findings
- May 23, 2025Complaint1 finding
Show the 73 earlier surveys
- Apr 9, 2025Complaint1 finding
- Mar 14, 2025Complaint3 findings
- Jan 16, 2025Complaint2 findings
- Dec 18, 2024Complaint4 findings · 1 harm
- Oct 11, 2024Standard6 findings
- Sep 5, 2024Complaint1 finding
- Aug 6, 2024Complaint1 finding
- Feb 22, 2024Complaint3 findings
- Jan 18, 2024Complaint1 finding
- Nov 14, 2023Complaint1 finding
- Sep 28, 2023Standard and complaint9 findings · 1 harm
- Aug 23, 2023Complaint4 findings
- Aug 4, 2023Complaint2 findings
- Jul 14, 2023Complaint1 finding
- Apr 19, 2023Complaint1 finding
- Sep 8, 2022Complaint1 finding
- Aug 26, 2022Complaint1 finding
- Aug 17, 2022Standard11 findings · 2 harm
- Jul 27, 2022Complaint3 findings
- Jun 16, 2022Complaint3 findings
- Oct 19, 2021Standard12 findings
- Aug 26, 2021Complaint1 finding
- Jun 1, 2021Complaint1 finding · 1 harm
- May 5, 2021Complaint3 findings · 1 harm
- Nov 13, 2020Complaint2 findings
- Jun 17, 2020Infection control1 finding
- Mar 6, 2020Complaint1 finding
- Jan 14, 2020Complaint2 findings
- Oct 25, 2019Complaint1 finding
- Oct 16, 2019Standard10 findings
- Aug 1, 2019Complaint1 finding
- Feb 20, 2019Complaint1 finding
- Jan 24, 2019Complaint7 findings
- Nov 2, 2018Standard17 findings
- Sep 24, 2018Complaint6 findings · 2 harm
- Sep 12, 2018Complaint21 findings · 2 harm
- Jul 24, 2018Complaint2 findings
- May 8, 2018Complaint3 findings
- Apr 18, 2018Complaint2 findings
- Feb 28, 2018Complaint10 findings
- Dec 14, 2017Complaint5 findings
- Nov 3, 2017Complaint2 findings · 1 harm
- Sep 21, 2017Standard and complaint9 findings
- Mar 8, 2017Complaint3 findings
- Dec 28, 2016Complaint1 finding
- Aug 30, 2016Standard10 findings
- Jul 12, 2016Complaint5 findings · 2 harm
- Apr 28, 2016Complaint4 findings
- Mar 8, 2016Complaint4 findings · 1 harm
- Jan 19, 2016Complaint3 findings · 1 harm
- Nov 10, 2015Complaint3 findings
- Oct 15, 2015Complaint1 finding
- Oct 5, 2015Standard12 findings
- Jul 8, 2015Complaint1 finding
- Sep 17, 2014Complaint1 finding
- Aug 22, 2014Standard and complaint18 findings
- Jul 22, 2014Complaint2 findings
- Jul 10, 2014Complaint3 findings · 2 harm
- Apr 7, 2014Complaint4 findings
- Oct 31, 2013—13 findings
- Jul 25, 2013—7 findings
- Apr 30, 2013—3 findings
- Mar 22, 2013—3 findings
- Jan 7, 2013—1 finding
- Nov 28, 2012—12 findings · 2 harm
- Mar 8, 2012—1 finding
- Nov 8, 2011—11 findings · 2 harm
- Aug 23, 2011—4 findings
- Jul 28, 2011—3 findings
- May 20, 2011—2 findings
- May 11, 2011—1 finding
- Jan 12, 2011—4 findings
- Sep 17, 2010—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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