Evercare of Swansea
1405 North Second Street · Swansea, IL · 62226 · 6182336625
94 certified beds For profit - Individual Chain: Evercare Skilled Nursing
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $262,155 in fines in the last 24 months.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$262,155 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.97 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
68% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.97 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.32 | 0.55–0.75 |
| Weekend hours / resident-day | 2.63 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | 3 · $285,149 |
Inspection citations (70 in the current record)
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Immediate jeopardy · J December 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 18, 2025 · Quality of Life and Care
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Potential for harm · E November 20, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 2, 2026 · Infection Control
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Actual harm · G August 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 20, 2025 · Quality of Life and Care
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Actual harm · G August 27, 2025 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected August 28, 2025 · Quality of Life and Care
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Potential for harm · D August 27, 2025 · found via complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected August 28, 2025 · Resident Rights
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Potential for harm · E August 27, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected September 16, 2025 · Resident Rights
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Potential for harm · F August 27, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 16, 2025 · Nutrition and Dietary
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Potential for harm · F August 27, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 16, 2025 · Environmental
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Immediate jeopardy · J July 24, 2025 · found via complaint
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected July 25, 2025 · Resident Rights
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Potential for harm · D July 24, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F July 24, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 24, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J July 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · F July 9, 2025 · found via complaint
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected July 10, 2025 · Administration
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Potential for harm · F July 9, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected July 10, 2025 · Environmental
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Potential for harm · F July 9, 2025 · found via complaint
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected July 10, 2025 · Infection Control
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Potential for harm · F July 9, 2025 · found via complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected July 10, 2025 · Nursing and Physician Services
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Potential for harm · F July 9, 2025 · found via complaint
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected July 10, 2025 · Administration
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Potential for harm · D June 12, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 12, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 23, 2025 · found via complaint
Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.
Corrected May 24, 2025 · Quality of Life and Care
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Potential for harm · E April 9, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 17, 2025 · Resident Rights
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Potential for harm · D March 14, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 15, 2025 · Pharmacy Service
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Potential for harm · E March 14, 2025 · found via complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 15, 2025 · Infection Control
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Potential for harm · E March 14, 2025 · found via complaint
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected March 15, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 20, 2025 | Fine | $149,625 |
| August 27, 2025 | Fine | $112,530 |
| December 18, 2024 | Payment Denial | 5 days |
| September 28, 2023 | Fine | $22,994 |
| September 28, 2023 | Payment Denial | 1 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145981 · certified since April 26, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.