Evervella of Swansea
100 Rosewood Village Drive · Swansea, IL · 62220 · 6182361391
120 certified beds For profit - Limited Liability company Chain: Evercare Skilled Nursing
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $34,694 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
69% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 3 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.04 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.25 | 0.55–0.75 |
| Weekend hours / resident-day | 2.88 | ≈ weekday level |
| Nursing turnover / year | 69% | median 45% |
| Fines (3-yr window) | 23 · $155,317 |
Inspection citations (32 in the current record)
-
Potential for harm · D February 18, 2026 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected February 26, 2026 · Resident Rights
-
Potential for harm · D January 15, 2026 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected January 16, 2026 · Resident Rights
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Potential for harm · D January 15, 2026 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected January 16, 2026 · Environmental
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Potential for harm · E December 15, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 16, 2025 · Resident Rights
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Actual harm · G November 21, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 11, 2025 · Pharmacy Service
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Potential for harm · D November 21, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 22, 2025 · Quality of Life and Care
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Potential for harm · D September 26, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 27, 2025 · Resident Rights
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Potential for harm · D September 26, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 27, 2025 · Resident Rights
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Potential for harm · D September 26, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 26, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 26, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 27, 2025 · Quality of Life and Care
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Potential for harm · F September 26, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 27, 2025 · Nursing and Physician Services
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Potential for harm · D September 26, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected September 27, 2025 · Pharmacy Service
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Potential for harm · D September 26, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 27, 2025 · Nutrition and Dietary
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Potential for harm · F September 26, 2025
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected September 27, 2025 · Nutrition and Dietary
-
Potential for harm · D September 26, 2025
Implement a program that monitors antibiotic use.
Corrected September 27, 2025 · Infection Control
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Potential for harm · E July 16, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 30, 2025 · Resident Rights
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Actual harm · G July 26, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 27, 2024 · Quality of Life and Care
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Potential for harm · D July 26, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 27, 2024 · Quality of Life and Care
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Potential for harm · F July 26, 2024
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.
Corrected August 27, 2024 · Nursing and Physician Services
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Potential for harm · D July 26, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 27, 2024 · Pharmacy Service
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Potential for harm · D July 26, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected August 27, 2024 · Pharmacy Service
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Potential for harm · F July 26, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 27, 2024 · Nutrition and Dietary
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Potential for harm · F July 26, 2024
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected August 27, 2024 · Administration
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Potential for harm · F July 26, 2024
Provide and implement an infection prevention and control program.
Corrected August 27, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 26, 2024 | Fine | $34,694 |
| July 26, 2024 | Payment Denial | 4 days |
| February 20, 2024 | Fine | $4,938 |
| February 12, 2024 | Fine | $4,938 |
| January 22, 2024 | Fine | $14,814 |
| January 8, 2024 | Fine | $4,938 |
| January 2, 2024 | Fine | $4,587 |
| December 11, 2023 | Fine | $13,762 |
| November 20, 2023 | Fine | $4,587 |
| November 13, 2023 | Fine | $4,587 |
| November 6, 2023 | Fine | $4,587 |
| October 30, 2023 | Fine | $4,587 |
| October 23, 2023 | Fine | $4,587 |
| October 17, 2023 | Fine | $4,545 |
| October 10, 2023 | Fine | $4,587 |
| October 2, 2023 | Fine | $4,587 |
| September 25, 2023 | Fine | $4,587 |
| September 18, 2023 | Fine | $4,587 |
| September 11, 2023 | Fine | $4,587 |
| September 5, 2023 | Fine | $4,235 |
| August 28, 2023 | Fine | $3,882 |
| August 21, 2023 | Fine | $3,529 |
| August 14, 2023 | Fine | $3,176 |
| July 24, 2023 | Fine | $7,409 |
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 145620 · certified since May 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.