Evercare At Edwardsville

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

48.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 53 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 44.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 27 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.26 therapist hours per resident per day in 2026Q1 — more than 37% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 23% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 120 beds and averages 98.3 residents a day — about 82% occupied, or roughly 22 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.88 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.28 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.72 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.65 hrs/resident/day on weekends vs 2.97 on weekdays — 11% thinner on weekends. RN hours go from 0.30 to 0.22 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 68% is well above the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

42 citations, most serious first. The 22 most serious are shown; the remaining 20 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-10-30 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Deficiencies at this level require two deficient practice statements.A. Based on interview and record review the Facility failed to ensure residents were free of neglect for 1 of 3 residents (R2) reviewed for neglect in the sample of 16. This failure occurred when (R2) was transferred from another nursing home to the facility on [DATE], with no dialysis services set up and/or scheduled prior to her acceptance to the facility. No alternate dialysis treatment was put into place while the facility was waiting for the new provider to perform treatment. R2, who was receiving dialysis 5 days per week prior to her facility admission, subsequently did not receive dialysis services for 12 days, experienced shortness of breath, sweating, weakness, jaundice eyes, and critical lab levels (potassium levels (6.2 mEq/L - milliequivalents/Liter) (normal 3.4-5.0) ; BUN (blood urea nitrogen (74) (normal 7-25 <=23.0) , and elevated serum creatinine levels 9.17 (normal 0.55-1.02 mg/dl - milligrams/deciliters) requiring…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-10-30 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the Facility failed to ensure coordination of care for a resident to receive medically necessary hemodialysis for 1 of 3 residents (R2) reviewed for dialysis services in the sample of 16. This failure occurred when (R2) was admitted to the facility on [DATE] and did not receive dialysis services for 12 days. R2 was sent to the hospital per family request where she was found with critical lab values, shortness of breath and had a 5 day hospital stay.Findings include:The IJ (Immediate Jeopardy) was presented and called on 10/29/2025 at 1:12 PM, with V1, Administrator, V22, [NAME] President of Clinical Operations and V23 Regional Director of Operations. The Immediate Jeopardy began on 10/8/2025 at 1:20 PM when R2 arrived at the facility. (R2) was transferred from another nursing home to the facility on [DATE], with no dialysis services set up and/or scheduled prior to her acceptance to the facility. No alternate dialysis treatment was put into place while the facility was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2023-09-06 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to monitor, assess, and notify the physician of an acute change in condition to ensure timely medical treatment for 1 of 3 residents (R3) reviewed for quality of care in the sample of 5. This failure resulted in an Immediate Jeopardy when R3 began having ongoing respiratory distress with no medical monitoring resulting in death from pneumonia and acute respiratory failure. The Immediate Jeopardy began on [DATE] at 9:51 AM, when staff identified that R3 was having respiratory distress, failed to provide ongoing assessment/monitoring to address respiratory distressed caused by pneumonia. At 7:10 PM, R3 was found unresponsive, and the facility called 911. R3 expired at the hospital. V1, Administrator, and V2, Director of Nursing, were notified of the Immediate Jeopardy on [DATE] at 2:05 PM. Confirmed by observation, interview, and record review that the Immediate Jeopardy was removed on [DATE], but noncompliance remains at Level Two because additional time is…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-03-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to use the required equipment (gait belt) during transfer and appropriately use the full mechanical lift to prevent falls in 2 of 3 residents (R3, R29) reviewed for accidents and hazards in the sample of 38. These failures resulted in R3 sustaining a left femur fracture and R29 sustaining a hematoma to her head and requiring emergency care. Findings include: 1. R3's Face Sheet documents R3 was admitted to the facility on [DATE] with diagnoses including muscle weakness, lack of coordination, and abnormalities of gait and mobility. R3's Minimum Data Set (MDS) dated [DATE] documented R3 was moderately cognitively impaired and was dependent with transfers from chair to bed or bed to chair. R3's Care Plan initiated 8/30/25 documents R3 requires extensive assistance for transfers related to weakness and impaired mobility. R3's Progress Note by V34, Licensed Practical Nurse (LPN), dated 1/12/25 at 10:01 PM documents at approximately 6:55 PM, an unnamed Certified…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-07-29 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to perform timely incontinent care for 1 of 3 residents (R3) reviewed for incontinent care in the sample of 3. This failure resulted in R3 feeling embarrassed, ashamed, demeaned, disrespected, unwanted, and less than a man. Findings include:R3's Care Plan, dated 02/11/2025, documents Problem: I require assist for my ADLs (Activities of Daily Living) r/t (related to) weakness and decreased mobility. Approach: I require extensive assist of 2 staff with toileting tasks for bm (bowel movement) and 1 for urinal use.R3's Minimum Data Set, dated [DATE], documents that R3 is cognitively intact, occasionally incontinent of urine and bowel, and requires Partial/moderate assistance with toileting. R3's Progress Note, dated 07/20/2025 at 09:18 PM, documents Resident called 911 while CNA (Certified Nurse's Assistant) was in there attending to his roommate. Resident was aware that cna will assist him next. 911 stated that resident called them 5 times within a short span…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-07-29 · tag F0725 — failed to have enough nursing staff — isolated
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide sufficient nursing staff to assist residents with incontinent needs to attain or maintain the highest practical physical, mental, and psychosocial well-being of each resident for 1 of 3 (R3) reviewed for staffing in a sample of 3. This failure resulted in a delay in incontinent care for R3 causing him to feel embarrassment, ashamed, demeaned, disrespected, and unwanted. Findings include:R3's Minimum Data Set, dated [DATE], documents that R3 is cognitively intact, occasionally incontinent of urine and bowel, and requires Partial/moderate assistance with toileting. The Police Report, dated 7/2025, documents on 7-20-25 at 7:38 PM V9, Police officer, responded to facility in reference to patient R3 calling the police to get the nursing staff to help him. Upon arrival met with V10, Charge Nurse. V10 stated that R3 is a problem patient and falsely calls for help and uses up resources even though he doesn't need help. V9 explained to V10 why he was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-12-02 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the Facility failed to ensure pain medications were readily available for administration in order to prevent increasing pain/discomfort for 1 (R1) of 3 residents reviewed for opioid medications, in the sample of 6. Findings include: On 11/26/2024 at 9:20 AM, a staff member who wishes to remain anonymous, stated, Sometimes (R1) runs out of pain meds (medication). I am not sure if it's the pharmacy or the doctors fault. It tells you on the card when to re-order so we should all be observant of that. I don't know where the disconnect it. The Nurse Practitioner (NP) can't write those scripts (Controlled substance prescriptions). (R1) was out the other day (pain medication not available). It was 11/22 (2024) and she was out a day or two. She claims her pain is 5-10 on the pain scale. On 11/26/2024 at 10:03 AM, R1 stated she takes Oxycodone because her hip deteriorated. R1 stated, Every month, it's no surprise- I need another script (prescription). They make phone calls. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-12-02 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the Facility failed to ensure the availability of scheduled opioid medication for 1 of 3 residents (R1) reviewed for pharmacy services, in the sample of 6. This failure caused R1 to miss several doses of pain medication, resulting in discomfort and experiencing symptoms of withdraw. Findings include: On 11/26/2024 at 9:20 AM, an anonymous staff member stated, Sometimes (R1) runs out of pain meds (medication). I am not sure if it's the pharmacy or the doctors fault. It tells you on the card when to re-order so we should all be observant of that. I don't know where the disconnect it. The Nurse Practitioner (NP) can't write those scripts (Controlled substance prescriptions). (R1) was out the other day (pain medication not available). It was 11/22 (2024) and she was out a day or two. She claims her pain is 5-10 on the pain scale. On 11/26/2024 at 10:03 AM, R1 stated she takes Oxycodone because her hip deteriorated . R1 stated, Every month, it's no surprise- I need another script…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-03-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. R53's Face sheet documented an admission date of 6/6/2023. Diagnoses included Dysphasia, Chronic Atrial Fibrillation, Lymphedema, Type 2 Diabetes. R53's Minimum Data Set, MDS, dated [DATE], documented that R53 is significantly cognitively impaired. R53 is dependent on staff for rolling left to right, sitting to lying and sitting up on bedside. R53's Care Plan, dated 3/13/2024, documented, I have experienced an actual fall on 8/19/23, 1/2/24, 1/25/24, 3/12/24. Interventions include geri care to be ordered by hospice, dycem added to wheelchair, interdisciplinary to review fall and provide interventions as indicated, increased supervision, laid down after meals. R53's fall risk assessments, dated 3/12/2024, documented, (R53) is at high risk for falls. R53's fall risk assessments, dated 1/2/2024, documented that R53 was at high risk for falls. R53's progress notes, dated 3/12/2024 at 1:50PM, Called to room by Certified Nursing Assistant, CNA. (R53) laying on the floor beside bed on her right side. The over bed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-03-15 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to provide consistent pain relief and timely management of pain pump for 1 of 2 residents (R138) reviewed for pain management in the sample of 38. This failure resulted in R138's pain not being managed properly. Findings Include: R138's Face sheet documented that he was admitted on [DATE]. R138's Minimum Data Set (MDS), dated [DATE], documented that R138 was moderately cognitively impaired. R138's Pain Care Plan, dated 3/9/24, documented, Problem: I have potential for pain/discomfort R/T (Related to) Acute and chronic respiratory failure with hypoxia and weakness. Approach: Record/report to Nurse any s/sx (signs and symptoms) of non-verbal pain: Changes in breathing (noisy, deep/shallow, labored, fast/slow); Vocalizations (grunting, moans, yelling out, silence); Mood/behavior (changes, more irritable, restless, aggressive, squirmy, constant motion); Eyes (wide open/narrow slits/shut, glazed, tearing, no focus); Face (sad, crying, worried, scared, clenched…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-09-06 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to notify the Primary Care Physician of ongoing respiratory distress for 1 of 3 residents (R3) reviewed for notification in the sample of 5. This failure resulted in R3 having a delay in treatment and subsequent death. Findings include: R3's Face Sheet, undated, documented R3's was admitted on [DATE] with primary diagnosis as acute respiratory failure with hypoxia. R3's Progress Note, dated [DATE] at 9:51 AM, [Recorded as Late Entry on [DATE] 09:51 AM], documents Charge Nurse came to Nursing station, informed this writer was having difficulty administering meds to resident and asked this writer to assist. Entered room, resident noted in bed with HOB (head of bed) elevated to facilitate breathing, O2 (oxygen) continuous @ (at) 2L (liters) via nasal cannula. Resident not easily aroused by verbal stimuli, sternal rub administered, resident aroused, with meds given without difficulty. Resident stated she was hot, ac (air conditioner) turned on for comfort.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-09-06 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to protect the resident's right to be free from neglect for 1 of 3 residents (R3) reviewed for neglect in the sample of 5. This failure resulted in R3 having ongoing respiratory distress from 8:00 AM until 7:10 PM without physician consultation and medical treatment. R3 expired from pneumonia and acute respiratory failure. Findings include: The facility's Abuse and Neglect-Clinical Protocol policy, dated [DATE], documents Neglect as the failure of the facility, its employees or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish or emotional distress. The Policy documents The facility management and staff will institute measures to address the needs of residents and minimize the possibility of abuse and neglect. The Policy documents The medical director will advise facility management and staff about ways to ensure that basic medical, functional, and psychosocial needs are being met…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-03-20 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the Facility failed to ensure food was stored in a manner that prevents foodborne illness. This has the potential to affect all 91 residents living in the Facility.Findings include:On 3/17/26 at 6:55 AM, in the standing freezer there were two boxes of uncooked beef patties stored directly on top of a box of cookie dough.On 3/17/26 at 7:00 AM, in the deep freeze there were multiple bags of food in plastic gallon storage bags. There were three bags labeled bone in chicken that had red frozen liquid inside. These bags were stored directly on top of bags labeled pound cake and brown sugar pineapple. V5, Cook, stated this freezer is primarily used for leftovers and asked if the chicken should be moved. She verified the chicken was uncooked and the beef in the other freezer was also uncooked.On 3/18/26 at 10:18 AM, V1, Administrator, stated she expects the Facility to follow its food storage policies.The Facility's Food and Supply Storage Policy dated 8/1/25 documents food and supply storage areas shall be maintained in a clean, safe,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-03-20 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure that medication administration protocols were followed in 4 of 4 residents (R11, R21, R32, and R74) when reviewed for pharmacy services in the sample of 38.Findings include: 1. R74's Undated Face Sheet documents he was initially admitted to the facility on [DATE] with diagnosis: wedge compression fracture of T11-T12 vertebra and low back pain. R74's Quarterly Minimal Data Set, dated 12/23/2025 documents R74 was cognitively intact, high-risk drugs: opioid, pain management: resident received scheduled and PRN (when needed) pain medication regimen, pain last 5 days: yes, pain frequency: occasionally, pain interference with day-to-day activities: occasionally, pain intensity: 3 out of 10. R74's Care Plan, dated 3/30/2025 documents resident has chronic pain r/t (related to) T-12 compression fracture, chronic back pain, depression, long history of pain medication use, GERD, and head injury as a child. Approaches documented include: report to nurse my…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-20 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation, and record review, the Facility failed to provide palatable meals for 4 of 4 residents (R4, R24, R34, R50) reviewed for food and nutrition services in the sample of 38.Findings include:1.R4's Face Sheet documents R4 was admitted to the facility on [DATE].R4's Minimum Data Set (MDS) dated [DATE] documented R4 was cognitively intact.R4's Diet Order dated 2/25/25 documents R4 is on a regular diet.On 3/17/2026 9:50 AM, R4 stated, The food is nasty, just ultimately nasty. We have complained and complained and complained and nothing changes. I think people in prison get better food than (we do) in here. The steam table doesn't work and the food is usually cold.2.R24's Face Sheet documents R24 was admitted to the facility on [DATE].R24's MDS dated [DATE] documented R24 was moderately cognitively impaired.R24's Diet Order dated 9/30/25 documents R24 is on a regular diet with no added salt.On 3/17/26 at 7:28 AM, R24 stated the food is terrible, has no taste, and is cold much of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-20 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to prevent abuse for 2 (R4, R10) of 6 residents reviewed for abuse in the sample of 38. This failure resulted in R4 being tearful and scared of staff. Findings include:R4's Face Sheet documents she was initially admitted on [DATE].R4's Quarterly Minimal Data Set (MDS) dated [DATE] documents R4 is alert and cognitively intact with diagnoses included: anxiety, depression, malnutrition, debility, cardiorespiratory conditions, chronic obstructive pulmonary disease (COPD) and anemia.R4's Care Plan did not address abuse.R10's Face Sheet documents she was initially admitted on [DATE].R10's Quarterly MDS dated [DATE] documents R10 is alert and cognitively intact with diagnoses included: anxiety, malnutrition, respiratory failure, debility, cardiorespiratory conditions, chronic obstructive pulmonary disease, cancer, anemia and renal insufficiency. Received scheduled and PRN pain medication regimen. Pain was present occasionally. Pain interference…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-20 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to follow the facility's abuse policy regarding abuse for 2 (R4, R10) of 6 residents investigated for abuse in the sample of 38.Findings include: R4's Face Sheet documents she was initially admitted on [DATE].R4's Quarterly Minimal Data Set (MDS) dated [DATE] documents R4 is alert and diagnoses included: anxiety, depression, malnutrition, debility, cardiorespiratory conditions, chronic obstructive pulmonary disease (COPD) and anemia.R4's Nurse Progress Notes, dated 2/2026 no documentation of allegations of abuse or mistreatment staff to resident.R4's Care Plan did not address abuse.R10's Face Sheet documents she was initially admitted on [DATE].R10's Quarterly MDS dated [DATE] documents R10 is alert and diagnoses included: anxiety, malnutrition, respiratory failure, debility, cardiorespiratory conditions, chronic obstructive pulmonary disease, cancer, anemia and renal insufficiency. Received scheduled and PRN pain medication regimen. Pain was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-20 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to report an allegation of abuse for 2 (R4, R10) of 6 residents reviewed for abuse in the sample of 38.Findings include:R4's Face Sheet documents she was initially admitted on [DATE].R4's Quarterly Minimal Data Set (MDS) dated [DATE] documents R4 is alert and cognitively intact with diagnoses: anxiety, depression, malnutrition, debility, cardiorespiratory conditions, chronic obstructive pulmonary disease (COPD) and anemia.R4's Nurse Progress Notes, dated 2/2026 no documentation of allegations of abuse or mistreatment staff to resident.R4's Care Plan did not address abuse.R10's Face Sheet documents she was initially admitted on [DATE].R10's Quarterly MDS dated [DATE] documents R10 is alert and cognitively intact and diagnoses: anxiety, malnutrition, respiratory failure, debility, cardiorespiratory conditions, chronic obstructive pulmonary disease, cancer, anemia and renal insufficiency. Received scheduled and PRN pain medication regimen. Pain…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-20 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to investigate abuse for 2 (R4, R10) of 6 residents investigated for abuse in the sample of 38.Findings include:R4's Face Sheet documents she was initially admitted on [DATE].R4's Quarterly Minimal Data Set (MDS) dated [DATE] documents R4 is alert and diagnoses included: anxiety, depression, malnutrition, debility, cardiorespiratory conditions, chronic obstructive pulmonary disease (COPD) and anemia.R4's Care Plan did not address abuse.R10's Face Sheet documents she was initially admitted on [DATE].R10's Quarterly MDS dated [DATE] documents R10 is alert and diagnoses included: anxiety, malnutrition, respiratory failure, debility, cardiorespiratory conditions, chronic obstructive pulmonary disease, cancer, anemia and renal insufficiency. Received scheduled and PRN pain medication regimen. Pain was present occasionally. Pain interference with day-to-day activities occasionally. Pain intensity 3 out of 10.R10's POS, dated 2/2026 a physician's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-16 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the Facility failed to follow their abuse policy by reporting and investigating allegations of misappropriation for 1 of 3 residents (R3) reviewed for abuse in the sample of 8. Findings include:R3's Face Sheet documents R3 was admitted to the facility on [DATE] with diagnoses including metabolic encephalopathy and Alzheimer's disease.R3's Minimum Data Set (MDS) dated [DATE] documented R3 was severely cognitively impaired and dependent with transfer. R3's Physician Order dated 5/28/25 documents 5 mg (milligrams) oxycodone, given every four hours.On 12/11/25 at 2:59 PM, V1, Administrator, stated V6, R3's Family, reported R3 did not receive any of her medications on 11/21/25. V6 reported she watched the video footage from the video camera in R3's room, and R3's nurse never entered R3's room to give medications. On 12/11/25 at 3:20 PM, V1 stated the Facility did notify her of V6's allegation of missing medications on 11/21/25, and the nurse in question was V20, Licensed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-16 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the Facility failed to report an allegation of misappropriation for 1 of 3 residents (R3) reviewed for abuse in the sample of 8. Findings include:R3's Face Sheet documents R3 was admitted to the facility on [DATE] with diagnoses including metabolic encephalopathy and Alzheimer's disease.R3's Minimum Data Set (MDS) dated [DATE] documented R3 was severely cognitively impaired and dependent with transfer.R3's Physician Order dated 5/28/25 documents 5 mg (milligrams) oxycodone, give 1 tab every four hours.On 12/11/25 at 3:20 PM, V1 stated the Facility notified her that V6 alleged R3 had medications missing on 11/21/25.On 12/12/25 at 9:02 AM, V6 stated R3's nurse, whose identity was unknown, never entered R3's room during her shift and told V6 the oncoming nurse would give R3 her medications. The oncoming nurse, whose identity was unknown, told V6 the medications were missing and had been documented as given. One of the Certified Nursing Assistants (CNAs), whose name was unknown,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-16 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the Facility failed to investigate an allegation of misappropriation for 1 of 3 residents (R3) reviewed for abuse in the sample of 8. Findings include:R3's Face Sheet documents R3 was admitted to the facility on [DATE] with diagnoses including metabolic encephalopathy and Alzheimer's disease.R3's Minimum Data Set (MDS) dated [DATE] documented R3 was severely cognitively impaired and dependent with transfer.R3's Physician Order dated 5/28/25 documents 5 mg (milligrams) oxycodone, give every four hours.On 12/11/25 at 2:59 PM, V1, Administrator, stated V6, R3's Family, reported R3 did not receive her medications on 11/21/25. On 12/11/25 at 3:20 PM, V1 stated the Facility did notify her of V6's allegation of missing medications on 11/21/25, and her nurse was V20, Licensed Practical Nurse (LPN). V1 came in and watched the Facility's video footage that night and checked R2's Medication Administration Records (MARs) which documented the medications had been given. V1 felt the issue…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$423,998 in federal fines across 5 penalties.

• $14,435 — penalty dated 2026-03-20
• $207,735 — penalty dated 2025-10-30
• $24,000 — penalty dated 2024-12-02
• $35,363 — penalty dated 2024-03-15
• $142,465 — penalty dated 2023-09-06

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to EVERCARE SKILLED NURSING — 8 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 20 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 71% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $925K paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IL