Evercare Of Lebanon

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.

Met the expected recovery: 55.6% 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 0.17 therapist hours per resident per day in 2026Q1 — more than 17% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% 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 90 beds and averages 76.8 residents a day — about 85% occupied, or roughly 13 beds typically open. It runs fairly full. 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 3.06 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.25 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.93 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 2.70 hrs/resident/day on weekends vs 3.21 on weekdays — 16% thinner on weekends. RN hours go from 0.28 to 0.15 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 33% is below 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 fewer than at the previous inspection — improving. 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.

33 citations, most serious first. The 17 most serious are shown; the remaining 16 are one tap away and print in full.

• Immediate jeopardy · J2026-04-16 · 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 ensure sexual abuse allegations were reported for 1 of 4 residents (R3) reviewed for abuse. This failure occurred when R2, who had known sexually inappropriate behaviors, went into R3's room and was observed with his hands in R3's briefs and staff did not report the incident. A reasonable person would likely suffer serious psychosocial harm, such as emotional distress or trauma and fear for safety as a result of sexual abuse. Findings include: Immediate Jeopardy began on 03/24/26 in the A.M., when R2, with known sexually inappropriate behavior, was seen in R3's room with his hand in R2's brief and staff did not report the incident.V1 (Administrator), V12 (Regional Nurse Consultant) and V21 (Regional Director of Operations) were notified of the Immediate Jeopardy on 04/10/26 at 12:57 PM. Abatement plan number one was not accepted. Abatement plan number two was accepted. The surveyor confirmed by observation, interview and record review that the Immediate…

  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 · Jcited before2025-10-14 · 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 observation, interview and record review the Facility failed to ensure residents did not exit through an exit door and were being supervised to prevent any potential elopements for 1 of 3 residents (R2) reviewed for elopement in the sample of 6. This failure resulted in R2 pushing the exit alarm and exiting the facility around 7:45 PM with no staff intervention on 9/25/2025 from a secured memory unit and leaving the facility when it was pitch dark and he was later found at 10:00 PM (two hours and 15 minutes later) and returned to the facility. This past compliance occurred from 9/25/2025 to 9/26/2025. Findings include: The Immediate Jeopardy began on 9/25/2025 when R2 eloped from the facility and there was no staff available to redirect R2. R2 was found at 10:00 PM (two hours and 15 minutes later) and returned to the facility. The area R2 was found is straight from the facility to the residential area but there was no straight access unless one went through steep hills, terrain with lots of sticks,…

  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 · Past Non-Compliance
• Immediate jeopardy · Jcited before2025-07-10 · 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 observation, interview and record review the facility failed to ensure residents did not exit through an exit door and were being supervised to prevent any potential elopements for 1 of 6 residents reviewed for elopement in the sample of 15. This failure resulted in R2 pushing the exit alarm and exiting the facility around 3AM on 6/19/2025 from a secured memory unit into pitch darkness and was found wandering around by a civilian driving in his car two subdivisions over (one block east and one block north) from the facility. This past non-compliance occurred on 6/19/2025.Findings include: The Immediate Jeopardy began on 6/19/2025 when R2 eloped from the facility at around 3AM in the morning in the pitch darkness and R2 was found on the side of the road by a civilian. The civilian was driving their car and contacted the police department because R2 was confused and wandering around in the street. V1 (Administrator) was notified of the Immediate Jeopardy on 7/3/25 at 2:30PM. The surveyor confirmed by…

  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 · Past Non-Compliance
• Actual harm · G2026-04-30 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 provide adequate pressure relief to prevent new pressure ulcers from developing and prevent declines in existing pressure ulcers in 1 of 1 resident (R8), reviewed for Treatment/Services to Prevent/Heal Pressure Ulcers in the sample of 37. These failures led to R8 developing a new pressure ulcer and a decline in current pressure ulcers.Findings Include: R8's Face Sheet, undated, documents R8 has the following diagnoses, in part: Cerebrovascular Disease, Traumatic Brain Injury, Vascular Dementia, Epilepsy, Hypertension, Hypothyroidism, Hyperlipidemia, Stage 3 Pressure Ulcer to the Sacrum (Coccyx), and Stage 2 Pressure Ulcer to the Left Hip.R8's Minimum Data Set, dated [DATE], documents R8 has severe cognitive impairment, is dependent on staff for all activities of daily living has three stage 2 pressure ulcers that were not present upon admission, and three stage 3 pressure ulcers, one was present upon admission.R8's Care Plan, dated…

  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 before2026-04-16 · 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 ensure 2 of 4 residents (R3 and R5) were protected from resident-to-resident abuse. This failure resulted in R3, who was nonverbal under end-of-life care, being the victim of sexual abuse by another resident (R2) with known inappropriate sexual behaviors. A reasonable person would likely suffer serious psychosocial harm, such as emotional distress or trauma and fear for safety as a result of sexual abuse. Findings Include:1. R3's Face Sheet, admission date of 03/13/16, documents R3 has diagnoses of but not limited to unspecified dementia, malignant neoplasm of upper-outer quadrant of unspecified female breast, major depressive disorder, recurrent, in partial remission, and hypertension (HTN). R3's Minimum Data Set (MDS), dated [DATE], documents R3 is severely cognitively impaired, and she was dependent on staff for all her activities of daily living (ADLs) R3's Care Plan documents R3 has a terminal prognosis related to (r/t) cerebral atherosclerosis and…

  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
• Actual harm · Gcited before2024-02-27 · 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 resident to resident abuse for 7 of 8 residents (R23, R37, R41, R42, R44, R45, R49) reviewed for abuse in the sample of 38. This failure resulted in harm based upon the reasonable person concept, as R23, R41, R42, R44, R45, and R49 would have experienced psychosocial harm including fear, anger, and humiliation as a result of physical abuse, since a reasonable person would not want to be physically abused in their home. Findings includes: 1. During the survey from 2/20 through 2/27/24, R44 was residing on the memory care unit. R44's Minimum Data Set (MDS) dated [DATE] documents that R44 is severely cognitively impaired. R44's Resident to Resident Investigation entitled Investigation of possible Neglect/Abuse form, dated 3/4/23, documents R44 was convinced that R42 is his wife. The Investigation documented that both reside on the dementia unit. The Investigation documented R44 became agitated at R42 grabbed her wrist and then slapped…

  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
• Actual harm · Gcited before2023-11-02 · 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 prevent resident to resident sexual abuse for 2 of 3 residents (R2 and R3) reviewed for abuse in a sample of 7. This failure resulted in harm as a reasonable person would not engage in sexual encounters without the decisional capacity to do so. Findings include: 1.) R2's Physician Order Sheet, (POS), dated October 2023 document, a diagnosis of cerebral atherosclerosis, vascular dementia with other behavioral disturbances, hypertension, Alzheimer late onset, major depression, and severe with psychotic symptoms. R2 was also taking Quetiapine fumarate 25 mg once daily in the afternoon and two 50 mg tablets by mouth of Quetiapine at bedtime. Quetiapine is an Antipsychotic medication. R2's baseline Care Plan dated, 8/28/2023 document, R2 is alert to self, for bed mobility she is dependent, with locomotion walks with walker, toileting she is an assist of one and uses pull up briefs. For ambulation, she is independent, she has poor safety awareness, wanders,…

  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 · D2025-11-21 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  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 misappropriation of medication did not occur for 2 of 3 residents (R6 and R7) reviewed for missing medication in the sample of 8. This past non-compliance occurred from 10/8/2025 to 10/29/2025. Findings include: On 11/19/2025 at 2:52 PM, V1 (Administrator) stated, on 10/18/2025 during the day shift the DON was notified by staff nurse that she tried to reorder (R6 and R7's) medication and the pharmacy had told them they had already sent them a supply of 2 cards (sixty doses). (R6 and R7) were both missing medications. There was only one card on file and there should have been two for each of them. Staff were interviewed and all stated they were doing narcotics counts but the sheet showing there were 60 pills vs thirty was not present either, so everyone's count was off, and we did not know until we got ready to reorder the medication. We were not able to locate the medication, and we did replace but the medication was missing. On 11/19/2025 at…

  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 · Past Non-Compliance
• Potential for harm · D2025-11-21 · 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 observation, interview and record review the Facility was unable to account for narcotic medication (alprazolam) for 2 of 3 residents (R6 and R7) reviewed for missing narcotic medication in the sample of 8. This past non-compliance occurred from 10/8/2025 to 10/29/2025. Findings include: 1.) On 11/20/2025 at 1:44 AM, R6 was on the locked dementia unit on the female side. R6 was confused and not able to answer questions regarding if she had ever missed any medications. R6's Physician Order Sheet for November 2025 document a diagnosis of: POTS (Postural Orthostatic Tachycardia Syndrome), schizoaffective disorder, HTN (hypertension), hypothyroidism, Afib (atrial fibrillation), anxiety, anemia insomnia, HLD (Hyperlipidemia), GERD (Gastroesophageal reflux disease), polyarthritis, dementia, schizophrenia, cognitive communication deficit, vitamin D deficiency, depression, and allergic rhinitis. R6's Minimum Data Set (MDS) dated [DATE] documents severe cognitive impairment for decision making of activities of…

  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 · Past Non-Compliance
• Potential for harm · F2025-10-14 · tag F0725 — failed to have enough nursing staff — widespread
  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

  Based on observation, interview, and record review, the facility failed to have an adequate number of staff available to care for the residents when reviewed for staffing. This failure has the potential to affect all 76 residents residing in the building. Findings Include:The facility's Final Report to the state surveying agency, dated 10/3/25, documents R2 eloped from the facility on 9/25/25 at 7:45 PM from the male locked memory care unit, on which he resided. On 10/7/25 at 5:05 AM, there were two CNAs (Certified Nursing Assistant), one on the male locked memory care unit, one on the female locked memory care unit, and one nurse that was working both the male and female locked memory care units. V28 (Licensed Practical Nurse/LPN), was observed in the beauty shop with the lights off, leaned back in a chair, sleeping. V28 was working on the 100 hallway with two CNAs.On 10/7/2025 at 5:20 PM, V19 (LPN) stated, I was working the night (R2) got out of the facility. I was on the women's unit and earlier that day the exit door on the woman's side (200 hall) was sticking which would cause…

  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
• Potential for harm · Fcited before2025-07-10 · tag F0727 — failed to provide required RN coverage — widespread
  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.
  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 provide the required Registered Nurse (RN) coverage services for eight consecutive hours a day for seven days a week. This has the potential to affect all 75 residents living in the facility.Findings include: On 7/8/2019 at 10:33 AM, V1 (Administrator) stated, No, we do not have a RN working every day for 8 consecutive hours except for (V2) who is the Director of Nursing (DON). We have a Census of 78 residents. The DON is the only RN we have working in the building. We are in the process of recruiting. The only RN we had working was the DON. On 7/8/2025 at 10:39 AM, V2 stated, I am the only RN working in the building. I know I only count as half, but we do not have any other RN that worked on the days you requested. The Facility's Nursing Schedule dated 6/25/2025 -7/28/2025 documents there was no RN working in the facility except for the RN House Supervisor/DON. During this survey from 6/30/2025 to 7/3/2025 no RN was observed working in the Facility. V2 was not present in the building during the survey. 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-12-19 · tag F0727 — failed to provide required RN coverage — widespread
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record reviews the facility failed to provide Register Nurse (RN) coverage for at least eight consecutive hours a day, seven days a week. This has the potential to affect all 54 residents residing in the facility reviewed for RN coverage in a sample of 39. Findings include: The facility's Nursing Master Schedule documented the following dates did not have an RN working: 11/10/24, 11/23/24, 11/24/24, 11/30/24, 12/1/24, 12/7/24, 12/8/24, 12/14/24 and 12/15/24. On 12/17/24 at 11:38 AM, V14 (Certified Nursing Assistant), stated during the weekends the facility will frequently not have an RN on duty. On 12/17/24 at 10:54 AM, V1 (Administrator) stated she is aware the facility is short on RN coverage over the weekends. V1 stated there are job postings for RNs on three different websites and one RN is having health concerns so has she not been able to pick up shifts lately. The facility's Nurse Staffing Policy, undated, documented it is the policy of the facility to provide sufficient licensed and unlicensed nursing staff on each shift of the day to attain or…

  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
• Potential for harm · F2024-12-19 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  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 operationalize the facility's Legionella Policy and Procedure and perform hand hygiene to prevent the spread of infections (R5). This has the potential to affect all 54 residents. Findings include: 1. On 12/17/24 at 9:20 AM, V17 (Maintenance Director) stated that he runs the water and flushes toilets monthly in the empty rooms. V17 stated he also checks the temperatures of the hot water in each room and flushes the boilers monthly. A log was provided with documented these checks occurring monthly. V17 stated that the city performs the water sampling. On 12/17/24 at 3:15 PM the Legionella Policy and Procedure was reviewed with V17. The policy documented to run water through taps and showers no longer in use or used infrequently for a minimum of one minute weekly. In addition, to check hot and cold-water temperatures after water has been running for one minute randomly weekly. V17 stated that he only runs the taps and showers in…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-12-19 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 interviews, observations, and record reviews the facility failed to feed residents in a dignified manner for 4 out of 4 residents (R11, R14, R17, R34) reviewed for dignity in a sample of 39. Findings include: 1.R34 was admitted to the facility on [DATE] with diagnoses of, in part, dementia with behavioral disturbances, major depressive disorder, and chronic post-traumatic stress disorder. R34's Minimum Data Set (MDS) dated [DATE] documented he has severely impaired cognitive skills for daily decision making. R34's MDS further documented he is dependent on staff for eating assistance. R34's Care Plan last revised on 09/4/2024 documented R34 is dependent for Activities of Daily Living (ADLs) with interventions for staff to feed him his meals. On 12/16/2024 at 12:25 PM, V11 (Certified Nursing Assistant/CNA) fed R34 while standing over him. 2. On 12/16/24, at 12:14 PM, R11, R14, and R17 were seated at a table together in the dining room. When questioned regarding needed level of assistance, V14 (CNA) and…

  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
• Potential for harm · Ecited before2024-12-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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 observation, interview, and record review, the facility failed to implement progressive care plan interventions and ensure interventions were followed to prevent falls for 4 of 6 residents (R5, R10, R30, and R31) reviewed for falls in a sample of 39. Findings include: 1. R10's Face Sheet, admission date of 04/12/24 documented R10 has diagnoses of but not limited to Dementia, malignant neoplasm of prostate, Chronic obstructive pulmonary disease (COPD), and hypertension (HTN). R10's Minimum Data Set (MDS) dated [DATE], documented R10 is moderately cognitively impaired with a brief interview for mental status (BIMS) of eight out of 15 and he requires supervision or touching assistance with transfers and walking. R10's Care Plan, with admission date of 04/14/24, documented R10 has risk factors that require monitoring and intervention to reduce potential for self-injury. High risk for fall per risk assessment. Had a fall in previous six months when residing at home with son. Date initiated: 04/22/24.…

  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
• Potential for harm · E2024-12-19 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  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 date medications containers that had been opened, and to ensure proper medication storage was maintained during medication administration for 4 of 4 residents (R6, R32, R49, R105) reviewed for medication labeling and storage in the sample of 39. Findings include: 1. On 12/16/24 at 9:48 AM, R49 was seen walking around her room. There was a cup of medications with eight pills in it sitting on the nightstand table. V8 (Licensed Practical Nurse/LPN) had already passed medications on R49's hall. R49's Medication Administration Record (MAR) dated 12/1/24 through 12/31/24, documents the following eight medications were given at 8:00 AM: Allopurinol 100 MG (milligram) Once Daily, Amlodipine 10 MG Once Daily, B Complex/C Folic Acid 1 MG Once Daily, Metoprolol 100 MG Once Daily, Sevelamer Carbonate 800 MG (2 tabs) TID (three times daily), Hydralazine 100 MG TID, and Vitamin D 4000units Once Daily. 2. On 12/16/24 at 10:07 AM, R32 was seen sitting on the side of her bed with Ellipta and Flonase Inhalers seen sitting on…

  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 · D2024-12-19 · 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 observation, interview, and record review the facility failed to provide incontinent care per standards of practice for 3 of 5 residents (R5, R11, R26) reviewed for incontinent care in a sample of 39. Findings include: 1. R11's Face Sheet, original admission date of 06/25/2020, documented she has diagnoses of but not limited to of Brain aneurysm, hypertension (HTN), Seizures, Cerebrovascular accident (CVA), Gastroesophageal reflux disease (GERD), Osteoarthritis, and Acute metabolic encephalopathy. R11's Minimum Data Set (MDS), dated [DATE], documented R11 is severely cognitively impaired with a brief interview for mental status (BIMS) of 07 out of 15 and is dependent on staff for her activities of daily living (ADLs). R11's Care Plan, admission date of 04/07/2024, documented R11 may be predisposed to develop skin impairment caused by pressure. Related to (R/T) Right hemiplegia, neuropathy, decreased mobility, incontinent bowel, and bladder (B&B). High risk per Braden. Goal: R11 will have intact skin,…

  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

“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

$295,717 in federal fines across 4 penalties. 2 Medicare payment denials on record.

• $118,202 — penalty dated 2026-04-16
• $14,508 — penalty dated 2025-10-14
• $90,415 — penalty dated 2024-02-27
• $72,592 — penalty dated 2023-11-02
• Medicare payment denial — starting 2024-03-22 for 34 days
• Medicare payment denial — starting 2023-11-29 for 24 days

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 23 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.

5 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 84% 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 $646K 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