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Nursing home report

EVERCARE OF SWANSEA

SWANSEA, IL · Medicare-certified · 94 beds

Needs attention
Abuse citationFor-profitChain member
2 of 5 overall

Evercare of Swansea (Swansea, IL) has a 2-star overall rating, with very low health inspection and staffing ratings (1 star each) despite a 5-star quality measures rating. It also has a recent abuse citation, $262,155 in fines in the last 24 months, and reported nurse staffing of 2.97 hours per resident per day versus the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

2.973 hrs/resident/day

Quality measures

Last inspection: December 17, 2025Penalties, last 24 months: $262,155recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.973.

Staffing detail

Registered nurses
0.32
Licensed practical nurses
0.79
Nurse aides
1.87
Weekend nursing
2.63

Hours per resident per day.

Total staff turnover: 68%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

28.6%33.3%Worsening

Residents with a fall causing major injury

0%0%No change

Residents with pressure ulcers (bedsores)

3.5%2.4%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

6.2%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

19.4%6.5%Improving

Residents whose ability to walk got worse

14.2%

Long-stay residents on antianxiety or sleep medication

30.3%30.6%No change

Short-stay residents newly given an antipsychotic

1.9%

Residents with a long-term catheter

0%1.7%Worsening

Residents with new or worsening incontinence

0%9.8%Worsening

Residents with depressive symptoms

58.8%90.9%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

78.4%

Long-stay residents given the pneumonia vaccine

91.2%76.9%Worsening

Short-stay residents given the seasonal flu vaccine

5.8%

Short-stay residents given the pneumonia vaccine

26%69.8%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited July 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 578 — 42 CFR §483.10 — S/S: J

The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited August 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 740 — 42 CFR §483.40 — S/S: G

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2023 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. PENALTY

    A federal fine of $149,625 was recorded.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $112,530 was recorded.

  6. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  7. PENALTY

    A federal payment denial was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $285,149 in total fines · 2 payment denials.

  • Federal fine

    Nov 20, 2025

    $149,625
  • Federal fine

    Aug 27, 2025

    $112,530
  • Medicare/Medicaid payment denial

    Dec 18, 2024

    5 days
  • Medicare/Medicaid payment denial

    Sep 28, 2023

    1 days
  • Federal fine

    Sep 28, 2023

    $22,994

Operator & ownership

Ownership
For profit - Individual
Chain
Part of EVERCARE SKILLED NURSING · 11 homes · 1.4 stars avg
Occupancy
58.3 residents on an average day (62% of 94 beds)
Resident voice
Resident council
Medicare history
Certified for 27 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.