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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $149,625 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $112,530 was recorded.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
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.