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Nursing home report

EVERVELLA OF SWANSEA

SWANSEA, IL · Medicare-certified · 120 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall

Evervella of Swansea has a 2 out of 5 overall rating, with a 1-star staffing rating and nurse staffing below the federal benchmark (3.03 vs. 4.1 hours per resident per day). It also has $34,694 in fines in the last 24 months and a recent federal penalty; inspection findings included medication errors, care not provided according to orders, and not enough nursing staff on some days.

Facility ratings

Health inspections

Staffing

3.034 hrs/resident/day

Quality measures

Last inspection: February 18, 2026Penalties, last 24 months: $34,694recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.034.

Staffing detail

Registered nurses
0.25
Licensed practical nurses
0.96
Nurse aides
1.83
Weekend nursing
2.79

Hours per resident per day.

Total staff turnover: 74%
Registered nurse turnover: 83%

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

9.4%6.2%Improving

Residents with a fall causing major injury

1.8%2.9%Worsening

Residents with pressure ulcers (bedsores)

1.1%5.4%Worsening

Residents with a urinary tract infection

6.1%0%Improving

Residents who lost too much weight

2.7%7.3%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

36.7%24.5%Improving

Residents whose ability to walk got worse

33.3%

Long-stay residents on antianxiety or sleep medication

8.9%15.5%Worsening

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

1.4%2%Worsening

Residents with new or worsening incontinence

9.7%1.5%Improving

Residents with depressive symptoms

49.1%71.4%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

90.9%

Long-stay residents given the pneumonia vaccine

87.7%82.9%Worsening

Short-stay residents given the seasonal flu vaccine

49.3%

Short-stay residents given the pneumonia vaccine

52.9%67.7%Improving

What the inspectors found

The nursing home failed to ensure residents were free from significant medication errors. Cited November 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited September 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 725 — 42 CFR §483.35 — S/S: F

The home failed to make sure residents were served meals and snacks at times that fit their needs, preferences, and requests. Cited September 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 809 — 42 CFR §483.60 — S/S: F

The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited July 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — 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. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal payment denial was recorded.

  6. PENALTY

    A federal fine of $34,694 was recorded.

Penalties & enforcement

On record with Medicare: 23 fines · $155,317 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Jul 26, 2024

    4 days
  • Federal fine

    Jul 26, 2024

    $34,694
  • Federal fine

    Feb 20, 2024

    $4,938
  • Federal fine

    Feb 12, 2024

    $4,938
  • Federal fine

    Jan 22, 2024

    $14,814
  • Federal fine

    Jan 8, 2024

    $4,938
  • Federal fine

    Jan 2, 2024

    $4,587
  • Federal fine

    Dec 11, 2023

    $13,762

Operator & ownership

Recent ownership change · Apr 1, 2025

Now operated by Evervella of Swansea, previously Rosewood Care Center of Swansea.

Ownership
For profit - Limited Liability company
Chain
Part of EVERCARE SKILLED NURSING · 12 homes · 1.5 stars avg
Occupancy
90.5 residents on an average day (75% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 37 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.