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
Nursing home report
SWANSEA, IL · Medicare-certified · 120 beds
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.
Health inspections
Staffing
3.034 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.034.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to ensure residents were free from significant medication errors. Cited November 2025 — isolated incident, actual harm.
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.
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.
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.
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.
F-Tag 727 — 42 CFR §483.35 — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
Health inspection found 1 health deficiency.
A federal payment denial was recorded.
A federal fine of $34,694 was recorded.
On record with Medicare: 23 fines · $155,317 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Jul 26, 2024
Federal fine
Jul 26, 2024
Federal fine
Feb 20, 2024
Federal fine
Feb 12, 2024
Federal fine
Jan 22, 2024
Federal fine
Jan 8, 2024
Federal fine
Jan 2, 2024
Federal fine
Dec 11, 2023
Now operated by Evervella of Swansea, previously Rosewood Care Center of Swansea.
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.