Evercare of Calhoun: Resident Fall After Being Left Alone - IL
The resident, identified in the report as R2, was a high fall risk who required a one-person assist with a gait belt to move around. She wore alarms on both her bed and wheelchair. Staff who worked with her regularly described her the same way: quick, unpredictable, the kind of person who would be up the moment you looked away.
The nursing assistant who left her alone said she didn't know she wasn't supposed to. "I was never told not to leave her alone until after the fall," the aide told inspectors. "Now everyone is telling me that she should never be left alone. I was never taught in school when or when not to leave someone by themselves and that I didn't know R2 well enough to know."
Other staff knew exactly what R2 required. A CNA who worked with her regularly told inspectors she always stayed with R2 in the restroom, even when R2 got angry about it. A second CNA said staff should never leave her on the toilet or anywhere else because she would get up on her own. The floor's registered nurse put it plainly: "The minute you turned your back on her, she was up."
The director of nursing told inspectors she would expect staff to stay with any high fall-risk resident while using the restroom. The administrator said she would expect all staff to keep residents safe at all times.
CMS cited the violation as causing actual harm.
The aide left alone with R2 that day said she heard the fall happen. When she got to the bathroom, R2 was on the floor near the toilet, apparently having tried to walk toward the door on her own.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Evercare of Calhoun from 2025-10-16 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 5, 2026 · Our methodology
Evercare of Calhoun in HARDIN, IL was cited for violations during a health inspection on October 16, 2025.
The resident, identified in the report as R2, was a high fall risk who required a one-person assist with a gait belt to move around.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.