Evercare at University: Sexual Abuse Ignored - IL
The caller was right about at least one incident. Surveillance video from the morning of October 6, 2025 showed a male resident, identified in inspection records as Resident 3, wheeling himself down a hallway and entering the room of a female resident, Resident 2, at 8:59 AM. Five minutes later, he wheeled himself back out.
What happened in those five minutes is documented in the police report, in staff interviews, and in a federal inspection record that now carries a finding of actual harm.
A staff member identified as V7 entered the room during those five minutes and called for a colleague. That colleague, V18, later told investigators what she found: Resident 3 out of his wheelchair, lying in bed with Resident 2. He had shaving cream on Resident 2's right buttock. When V18 entered the room, Resident 3 said, "You stopped me before I started."
Resident 2 was lying on her left side, facing the wall.
The Edwardsville Police Department received the anonymous call that same day, October 6, at 10:56 AM. Dispatch forwarded the report. The caller said multiple incidents had been occurring at the facility. The caller said administrators were not reporting them to police. The caller knew Resident 2's name. The caller did not know the name of the man who had been assaulting her.
Inspectors who later reviewed the case noted that a staff member, identified as V6, gave a different account of what she saw when she found Resident 3 in Resident 2's room. V6 said he was not yet in the bed but looked like he was about to get in. His pants were pulled down. He had shaving cream on his hands. Resident 2 was wearing a brief and a gown, but her blanket had been pulled back.
The discrepancy between the two accounts, one placing him already in the bed and one placing him beside it, did not change the central fact. A man had entered a woman's room, pulled down his pants, and applied shaving cream to her body while she lay curled on her side facing the wall.
The facility's administrator, identified as V1, acknowledged the incident when inspectors arrived. V1 said that on October 6, after learning what had happened, staff contacted a physician identified as V26, who ordered Resident 3 transferred to a hospital. The facility wanted to find a different placement for him. V1 told inspectors the reasoning directly: "Usually if they do it once they are going to do it again."
What V1 did not explain was why the facility had not contacted police.
The anonymous caller had told police that administrators were not reporting incidents. The police report, printed October 16, documented the call and noted that V1 had been made aware of the alleged occurrence and confirmed that an incident had occurred. V1 showed investigators the surveillance footage. The video matched what staff had described.
Inspectors noted that allegations of abuse are to be reported immediately and that residents are to be separated to ensure their safety. Whether Resident 3 had access to Resident 2 in the days between October 6 and his hospital transfer is not addressed in the inspection record.
The question of Resident 2's ability to understand what was happening to her runs through the inspection findings. A staff member, whose role is not specified in the record, told inspectors: "I really don't think she has the ability to consent." Inspectors noted there is always potential for psychosocial harm with sexual abuse because it is a violation of personal space and overall safety. The inspection record does not describe Resident 2's diagnosis or cognitive status beyond that statement.
She was lying in bed on her left side, curled up in a ball, when the administrator arrived in her room on October 6. She was not wearing a brief. V1 noted that sometimes, when residents are in bed, staff place an incontinent pad beneath them instead.
The federal inspection, conducted October 21, 2025, cited the facility under F0689, the tag covering protection from accident hazards and supervision, at a level of actual harm affecting a few residents. The facility is disputing the citation.
Evercare at University's own abuse prevention policy, last reviewed June 1, 2025, states that the facility has zero tolerance for abuse, neglect, and mistreatment, and that staff must not permit anyone, including other residents, to engage in sexual abuse. The policy lists residents, staff, family members, volunteers, and friends as people from whom residents must be protected. It states that each resident has the right to be free from mistreatment.
The policy was reviewed four months before Resident 3 wheeled himself into Resident 2's room.
The inspection record does not say whether Resident 2 was ever told what had happened to her, or whether anyone sat with her after the staff cleared the room. It does not say whether she had family who were contacted. It does not say what she understood about the man who had been in her bed, or whether she asked about him after he was gone.
What the record says is that she was found facing the wall, and that someone had pulled her blanket back, and that shaving cream had been applied to her body, and that the man who did it told the staff member who walked in that she had stopped him before he started.
The facility is contesting the government's finding that any of this constitutes harm.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Evercare At University from 2025-10-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 24, 2026 · Our methodology
EVERCARE AT UNIVERSITY in EDWARDSVILLE, IL was cited for abuse-related violations during a health inspection on October 21, 2025.
The caller was right about at least one incident.
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.