Evercare at Edwardsville: Staffing Cut Delays Resident Meds - IL
The problem was not a surprise to anyone running the facility. The Resident Council meeting on August 4, 2025 formally documented the issue: residents were waiting until after 11 PM for medications and were "getting very upset about it." The Director of Nursing was listed as aware. Her written response promised to review staffing with the administrator and the owner to consider adding a fourth nurse back to the evening shift.
Six weeks later, at the September 8 Resident Council meeting, residents raised the same complaint again. Medications still weren't arriving on time. Nurses were getting angry at night. Call lights weren't being answered.
On the morning of September 16, inspectors moved through the facility and heard the same account from multiple staff members. A licensed practical nurse said at 5:30 AM that they "really need 4 nurses for the 6 PM to 10 PM med pass to ensure quality of care." The wound care nurse, speaking forty minutes later, said three nurses during that window "is not enough." The Director of Nursing told inspectors it was "difficult for the nurses to complete all tasks" with the reduced staffing.
The administrator confirmed to inspectors that medications were being administered late. She said she expected nurses to sign off medications as they gave them, and when asked whether late charting meant late medications, she said yes.
One resident, identified in the report as Resident 12, had complained directly about receiving medications late.
The facility's own staffing policy states that sufficient nursing staff must be provided on each shift to maintain the highest practical well-being of each resident, with staffing calculated based on census and resident needs. On the day of inspection, 100 residents lived at Evercare at Edwardsville.
The owner had cut the nurse anyway.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Evercare At Edwardsville from 2025-09-16 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 23, 2026 · Our methodology
EVERCARE AT EDWARDSVILLE in EDWARDSVILLE, IL was cited for violations during a health inspection on September 16, 2025.
The problem was not a surprise to anyone running the facility.
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.