Evercare Of Breese
EVERCARE OF BREESE in BREESE, IL — inspection on September 18, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
was a weekend and she needed guidance on how to proceed with caring for R5. V3 stated V1
The Facility's HIPPA Policy and Procedure, dated 6/1/2025, documents this policy applies to all
and support staff.
Definition: PHI: any information recorded in any form, that relates to health, provision of health care that can be linked to an individual.
Staff members will receive training on HIPAA policies and procedures, with additional training provided as rules and regulations evolve.
This training includes but is not limited to privacy practices, security measures and breach notification procedures.
Violations of this policy may result in disciplinary action.
145410 09/18/2025
Evercare of Breese 1155 North First Street Breese, IL 62230
V11 stated she was the billing director, and she didn't know who documented not to send the
medication list that was sent to pharmacy with a handwritten note not to fill medications. V23 stated
definitely should not be occurring. V23 stated R1 has multiple mental health diagnoses including major depressive disorder and abruptly stopping any of those medications including Austedo and Vraylar to treat her major depressive disorder could cause her to downward spiral into a deep depression and ultimately, she could be so depressed she commits suicide. V23 stated R3 had a diagnosis of diabetes and that's what the injectable medication, Ozempic 1 mg was prescribed to treat. V23 stated R3 wasn't prescribed any other medication to treat diabetes while at the facility and she wasn't aware facility staff put a handwritten note on R3's medication list sent to the pharmacy documented, Not while at the facility. V23 stated she should have known staff were making that decision to not treat R3's diabetes because she would have at least ordered staff to check R3's blood sugar a few times a day and if it was high she would've prescribed sliding scale insulin. V23 stated she knows why the facility isn't filling all the resident's medications, it's because residents on Med A have the facility is responsible for paying for their medications and the facility is always harping her to prescribe lower cost medications and she can't sometimes. On 9/17/2025 at 11:00 AM V1 Administrator, V3 Assistant Director of Nurses and V24 Regional Nurse Consultant stated they were not aware of facility staff writing on resident medication lists that are sent to pharmacy with handwritten notes documenting do not send or not while at the facility. V1 stated pharmacy staff should've questioned that because they know facility staff do not have the authority to document a note like that and not to send the medication or notify her or V2, Interim Director of Nurse of what's going on so they can look into it. V1 stated the facility has a $200 per medication threshold and the pharmacy knows that so when there is a high cost medication the pharmacy emails her a high cost form that documents the current prescribed medication and an alternative lower cost medication and she forwards these forms to the provider, the provider ultimately decides what medication is to be prescribed and the facility will pay for it if the resident is on Med A. No staff stated they were aware of staff documenting handwritten notes on residents' medications lists and sending it to the pharmacy. On 9/18/2025 at 11:44 AM V1, Administrator responded to an email and stated, We do not have a formal policy, we request pharmacy provides alternatives and recommendations regarding medications over $200 that must still be approved by the resident physician. No one goes without medications, if there is no alternative to a high cost medication or the physician declines an alternative/generic, the medication is still provided to the resident.An Undated Physician's Orders Entering and Processing Policy, documents to provide general guidelines when receiving, entering, and confirming physician or prescriber's orders. (a prescriber is noted as physician, nurse practitioner, and a physician's assistant.) Fax or call the orders to the appropriate pharmacy as needed. If pharmacy is integrated with EHR (Electronic Health Record), orders will be automatically transmitted.
Notify the resident's physician (if not the prescribing physician), for verification if applicable.
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.