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Complaint Investigation

Evercare Of Collinsville

August 18, 2025 · Collinsville, IL · 614 North Summit
Citations 2
CMS Rating 1/5
Beds 94
Provider ID 145438
Healthcare Facility
Evercare Of Collinsville
Collinsville, IL  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

EVERCARE OF COLLINSVILLE in COLLINSVILLE, IL — inspection on August 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

FF0580
Resident Rights Deficiencies

(injury/decline/room, etc.) that affect the resident.

interview and record review, the facility failed to notify a residents family of a fall in 1 of 4 residents

has the following diagnoses: Catatonic Schizophrenia, Anxiety Disorder, Repeated Falls, Hypertension, Major Depressive Disorder, and Type II Diabetes. R8's Minimum Data Set, dated [DATE], documents R8 has a BIMS (Brief Interview of Mental Status) score of 6, which indicates R8 has severe cognitive impairment. R8's Progress Notes document R8 had a fall on the following dates: 6/15/25; 7/4/25; 7/26/25; 7/27/25; 8/5/25; 8/7/25; 8/12/15; and two falls on 8/16/25. R8's progress notes fail to document that V18, R8's Family, was notified of these falls and any injuries sustained due to the fall.On 8/18/25 at 10:17 AM, V18, R8's Family, stated the facility used to notify him when R8 had fallen but they have not been doing that recently. V18 stated when he came in to see R8 the last time, R8 had a cut above his eye, and he asked the nurse what happened and that was how he found out R8 had fallen. V18 stated they haven't been notifying him of any changes with R8.On 10/18/25 at 10:35 AM, V3, Registered Nurse/Assistant Director of Nurses, stated they notify the family and physician when a resident falls.On 10/18/25 at 11:00 AM, V1, Administrator, stated they notify the physician family when a resident falls.The Fall Policy, undated, documents to complete the Accident/Incident report and notify the physician and responsible party.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

145438 08/18/2025

Evercare of Collinsville 614 North Summit Collinsville, IL 62234

well-being of each resident.The Resident Roster, dated 8/15/25, documents there are 81 residents

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in COLLINSVILLE, IL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from EVERCARE OF COLLINSVILLE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

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.