Evercare Of Collinsville
EVERCARE OF COLLINSVILLE in COLLINSVILLE, IL — inspection on September 16, 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
she does not have a business office person at this time, and she is ultimately responsible. V1 stated
facility establishes, operationalizes, and maintains an Abuse Prevention and Prohibition Program
for the prevention, identification, investigation, and reporting of abuse, neglect, mistreatment, misappropriation of property, and crime in accordance with federal and state requirements.
Policy I.
Each resident has the right to be free from mistreatment, neglect, abuse, involuntary seclusion, and misappropriation of property.
The facility has zero? tolerance for abuse, neglect, mistreatment, and/or misappropriation of resident property.
Staff must not permit anyone to engage in verbal, mental, sexual, or physical abuse, neglect, mistreatment. Or misappropriation of resident property.
Procedure II.
Screening A.
The Facility does not knowingly employ anyone who has had disciplinary action against his/her professional license, or a finding entered into the state nurse aide registry related to abuse, neglect, mistreatment or misappropriation or has been convicted of abusing, neglecting, or mistreating other people.
145438 09/16/2025
Evercare of Collinsville 614 North Summit Collinsville, IL 62234
CNA, Healthcare worker registry checks and background checks were not completed. V1 stated that
herself on 9/9/2025 and 9/10/2025 she was not aware of any offenses that each employee had or if
upon hire and should have been completed.On 9/11/2025 at 2:44 PM V21, Medical Director, stated that he would expect the staff to follow the policy and guidelines set forth by the state regarding Healthcare Worker Registry and Background checks. V21 stated that the residents in the facility are vulnerable and need protection. V21 stated that it is imperative that the background checks are done and timely because you never know who is or will harm someone. V21 stated that the background checks should have been done.
The facility's Prevention and Prohibition Program, dated 6/1/2025, documents that to ensure that the facility establishes, operationalizes, and maintains an Abuse Prevention and Prohibition Program designed to screen and train employees, protect residents, and to ensure a standardized methodology for the prevention, identification, investigation, and reporting of abuse, neglect, mistreatment, misappropriation of property, and crime in accordance with federal and state requirements.
Policy I.
Each resident has the right to be free from mistreatment, neglect, abuse, involuntary seclusion, and misappropriation of property.
The facility has zero? tolerance for abuse, neglect, mistreatment, and/or misappropriation of resident property.
Staff must not permit anyone to engage in verbal, mental, sexual, or physical abuse, neglect, mistreatment. Or misappropriation of resident property.
Procedure II.
Screening A.
The Facility does not knowingly employ anyone who has had disciplinary action against his/her professional license, or a finding entered into the state nurse aide registry related to abuse, neglect, mistreatment or misappropriation or has been convicted of abusing, neglecting, or mistreating other people.On 9/9/2025 the facility provided a facility matrix and room roster identifying 79 people residing in the facility.
The Immediate Jeopardy that began on 9/30/2024 was removed 9/15/2025, when the facility took the following actions to remove the immediacy:A) Administrator was in-serviced by the VP (Vice President) of clinical services on background checks & the need to run prior to staff member working on 9/15/2025.B) Administrator will in-service department heads on ensuring that staff will not work without background check being completed on 9/15/2025.2. A) All staff members that are currently on the working schedule have had a background check completed & are eligible to work in a skilled facility.
Completed 9/15/2025.B) Initial audit completed for all current employees, that a background check has been completed.
Completed 9/15/2025.C) Review of current policy and procedure to reflect current practices.
Completed 9/15/2025.1. No staff will work before having a background check. On-going2. A quality assurance tool was implemented: Audit will be completed for new hires to ensure that background check was completed prior to 1st working day.
Administrator and department manager. On going. 3.
Root Cause Analysis Completed for background checks.
Deficiency: Failed to run background checks on new employees prior to them working their 1st shift.
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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.