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Complaint Investigation

Evercare At Edwardsville

September 16, 2025 · Edwardsville, IL · 401 St Mary Drive
Citations 2
CMS Rating 1/5
Beds 120
Provider ID 145555
Healthcare Facility
Evercare At Edwardsville
Edwardsville, 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 AT EDWARDSVILLE in EDWARDSVILLE, 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

FF0725
Nursing and Physician Services Deficiencies

then the owner cut the 4th nurse from 6 PM to 10 PM. V16 stated (R12) has complained about her

nurses from 6 PM to 10 PM is not enough nurses. On 9/16/25 at 7:37 AM V1 Administrator stated

on the evening shift.

Surveyor asked V1 if she expects the facility nurses to sign their medications off as they administer them and V1 replied yes.

Surveyor asked if she believes the medications were administered late when the evening shift nurses sign the medications off as charted late and V1 replied yes.On 9/16/25 at 9:27 AM V2 DON stated it is difficult for the nurses to complete all tasks with 3 nurses from 6 PM to 10 PM.The facility's Resident Council Memorandum, dated 8/4/25, documented issue: waiting till after 11 PM for meds.

Residents getting very upset about it. DON (Director of Nursing) is aware of this issue.

Response by V2 DON: will review staffing with (V1 Administrator) and (owner) to see if we can increase nursing staff at night to include 4 nurses until 10 PM to ensure residents are getting their meds in a timely manner.

The facility's Resident Council Memorandum, dated 9/8/25, documented issue: nursing, meds are not getting to residents at right times, said nurses are getting angry at night.

Call lights not being answered in a timely manner.

The facility's staffing policy, undated, documented it is the policy of Evercare Skilled Nursing LLC to provide sufficient licensed and unlicensed nursing staff on each shift of the day to attain or maintain the highest practical physical, mental, and psychosocial well-being of each resident.

Nurse staffing shall be based upon resident evaluation by the Administrator and director of Nursing as specified by the Illinois Department of Public Health.

The division of nursing needs by shift will be calculated based on the resident census and needs.

The facility's Daily Census Report, dated 9/16/25, documented there are 100 residents residing at the facility.

145555 09/16/2025

Evercare at Edwardsville 401 St Mary Drive Edwardsville, IL 62025

chart the drug.

Time administered and initial his/her name with each medication administration.

The

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 EDWARDSVILLE, 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 AT EDWARDSVILLE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

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.