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Complaint Investigation

Evercare At Edwardsville

Inspection Date: September 16, 2025
Total Violations 2
Facility ID 145555
Location EDWARDSVILLE, IL
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Inspection Findings

F-Tag F0725

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

rough with just 3 nurses, meds are sometimes late, 3 nurses must share the D hall med cart because the residents are split between the 3 nurses. V15 stated this company cut the 4th nurse from 6 PM to 10 PM to save money.On 9/16/25 at 5:25 AM V16 LPN stated nurse staffing is not sufficient from 6 PM to 10 PM, used to have 4 nurses then the owner cut the 4th nurse from 6 PM to 10 PM. V16 stated (Resident R12) has complained about her meds being late. On 9/16/25 at 5:30 AM V17 LPN stated they really need 4 nurses for the 6pm to 10pm med pass to ensure quality of care. On 9/16/25 at 6:10 AM V18 Wound Care Nurse stated 3 nurses from 6 PM to 10 PM is not enough nurses. On 9/16/25 at 7:37 AM V1 Administrator stated some residents were upset in the last Resident Council meeting about receiving their medications late 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.

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Evercare at Edwardsville

401 St Mary Drive Edwardsville, IL 62025

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0760

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0760 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

for any resident other than the resident for whom it was prescribed. It continues, 5. Medications may be administered one hour before or after the scheduled medication administration time. It continues, Procedure: 1. Assemble the necessary equipment. 2. Wash hands before and after medication administration. 3. Gloves will be worn to administer medication when contact with blood or potentially infectious body fluid is anticipated. 4. Nursing staff will keep in mind the 7 rights of medication when administering medications: A. The right medication. B. The right amount. C. The right resident. D. The right time. E. the right route. F. Right indication. G. Right outcome. It continues, 15. Administer the medication to

the resident. 17. The licensed nurse will chart the drug. Time administered and initial his/her name with each medication administration. The facility's Daily Census Report, dated 9/16/25, documented there are 100 residents residing at the facility.

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📋 Inspection Summary

EVERCARE AT EDWARDSVILLE in EDWARDSVILLE, IL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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.
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