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Complaint Investigation

Evercare Of Swansea

November 20, 2025 · Swansea, IL · 1405 North Second Street
Citations 1
CMS Rating 1/5
Beds 94
Provider ID 145981
Healthcare Facility
Evercare Of Swansea
Swansea, 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 SWANSEA in SWANSEA, IL — inspection on November 20, 2025.

Found 1 citation. 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

FF0880
Infection Control Deficiencies
Potential for More Than Minimal Harm

R2 stated that the nurses don't where the isolation gowns when they change my dressing. R2's MDS, dated [DATE], documented that his cognition was intact. R2's R2's Physician's order sheet, dated 11/18/2025, documented, Enhanced Barrier Precaution initiated r/t wounds.On 11/18/2025 at 10:20 pm, V5, LPN, stated that she should have worn a gown but some of the residents don't like it if they are wearing a gown because they think they are contagious with a STD and that R2 and R4 should be on Enhanced barrier precautions.

She also stated that she should have washed her hands in between glove changes.On 11/19/2025 at 11:02 AM, V11, LPN stated that she wears the isolation gowns when she does residents treatments.

She also stated that hands should be washed in between glove changes.On 11/19/2025 at 11:05 AM, V3, LPN stated that she wears the isolation gowns when she does the residents wound care and now, they have the supplies outside of the resident's doors and signage. V3, LPN stated that hands should be washed in between glove changes.11/20/2025 at 3:00 PM, V2, Director of Nurses, stated that she would expect the staff to wear isolation gown and wash hands between glove changes.The facility's policy, EBP, (Enhanced Barrier Precautions), undated, documented, EBP may be considered and implemented for: Wounds and/or indwelling medical devices (central line, feeding tube, tracheostomy, drains, ect.) It continues, Personal Protective Equipment: Standard Precaution must be followed with all cares.

Additionally, gown and gloves must be worn when providing the following cares. It continues, Wound care.The facility's policy, Hand Hygiene, undated, documented, When to Wash hands with soap and water only (May use Alcohol Based Hand Sanitizer for All Other): It continues, After contact with blood, body fluids or excretions, mucous membranes, non-intact skin, or wound dressings.

After contact with inanimate object (including medical equipment) in the immediate vicinity of the patient. If hands will be moving from a contaminated-body site to a clean-body site during patient care.

Before glove placement.

After glove removal.

Facility ID:

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 SWANSEA, 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 SWANSEA 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.