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Nursing HomeMedicaid Investigative

Evercare of Swansea

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

1405 North Second Street, Swansea, IL 6222694 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 55 Google reviews

5
4
3
2
1
Evercare of Swansea Nursing Home in Swansea, IL — Street View
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7/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (31 vs median 11.0)
  • High staff turnover (68%)

Bottom 25% in IL · Critically understaffed (RN) · Worst in EVERCARE SKILLED NURSING chain · $22,994 in fines · Abuse citation

Source: Medicare data

What this means for your family

While some reviewers praise individual staff members, the consistent reports of neglect, poor facility hygiene, and communication failures are deeply concerning. We strongly advise families to conduct an unannounced visit and speak directly with current residents or their families before considering this facility.

Google Reviews

Google Reviews

55 reviews on Google
Evercare of Swansea receives highly polarized feedback, with some visitors praising individual staff members while many others report severe neglect, poor facility conditions, and communication failures. Families frequently express concerns regarding the quality of care, cleanliness, and the responsiveness of the administration to medical and personal needs.

Quality Themes

Tap a score for details
Food1.0Staff4.0Clean2.0Activities1.0Meds2.0MemoryN/AComms1.0Value1.0

Strengths

  • Friendly individual staff members
  • Welcoming business office management
  • Compassionate care from specific nurses

Concerns

  • Neglect and poor quality of care (mentioned by 6 reviewers)
  • Unsanitary facility conditions and outdated equipment (mentioned by 4 reviewers)
  • Poor communication and lack of responsiveness (mentioned by 5 reviewers)
  • Understaffing and slow call light response times (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(2)'18(2)'20(4)'22(15)'24(1)'26(21)

Distribution · 58 analyzed

5
36
4
5
3
2
2
1
1
14

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I've heard wonderful things about some of your individual nurses and the business office team; how do you ensure that level of compassionate care is consistent across all shifts?
  • 2With the recent inspections, what specific steps has the facility taken to improve cleanliness and the upkeep of the resident rooms?
  • 3How do you manage call light response times to ensure residents aren't waiting long for assistance during busy periods?
  • 4What improvements have been made recently regarding the dining experience and the variety of meals provided to residents?
  • 5Could you tell me more about the daily activities and social events available to keep residents engaged and active?
  • 6In the event of a medical emergency or a change in health status, what is your specific protocol for communicating updates to the family?

Personalized based on this facility's data


Key Review Excerpts

The staff started off friendly but when you start to ask about medical records or any injury reports they get amnesia.

Family member · 2017☆☆☆☆

The floors were tore up looked dirty and smelt like pine sole! My bed had a big dip in it from a heavy person before me.

Rehab patient · 2021☆☆☆☆

This place needs condemned!!! The owner should be ashamed!!! Kool aid everyday, horrible canned food. My mom almost died there!

Long-term resident's family · 2022☆☆☆☆
Source: 55 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.32hrs
42%
Registered nurses for medical care
Total Nursing
2.97hrs
73%
All nurses + aides combined
Staff Turnover
68%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

8

measures

Worse Than Avg

8

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility84.2%
Worse than Avg
Here
84.2%
US
12.1%
IL
52.5%
St. clair
32.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility78.4%
Worse than Avg
Here
78.4%
US
95.5%
IL
91.8%
St. clair
88.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility32.1%
Worse than Avg
Here
32.1%
US
15.5%
IL
21.8%
St. clair
19.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility77.5%
Worse than Avg
Here
77.5%
US
93.4%
IL
90.0%
St. clair
90.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility32.6%
Worse than Avg
Here
32.6%
US
19.5%
IL
18.3%
St. clair
24.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.5%
Better than Avg
Here
9.5%
US
19.4%
IL
21.1%
St. clair
19.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility5.8%
Worse than Avg
Here
5.8%
US
79.8%
IL
63.1%
St. clair
61.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility42.2%
Worse than Avg
Here
42.2%
US
81.8%
IL
69.0%
St. clair
74.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.9%
Mixed vs Avgs
Here
1.9%
US
1.6%
IL
2.4%
St. clair
2.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

26deficiencies
5penalties
Well above state avg (12.0)
47 complaint-triggered
$22,994 in fines

This facility shows concerning patterns, with 57% of its 84 deficiencies triggered by family and resident complaints. Persistent issues span accident prevention and safety supervision, nursing coverage (registered nurse availability), and infection control, with multiple repeat violations across recent surveys. While all deficiencies show correction dates, the high complaint rate and recurring problems in basic safety and nursing coverage warrant careful consideration during your visit.

Dec 17, 2025Complaint
1
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Nov 20, 2025Complaint
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 27, 2025Complaint
6
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0740Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0921Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0576Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

Jul 24, 2025Complaint
4
0578Immediate jeopardy · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0607Potential for harm · WidespreadCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Jul 9, 2025Complaint
6
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0868Potential for harm · WidespreadCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0921Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0945Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

0947Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0949Potential for harm · WidespreadCorrected

Administration Deficiencies

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Jun 12, 2025Complaint
2
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Federal Penalties

Fine

Nov 20, 2025

$149,625

Fine

Aug 27, 2025

$112,530

Payment Denial

Dec 18, 2024

5-day denial

Fine

Sep 28, 2023

$22,994

Payment Denial

Sep 28, 2023

1-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Evercare of Swansea

Organization Type

for profit

Chain Affiliation

Chain Name

Evercare Skilled Nursing

Chain Size

11 facilities nationwide

Chain avg rating: 1.6/5 · Rank 5 of 11 (Worst)

Ownership & Management

Owners

Eu Snf Holdings LLC

Owner · Organization

100%

Seitler, Dovid

Owner (parent company)

12%

Key personnel

Ecapital Healthcare CORP5% or Greater Security InterestRosenblatt, YehudaManaging Control - Governing BodyEcapital Healthcare CORPManagerEu Snf Holdings LLCManagerHults, AshleyManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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