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Nursing HomeMedicaid Investigative

Evervella of Swansea

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

100 Rosewood Village Drive, Swansea, IL 62220120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 39 Google reviews

5
4
3
2
1
Evervella of Swansea Nursing Home in Swansea, IL — Street View
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6/ 10
high Risk

Quality Concerns Identified

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

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (16 vs median 11.0)
  • High staff turnover (70%)
  • High RN turnover (100%)

Bottom 25% in IL · Critically understaffed (RN) · Worst in EVERCARE SKILLED NURSING chain · $173,550 in fines

Source: Medicare data

What this means for your family

This facility is currently experiencing a high volume of critical reports regarding basic resident care and hygiene. We strongly advise families to look elsewhere, as multiple independent reports cite dangerous response times for call buttons and unsanitary living conditions.

Google Reviews

Google Reviews

39 reviews on Google
Evervella of Swansea is currently facing severe criticism regarding resident care, hygiene, and administrative conduct. Multiple families report instances of neglect, including residents being left unassisted for bathroom needs, poor hygiene standards such as roach infestations, and unprofessional behavior from the administration.

Quality Themes

Tap a score for details
Food1.0Staff1.0Clean1.0ActivitiesN/AMedsN/AMemoryN/AComms1.0Value1.0

Strengths

  • Clean aesthetic during holidays
  • Friendly atmosphere reported by some

Concerns

  • Neglect regarding bathroom assistance and call button response times (mentioned by 3 reviewers)
  • Poor hygiene and sanitary conditions including roaches (mentioned by 2 reviewers)
  • Unprofessional or abusive administrative and social work staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2342.82025(6)4.52026(34)

Distribution · 40 analyzed

5
32
4
1
3
0
2
0
1
7
28 reviews posted between May 8, 2026May 13, 2026 · 28 were 5-star
12 reviews posted between May 10, 2026May 13, 2026 · 12 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the current staffing levels, what specific protocols are in place to ensure residents receive timely assistance with bathroom needs and prompt responses to call buttons?
  • 2Can you walk me through your current cleaning and pest control schedule to ensure the facility maintains a sanitary and comfortable environment for residents?
  • 3How does your leadership team foster a professional and supportive culture among the social work and administrative staff to ensure positive interactions with families?
  • 4With the recent focus on improving quality of care, what specific steps are you taking to address the current CMS health inspection and staffing ratings?
  • 5Could you describe the daily activity schedule and how you ensure residents are actively engaged and socialized throughout the week?
  • 6What is the facility's protocol for managing medical emergencies, and how do you communicate these situations to family members in real-time?

Personalized based on this facility's data


Key Review Excerpts

There are residents that require assistance eating and they will sit and not get fed anything and sent back to their rooms hungry.

Memory care family member · 2026☆☆☆☆

They waited so long to use the restroom, that they had an accident and fell and then laid on the floor for over an hour. They fell a second time because the nurses would not come to the call button.

Friend of resident · 2026☆☆☆☆

I had the worst experience in addressing my Mothers needs Understand once you admit your loved ones they receive only 2 showers per week my mother has not received a shower in close to 2 weeks She had a 10 hour surgery has bandages still on her from when she left Barnes Jewish roaches on walls killed 3 myself

Long-term resident's family · 2025☆☆☆☆
Source: 39 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.25hrs
33%
Registered nurses for medical care
Total Nursing
3.04hrs
74%
All nurses + aides combined
Staff Turnover
69%
Lower is better (< 30% = good)
RN Turnover
100%
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
2/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility34.4%
Mixed vs Avgs
Here
34.4%
US
12.1%
IL
52.5%
St. clair
34.6%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility5.8%
Better than Avg
Here
5.8%
US
19.4%
IL
21.1%
St. clair
19.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.5%
Better than Avg
Here
6.5%
US
15.5%
IL
21.8%
St. clair
20.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.4%
Better than Avg
Here
11.4%
US
19.5%
IL
18.3%
St. clair
25.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility28.6%
Worse than Avg
Here
28.6%
US
15.3%
IL
15.9%
St. clair
14.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility27.5%
Worse than Avg
Here
27.5%
US
14.4%
IL
14.2%
St. clair
13.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility49.3%
Worse than Avg
Here
49.3%
US
79.8%
IL
63.1%
St. clair
59.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility68.8%
Worse than Avg
Here
68.8%
US
81.8%
IL
69.0%
St. clair
72.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
IL
2.4%
St. clair
2.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

17deficiencies
24penalties
Above state avg (12.0)
9 complaint-triggered
$173,550 in fines

This facility has faced persistent issues, particularly with nursing staffing shortages that families have repeatedly complained about across multiple years. The most recurring problems involve nursing coverage, resident rights violations, medication management, and safety concerns. While the facility reports correcting each deficiency, the pattern shows ongoing challenges with maintaining adequate registered nurse coverage and ensuring proper care according to resident preferences, suggesting families should carefully evaluate current conditions during their visit.

Feb 18, 2026Complaint
1
0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Jan 15, 2026Complaint
2
0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Dec 15, 2025Complaint
1
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Nov 21, 2025Complaint
2
0760Actual harm · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Sep 26, 2025Routine
14
0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0809Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Jul 16, 2025Complaint
1
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Federal Penalties

Payment Denial

Jul 26, 2024

4-day denial

Fine

Jul 26, 2024

$34,694

Fine

Feb 20, 2024

$4,938

Fine

Feb 12, 2024

$4,938

Fine

Jan 22, 2024

$14,814

Fine

Jan 8, 2024

$4,938

Fine

Jan 2, 2024

$4,587

Fine

Dec 11, 2023

$13,762

Fine

Nov 20, 2023

$4,587

Fine

Nov 13, 2023

$4,587

Fine

Nov 6, 2023

$4,587

Fine

Oct 30, 2023

$4,587

Fine

Oct 23, 2023

$4,587

Fine

Oct 17, 2023

$4,545

Fine

Oct 10, 2023

$4,587

Fine

Oct 2, 2023

$4,587

Fine

Sep 25, 2023

$4,587

Fine

Sep 18, 2023

$4,587

Fine

Sep 11, 2023

$4,587

Fine

Sep 5, 2023

$4,235

Fine

Aug 28, 2023

$3,882

Fine

Aug 21, 2023

$3,529

Fine

Aug 14, 2023

$3,176

Fine

Jul 24, 2023

$7,409

Ownership & Operations

Who Operates This Facility

Owner / Operator

Evervella 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 10 of 11 (Worst)

Ownership & Management

Owners

Hellman, Yosef

Owner

11%

Hoffman, Joshua

Owner

8%

Rosenblatt, Yehuda

Owner

25%

Weinberger, Shmuel

Owner

46%

Key personnel

Ev Swansea Realty LLC5% or Greater Mortgage InterestFlick, JohnManagerRosenblatt, YehudaManagerWarcup, ChristineManagerWeinberger, ShmuelManager
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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