Evervella of Swansea
100 Rosewood Village Drive, Swansea, IL 62220 · St. Clair County · 120 certified beds · avg 91 residents/day · certified since May 1, 1989
Part of chain: EVERCARE SKILLED NURSING (8 facilities, chain avg rating 1.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Nov 21, 2025 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 11, 2025 (Past Non-Compliance)
▲ Actual harm, one-off · Jul 26, 2024 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 27, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · May 23, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 19, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (33)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 16, 2026 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Feb 18, 2026 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Jan 15, 2026 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint |
| Jan 15, 2026 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Dec 15, 2025 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Nov 21, 2025 | ▲ G · Actual harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Nov 21, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Sep 26, 2025 | F · Potential for harm, facility-wide | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Sep 26, 2025 | F · Potential for harm, facility-wide | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Sep 26, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Sep 26, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Sep 26, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Sep 26, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Sep 26, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Sep 26, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 26, 2025 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Sep 26, 2025 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Jul 16, 2025 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Jul 26, 2024 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 26, 2024 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Jul 26, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 26, 2024 | F · Potential for harm, facility-wide | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. |
| Jul 26, 2024 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 26, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jul 26, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jul 26, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| May 23, 2024 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Oct 10, 2023 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint |
| Jun 30, 2023 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Jun 30, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 30, 2023 | F · Potential for harm, facility-wide | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Jun 30, 2023 | F · Potential for harm, facility-wide | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Jun 30, 2023 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | F |
| 2024 | 9 | 2 | G ▲ |
| 2025 | 14 | 1 | G ▲ |
| 2026 | 4 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
21 fines totaling $144,732, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jul 26, 2024 | Fine | $34,694 |
| Jul 26, 2024 | Payment Denial | 4 days from Aug 23, 2024 |
| Feb 20, 2024 | Fine | $4,938 |
| Feb 12, 2024 | Fine | $4,938 |
| Jan 22, 2024 | Fine | $14,814 |
| Jan 8, 2024 | Fine | $4,938 |
| Jan 2, 2024 | Fine | $4,587 |
| Dec 11, 2023 | Fine | $13,762 |
| Nov 20, 2023 | Fine | $4,587 |
| Nov 13, 2023 | Fine | $4,587 |
| Nov 6, 2023 | Fine | $4,587 |
| Oct 30, 2023 | Fine | $4,587 |
| Oct 23, 2023 | Fine | $4,587 |
| Oct 17, 2023 | Fine | $4,545 |
| Oct 10, 2023 | Fine | $4,587 |
| Oct 2, 2023 | Fine | $4,587 |
| Sep 25, 2023 | Fine | $4,587 |
| Sep 18, 2023 | Fine | $4,587 |
| Sep 11, 2023 | Fine | $4,587 |
| Sep 5, 2023 | Fine | $4,235 |
| Aug 28, 2023 | Fine | $3,882 |
| Aug 21, 2023 | Fine | $3,529 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Illinois avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.47 | 2.99 | 3.95 | bottom 35% in Illinois; bottom 3% in the U.S. |
| Registered Nurse hours | 0.20 | 0.63 | 0.69 | bottom 6% in Illinois; bottom 3% in the U.S. |
| Weekend total nurse staffing | 2.28 | 2.67 | 3.50 | bottom 41% in Illinois; bottom 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.20 | 0.56 | 0.48 | bottom 8% in Illinois; bottom 13% in the U.S. |
| Total nursing staff turnover (%) | 73.6 | 44.5 | 45.8 | bottom 2% in Illinois; bottom 4% in the U.S. |
| RN turnover (%) | 83.3 | 41.8 | 42.9 | bottom 4% in Illinois; bottom 4% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.03, RN 0.25, weekend 2.79. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Hellman, Yosef | Individual | 5% or Greater Direct Ownership Interest | 11% | 04/01/2025 |
| Hoffman, Joshua | Individual | 5% or Greater Direct Ownership Interest | 8% | 04/01/2025 |
| Rosenblatt, Yehuda | Individual | 5% or Greater Direct Ownership Interest | 25% | 04/01/2025 |
| Weinberger, Shmuel | Individual | 5% or Greater Direct Ownership Interest | 46% | 04/01/2025 |
| Ev Swansea Realty LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 04/01/2025 |
| Ev Swansea Realty LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Evercare Financial Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Flick, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Flick, John | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Hellman, Yosef | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Hoffman, Joshua | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Rosenblatt, Yehuda | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Rosenblatt, Yehuda | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Seitler, Dovid | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Warcup, Christine | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Warcup, Christine | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Weinberger, Shmuel | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Weinberger, Shmuel | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Evercare of Swansea | 1.2 mi | Swansea, IL | ★☆☆☆☆ | 1/5 | abuse |
| Nexus Pavilion at Belleville | 1.7 mi | Belleville, IL | ★☆☆☆☆ | 1/5 | abuseSFF |
| St Paul's Senior Community | 1.8 mi | Belleville, IL | ★☆☆☆☆ | 2/5 | |
| Bria of Belleville | 1.8 mi | Belleville, IL | ★☆☆☆☆ | 1/5 | abuse |
| Memorial Care Center | 1.9 mi | Belleville, IL | ★★★★★ | 5/5 | |
| Helia Southbelt Healthcare | 2.9 mi | Belleville, IL | ★☆☆☆☆ | 1/5 | abuse |
| La Bella of Caseyville | 6.8 mi | Caseyville, IL | ★☆☆☆☆ | 3/5 | |
| Bria of Cahokia | 8.9 mi | Cahokia, IL | ★☆☆☆☆ | 1/5 | abuse |
| Evercare of Collinsville | 8.9 mi | Collinsville, IL | ★☆☆☆☆ | 1/5 | abuse |
| Nexus at Mascoutah | 9.9 mi | Mascoutah, IL | ★☆☆☆☆ | 2/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 145620.