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Evercare of Collinsville

614 North Summit, Collinsville, IL 62234 · Madison County · (618) 344-8476

94 certified beds, about 78 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1981

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 145438 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 23, 2025, inspectors cited 18 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 53 health citations since September 2023, 9 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 2 fines totaling $254,697 in the last three years; the largest was $146,348, and the latest is dated December 4, 2025.

Nurses and nurse aides worked 2.73 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.22 of those hours.

68.3% of nursing staff left within the year CMS measured (Illinois average 44.5%).

CMS links it to Evercare Skilled Nursing, an affiliated group of 9 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 53 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
7G
0H
0I
Potential for more than minimal harm
18D
10E
13F
Potential for minimal harm
0A
2B
1C
May 26, 2026Complaint inspection · 1 citation
  1. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 27, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to document pressure ulcer treatments were administered per physician's orders twice a day and to reposition timely to promote healing of a pressure ulcer for 1 (R4) of 3 residents reviewed for pressure ulcers in the sample of 13.
December 23, 2025Standard inspection · 18 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review the facility failed to ensure R8's batteries in alarm working, as identified as an intervention for falls for R8, for 1 of 5 residents (R8) reviewed for accidents in the sample of 67. This failure resulted in R8 falling and fracturing humerus. Prior to the survey date of 12/15/2025, the facility had taken the following action to correct the noncompliance:1 On December 2, 2025, the facility [NAME] President of Clinical Services reviewed the Fall evaluation and Prevention policy.2. On December 2, 2025, the Regional Nurse Consultant in-serviced the Facility Administrator, DON, ADON, MDS Coordinator were in-serviced on Fall Prevention Policy.3. On December 2, 2025, the Administrator/DON/ Designee Initiated In-service with front-line staff on Fall Prevention Policy and where to verify Care Plan Interventions. In-servicing ongoing. 4. [...]
  2. G
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on interview and record review the facility failed to provide pain medication according to physician's order and effectively treat pain for 1 of 4 residents reviewed for pain management is a sample of 67. This failure resulted in R2 experiencing days of increase excruciating pain and feeling like no one cares.
  3. G
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · Actual harm, isolated · Corrected (the home has a date of correction) January 6, 2026
    Inspectors wroteBased on interview, observation, and record review, the facility failed to administer medications according to the professional standards, including having a Licensed Nurse administer the medications, and ensuring the residents are taking their medications, for 2 of 4 residents (R2, R6) reviewed for medication errors in the sample of 67.
  4. F
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on observation and interview, the facility failed to have the State Inspection report readily available for residents to read without asking. This had the potential to affect the 78 residents who resided in the facility.
  5. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on interview, observation, and record review, the facility failed to staff a Registered Nurse (RN) for eight hours per day, seven days a week for October, November, and December of 2025. This failure has the potential to affect all 78 residents residing in the facility.
  6. F
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on interview, observation, and record review, the facility failed to post the nurse staffing data daily at the beginning of each shift. This failure has the potential to affect all 78 residents residing in the facility.
  7. F
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to properly store, label, and discard expired medication. This has the potential to affect all 78 residents residing in the facility.
  8. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to properly store, label and date opened food. This failure has the potential to affect all 78 residents at the facility.
  9. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on interview and record review the facility failed to answer call lights timely for 4 of 24 (R12, R15, R57, R66) residents reviewed for call lights in a sample of 67.
  10. E
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on record review and interview the facility failed to provide activities for 5 of 5 (R2, R12, R15, R57, R66) residents reviewed for activities in the facility in a sample of 67.
  11. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on interview, observation, and record review, the facility failed to change and date humidified Oxygen (O2) water bottles for 4 of 4 residents (R1, R3, R36, R48) reviewed for respiratory care in the sample of 67.
  12. E
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on record review and interview the facility failed to provide activities for 4 of 4 (R1, R16, R25, R34) residents reviewed for treatment and services for dementia residents in the facility in a sample of 67.
  13. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on interview and record review, the facility failed to complete a medication review for 1 of 1 resident (R8) reviewed for medications in the sample of 67. R8's Note to attending physician/prescriber dated, printed 7/26/2025 documents consider a gradual dose reduction for the following medication Buspirone 10mg daily. R8's Note to attending physician/prescriber fails to document physician review or signature. R8's Note to attending physician/prescriber dated, printed 8/27/25 documents consider a gradual dose reduction for the following medication: Sertraline 100mg daily the sheet fails to document physician review or signature as sheet is blank. R8's physician order dated 12/18/2025 documents Sertraline 100mg daily, Buspirone 10mg daily. [...]
  14. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on record review, and interview, the facility failed to ensure food was served at palatable temperatures for foods for 4 of 4 (R2, R15, R28, R57) people review for meal services in a sample of 67.
  15. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on interview, observation, and record review, the facility failed to perform appropriate hand hygiene when assisting resident with feedings, when performing wound care, and then proper disposal of contaminated linen for 4 of 12 residents (R6, R11, R63, R77) reviewed for infection control practices in the sample of 67.
  16. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to provide assistance with eating for 2 of 8 residents (R50 and R70) reviewed for assistance with eating in the sample of 67.
  17. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 6, 2026
    Inspectors wroteBased on interview, observation, and record review, the facility failed to ensure a medication error rate of less than 5% for 2 of 4 residents (R2, R6) observed during medication pass. Fourteen errors were observed during 38 opportunities for errors during medication administration. This resulted in a medication error rate of 36.84 percent.
  18. C
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide 80 square feet of floor space per resident bed for 53 of 78 residents (R2, R3, R6, R8, R9, R10, R11, R12, R13, R14, R15, R16, R17, R19, R21, R25, R26, R29, R31, R33, R34, R35, R36, R38, R41, R42, R43, R45, R46, R47, R48, R51, R52,R53, R54, R55, R56, R59, R61, R62, R63, R65, R67, R69, R70, R73, R74, R75, R76, R77, R82, R83, and R84) reviewed for room size in the sample of 78.
December 4, 2025Complaint inspection · 5 citations
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on interview, observation, and record review, the facility failed to ensure a resident was free from neglect when they failed to monitor, assess, and put forth interventions for resident safety with a disregard for resident care, comfort or safety for 1 of 6 residents (R2) reviewed for Resident Neglect in the sample of 9. This failure resulted in physical harm of R2, being sent to the emergency room multiple times for his injuries from falls, and R2 being left saturated in urine and feces with no staff checking on him. This failure resulted in an Immediate Jeopardy, which was identified to have begun on 4/8/25 when the facility failed to put fall interventions in place after R2 experienced a fall. [...]
  2. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on interview, observation, and record review, the facility failed to provide effective fall prevention and supervision for 1 of 3 residents (R2) reviewed for falls in the sample of 9. R2 is documented as experiencing 50 falls in the facility from 4/8/25 through 12/1/25. This failure resulted in R2 experiencing an injury on 4/11/25, 5/29/25, 6/15/25, 6/23/25, 7/4/25, 8/7/25, 8/13/25, 9/13/25, 10/14/25, 10/29/25, 11/7/25, 11/13/25, and 12/1/25 with R2 being sent to the emergency room on 8/7/25 with fall/contusion, 8/13/25 with fall/head injury with laceration, 10/14/25 with questionable fall/laceration of finger, 10/29/25 with fall/abrasion to face, and 11/7/25 with fall/closed head injury. This failure resulted in an Immediate Jeopardy, which was identified to have begun on 4/8/25 when the facility failed to put fall interventions in place after R2 experience a fall. [...]
  3. G
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on interview, observation, and record review, the facility failed to provide timely and complete incontinent care for 2 of 3 residents (R2, R3) reviewed for incontinent care in the sample of 9. This failure resulted in R2 lying in urine and feces for hours and any reasonable person would not like to sit in their urine or feces with staff not checking on them or cleaning them up timely.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on interview, observation, and record review, the facility failed to provide hand hygiene while performing resident care for 3 of 4 residents (R2, R3, R8) reviewed for infection control in the sample of 9.
  5. D
    Ensure each resident room has a window to the outside that meets requirements
    F915 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on interview, observation, and record review, the facility failed to maintain a homelike environment for 1 of 4 residents (R4) reviewed for home like environment in the sample of 9.
September 16, 2025Complaint inspection · 2 citations
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 17, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure residents resided in a safe environment, free from actual and potential abuse by failing to perform background check screenings on current employees, having direct contact with residents. This failure has the potential to affect all 79 residents residing in the facility. This failure resulted in R4 who has a diagnosis of Bipolar Disorder, Depression and Anxiety, experience verbal abuse from a staff member and feeling fear, anger, ashamed and not wanting to come out of room until 8/21/2025.
  2. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 17, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure residents resided in a safe environment, free from actual and potential abuse by failing to perform background check screenings on current employees, having direct contact with residents. This failure has the potential to affect all 79 residents residing in the facility. This failure resulted in R4 who has a diagnosis of Bipolar Disorder, Depression and Anxiety, experience verbal abuse from a staff member and feeling fear, anger, ashamed and not wanting to come out of room until 8/21/2025. The Immediate Jeopardy began on 9/30/2024. The survey team validated the abatement on 9/15/2025 at 10:46 AM. The facility remains at Level Two because additional time is needed to evaluate the implementation and effectiveness of policies and procedures and the in-service training.
August 18, 2025Complaint inspection · 2 citations
  1. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) August 19, 2025
    Inspectors wroteBased on observation, interview, and record review, the failed to provide enough CNAs (Certified Nursing Assistants) and Nurses when reviewed for staffing in the sample of 8. This failure has the potential to affect all 81 residents residing in the facility. Findings Include:On 8/15/25 at 8:50 AM, an initial tour of the facility was conducted with 2 CNAs and 2 Nurses working. On 8/15/25 at 10:00 AM, a follow up tour of the facility was conducted with 5 CNAs and 3 Nurses working. On 8/15/25 at 8:40 AM, R1 stated they don't have enough staff because they've had to use more agency staff the past two weeks so they must need more staff. On 8/15/25 at 8:40 AM, R3 stated he has fallen 3 times; he fell when he was getting up to go to the bathroom. R3 stated this last time, he slid off the bed and his a** hit the floor. [...]
  2. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 19, 2025
    Inspectors wroteBased on interview and record review, the facility failed to notify a residents family of a fall in 1 of 4 residents (R8) reviewed for falls in the sample of 8. Findings Include:R8's Face Sheet, undated, documents R8 has the following diagnoses: Catatonic Schizophrenia, Anxiety Disorder, Repeated Falls, Hypertension, Major Depressive Disorder, and Type II Diabetes. R8's Minimum Data Set, dated [DATE], documents R8 has a BIMS (Brief Interview of Mental Status) score of 6, which indicates R8 has severe cognitive impairment. R8's Progress Notes document R8 had a fall on the following dates: 6/15/25; 7/4/25; 7/26/25; 7/27/25; 8/5/25; 8/7/25; 8/12/15; and two falls on 8/16/25. R8's progress notes fail to document that V18, R8's Family, was notified of these falls and any injuries sustained due to the fall. [...]
June 2, 2025Complaint inspection · 2 citations
  1. D
    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
    F573 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 3, 2025
    Inspectors wroteBased on interviews and record reviews, the facility failed to provide medical records for 1 out of 1 residents (R3) reviewed for resident rights.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 3, 2025
    Inspectors wroteBased on interviews, observations, and record reviews the facility failed to implement and/or revise an individualized plan of care following falls as well as complete a fall risk evaluation for 3 out of 5 residents, (R1, R2, R3); reviewed for accident hazards and supervision in a sample of 5.
May 5, 2025Complaint inspection · 2 citations
  1. E
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 6, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a mechanical lift was maintained in a safe working manner for 4 of 4 residents (R2, R5, R6, and R7) reviewed for equipment. Findings Include: On 05/01/25 at 8:50 AM, V3, Certified Nursing Assistant (CNA) was walking down the 300 hallway pushing a mechanical lift and having a difficult time keeping it straight. While V3 was pushing the lift the right leg would swing out on its own without the use of the controls to move it. V3 would then use her foot to kick the leg back into position. On 05/01/25 at 9:07 AM, V4, CNA and V6, CNA Brought the mechanical lift down to R2's room. While wheeling the lift to R2's room the right leg would move/swing out without V4 using the controls. V4 would put the leg back in place with her foot as she was pushing the lift to the room. [...]
  2. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 6, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide residents with a sanitary and comfortable environment for 4 of 4 (R2, R5, R6, and R7) reviewed for sanitary environment. Findings Include: On 05/01/25 at 9:35 AM, The men's bathroom on the 300 hall was inspected at this time. In the shower area between some of the tiles was black fuzzy, rough in texture spots. In the entrance to the shower there was an area where the tile was missing, and the wall was crumbling. On 05/01/25 at 9:40 AM, The women's bathroom on the 100 hallway was inspected at this time. Upon entering the bathroom there was a strong smell of bleach. Behind the entrance door there was a green substance on most of the wall. V8, Licensed Practical Nurse (LPN) was questioned about the substance behind the bathroom door. V8 stated I'm not gonna lie, it looks like mold. [...]
March 21, 2025Complaint inspection · 2 citations
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2025
    Inspectors wroteBased on interview, observation and record review the facility failed to ensure timely assesment for continuity of care for 1 of 3 residents (R1) reviewed for continuity of care in the sample of 3. This failure resulted in R1 with known epilepsy with seiziures, not receiving anti seizure medications for 4 days and being sent out for emergency treatment and had a seizure.
  2. G
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 3, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident with a diagnosis of epilepsy/seizures received their anti-convulsant medications as ordered by the physician for 1 of 3 (R14) residents reviewed for medications in the sample of 3. This failure resulted in R14 missing 10 doses of his anti-convulsant medication and requiring evaluation and treatment in the emergency room (ER) following seizure activity.
November 14, 2024Standard inspection · 4 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 20, 2024
    Inspectors wroteBased on observation, interview and record review, the Facility failed to ensure dishes were properly cleaned and food was stored in a manner to prevent foodborne illness. This has the potential to affect all 55 residents living in the Facility.
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 20, 2024
    Inspectors wroteBased on interview and record review, the facility failed to thoroughly investigate an allegation of abuse for 1 of 1 resident (R26) reviewed for abuse in a sample of 43.
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 20, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to address pain on one of three resident's care plan (R3) reviewed for care plans in a sample of 43.
  4. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) November 20, 2024
    Inspectors wroteBased on observation and record review, the facility failed to provide 80 square feet of floor space per resident bed for 26 of 55 residents (R4, R8, R10, R11, R12, R16, R17, R22, R29, R28, R31, R34, R38, R40, R41, R42, R45, R46, R48, R49, R51, R53, R54, R55, R56, R57) reviewed for room size in the sample of 55.
June 26, 2024Complaint inspection · 1 citation
  1. F
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) July 10, 2024
    Inspectors wroteBased on observation, interview, and record review the Facility failed to maintain an effective pest control program so that the facility was free of roaches. This has the potential to affect all 56 residents living in the facility.
January 24, 2024Complaint inspection · 1 citation
  1. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) January 25, 2024
    Inspectors wroteBased on interview and record review the facility failed to assure that there is sufficient qualified nursing staff available at all times to provide nursing and related services to meet the residents' needs safely and in a manner that promotes each resident's rights, physical, mental and psychosocial well-being. The failure has the potential to harm all 53 resident in the facility.
November 17, 2023Standard inspection · 12 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) December 10, 2023
    Inspectors wroteBased on interview, observation and record review, the facility failed to provide adequate supervision and progressive devices to prevent falls for one of thirteen residents (R2) reviewed for falls in the sample of 50. This failure resulted in R2 falling from the toilet when left unsupervised and sustained multiple rib fractures and laceration to his head.
  2. F
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on observation, interview, and record review, the Facility failed to provide an ongoing resident centered activities program to support residents in all their wellness domains. This has the potential to affect all 55 residents living in the Facility.
  3. F
    Ensure the activities program is directed by a qualified professional.
    F680 · Quality of Life and Care · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on observation, interview, and record review, the Facility failed to employ a qualified therapeutic recreational specialist or activities professional to provide a resident centered activities program. This has the potential to affect all 55 residents living in the Facility.
  4. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 10, 2023
    Inspectors wroteBased on observation, interview, and record review, the Facility failed to properly store, prepare and distribute food in a manner that prevents foodborne illness. This has the potential to affect all 55 residents living in the Facility.
  5. F
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    F882 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 18, 2023
    Inspectors wroteBased on interview and record review, the Facility failed to utilize the services of an Infection Preventionist (IP) at a minimum part time basis to track Facility infections and staff and resident vaccinations in order to prevent the spread of infectious disease. This has the potential to affect all 55 residents living in the Facility.
  6. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 10, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications are controlled for 4 of 4 residents (R23, R27, R43, and R52) reviewed for medication storage in the sample of 50.
  7. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on interview, observation, and record review, the Facility failed to provide a clean, comfortable, homelike environment for 3 of 5 residents (R20, R34, R40) reviewed for environment in the sample of 50.
  8. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 9, 2023
    Inspectors wroteBased on interview and record review, the facility failed to report an injury of unknown origin on 2/16/23 for 1 resident (R44) in a sample of 50; Additionally the facility failed to report an allegation of physical abuse on 11/28/22 and 11/7/23 for one resident (R41) in a sample of 50.
  9. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 9, 2023
    Inspectors wroteBased on interview and record review, the facility failed to provide a complete investigation of an injury of unknown origin on 2/16/23 for 1 resident (R44) in a sample of 50; Additionally, the facility failed to provide a complete investigation on 11/28/22 and 11/7/23 for one resident (R41) in a sample of 50.
  10. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to properly sanitize and store a residents BiPAP device for 1 of 12 residents (R14) reviewed for infection control in the sample of 50.
  11. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 1, 2024
    Inspectors wroteBased on interview and record review the facility failed to develop and implement protocol to optimize the treatment of infections by ensuring that residents who require antibiotics are prescribed the appropriate antibiotics for 1 of 3 (R36) residents reviewed for antibiotic stewardship in a sample of 50.
  12. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · deficient, provider has December 10, 2023
    Inspectors wroteBased on observation and record review, the facility failed to provide 80 square feet of floor space per resident bed for 25 of 55 residents (R2, R5, R6, R9, R11, R12, R13, R17, R18, R24, R29, R30, R32, R37, R38, R39, R40, R43, R44, R46, R49, R50, R103, R104 and R105) reviewed for room size in the sample of 55.
September 14, 2023Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 25, 2023
    Inspectors wroteBased on interview and record review the Facility failed to complete treatments and interventions as prescribed by a physician, properly document treatments per their Facility Policy, as well as continue implementing interventions listed in the resident Care Plan to prevent a resident from self-harm biting for 1 of 3 residents (R1) reviewed for quality of care the sample of 7.

Fines and payment denials

DatePenaltyAmount or length
December 4, 2025Fine $146,348
December 4, 2025Payment Denial 11 days from December 27, 2025
March 21, 2025Payment Denial 46 days from April 18, 2025
November 17, 2023Fine $108,349
November 17, 2023Payment Denial 47 days from December 16, 2023

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIllinoisUnited States
All nursing staff (RN, LPN and aides)2.733.453.86
Registered nurses0.220.720.69
All nursing staff on weekends2.333.073.42
Nurse aides1.68
Licensed practical nurses0.84
Nursing staff turnover (share who left in a year)68.3%44.5%45.8%
Registered nurse turnover100.0%41.8%42.9%
Administrators who left1

CMS expects 4.61 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.90 on weekdays and 2.33 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.52 in April to June 2025 to 2.73 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.730.222.902.33 2.4%0 of 9078
Oct to Dec 20252.720.262.872.35 4.4%0 of 9278
Jul to Sep 20252.750.272.872.43 7.1%0 of 9280
Apr to Jun 20252.520.202.672.13 12.4%5 of 9183
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Illinois, Jan to Mar 20263.260.653.402.925.4%0.6% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Illinois

JobMedianMiddle halfEmployed
Illinois, all employers
CNAs (nursing assistants)$22.10$18.95 to $23.2668,640
LPNs and LVNs$36.06$30.57 to $38.2517,440
Registered nurses$46.15$38.47 to $50.94138,910
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIllinoisUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
20.713.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.30.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.11.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.33.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.02.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
27.514.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.94.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
28.921.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
33.726.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.213.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.22.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.32.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Evercare of Collinsville's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

CMS note: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.

US median of homes 51.5% · Illinois: 106 better, 85 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024.

Potentially preventable readmissions

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 10.7% · Illinois: 2 better, 14 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 4 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Illinois: 3 better, 10 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 2 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Illinois50.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 15 residents counted.

Falls with major injury

0.0% this home

Median of homes: Illinois0.3% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 21 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Illinois1.5% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 21 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Illinois100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 5 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: EVERCARE OF COLLINSVILLE LLC. CMS links this home to Evercare Skilled Nursing, a group of 9 nursing homes averaging 1.1 stars overall.

NameRoleTypeShareSince
Eu SNF Holdings LLCIndirect ownership interestOrganization12/01/2024
Ecapital Healthcare Corp5% or greater security interestOrganization12/01/2024
Rosenblatt, YehudaManaging control - governing bodyIndividual12/01/2024
Ecapital Healthcare CorpOperational/managerial controlOrganization12/01/2024
Eu SNF Holdings LLCOperational/managerial controlOrganization12/01/2024
Hults, AshleyOperational/managerial controlIndividual12/01/2024
Kiefer, LawannaOperational/managerial controlIndividual12/01/2024
Rosenblatt, YehudaOperational/managerial controlIndividual12/01/2024
Weinberger, ShmuelOperational/managerial controlIndividual12/01/2024
Zaman, AsadOperational/managerial controlIndividual12/01/2024
Hults, AshleyAdp of the SNFIndividual12/01/2024
Kiefer, LawannaAdp of the SNFIndividual12/01/2024
Rosenblatt, YehudaAdp of the SNFIndividual12/01/2024
Weinberger, ShmuelAdp of the SNFIndividual12/01/2024
Zaman, AsadAdp of the SNFIndividual12/01/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 15 problems in this area, most recently on May 26, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  2. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 7 problems in this area, most recently on December 23, 2025: "Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on December 23, 2025: "Ensure that residents are free from significant medication errors."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 6 problems in this area, most recently on December 4, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.33 hours per resident per day, below the Illinois average of 3.07.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Illinois contacts for a concern about a nursing home

These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.

Common questions

What is Evercare of Collinsville's Medicare star rating?
CMS rates Evercare of Collinsville 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Evercare of Collinsville get at its last inspection?
18 health deficiencies at the standard inspection on December 23, 2025. The Illinois average is 12.6.
Has Evercare of Collinsville been fined?
Yes. CMS lists 2 fines totaling $254,697 in the last three years.
Does Evercare of Collinsville accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Evercare of Collinsville?
CMS lists 15 owners and managers, and links the home to Evercare Skilled Nursing. Legal business name: EVERCARE OF COLLINSVILLE LLC.

Sources

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