Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Evercare Of Calhoun during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and a high risk for falls was left unattended on the toilet by a CNA, despite care plan instructions requiring supervision. The resident attempted to stand unassisted, fell, and sustained a head injury and a displaced femoral neck fracture, necessitating hospitalization and surgery. Staff interviews revealed a lack of awareness regarding the need for constant supervision for this resident.
A resident was not adequately prepared for a safe transfer or discharge, and the process did not meet the individual's needs or preferences.
A resident with severe cognitive impairment was discharged to another facility without documentation that the required written discharge notice was provided to the resident or their legal representative. The care plan did not address discharge, and the family member with power of attorney reported not being notified, contrary to facility policy.
A resident with severe cognitive impairment experienced multiple falls due to the facility's failure to implement care plan interventions, such as ensuring non-skid strips and proper supervision. The resident sustained a hip fracture after attempting to transfer without assistance, highlighting lapses in adherence to safety protocols.
The facility did not have a qualified Infection Preventionist for their Infection Control Program, affecting all 57 residents. An RN was designated as the Infection Control Specialist but had not passed the required certification test and did not plan to retake it. The facility's job description mandates maintaining certification, which was not met.
The facility failed to protect residents from abuse, as evidenced by incidents where a resident with cognitive impairments struck another resident in the hallway, and another resident mistakenly entered a room and struck a fellow resident with a call light cord. Both incidents highlight a lack of abuse prevention measures in the residents' care plans, despite the facility's policy to protect residents from abuse.
The facility did not implement a QAPI Program that meets quarterly with required members, including the Medical Director. The last meeting was in March 2024, and the Medical Director does not regularly attend, receiving only recap emails. This affects all 57 residents.
A facility failed to investigate and document multiple bruises and abrasions found on a severely cognitively impaired resident after an outing with family. Despite the care plan's instructions to monitor and report skin issues, the facility did not follow its policy for documenting and investigating incidents, leading to a deficiency in providing adequate supervision and care.
Failure to Provide Adequate Supervision for High Fall Risk Resident
Penalty
Summary
A resident with a history of Alzheimer's disease, dementia, severe cognitive impairment, and multiple comorbidities was identified as high risk for falls, requiring staff assistance and supervision for toileting and transfers. The resident's care plan and fall risk assessments specifically indicated that the resident should not be left unattended in the restroom due to confusion, poor balance, and a history of falls. Interventions included the use of alarms, prompt response to requests for assistance, and direct staff supervision during toileting. Despite these documented precautions, the resident was left unattended on the toilet by a CNA who stepped away to respond to alarms in other rooms. The CNA reported that the resident had requested privacy and confirmed understanding of how to use the call light, so the CNA left the resident alone. During this period, the resident attempted to stand unassisted, lost balance, and fell, resulting in a hematoma to the head and a displaced subcapital femoral neck fracture. The incident was unwitnessed, and the resident was found on the floor by staff after the fall occurred. Interviews with staff and review of records confirmed that the resident was known to be impulsive and at high risk for falls, with several staff members stating that the resident should never be left alone due to her tendency to get up unassisted. The CNA involved was not aware of the specific requirement to remain with the resident during toileting and had not received adequate instruction regarding when residents should not be left unattended. The facility's fall prevention protocol was in place, but staff failed to follow the individualized interventions outlined in the resident's care plan, resulting in the resident's fall and subsequent injury.
Failure to Ensure Safe and Appropriate Transfer/Discharge
Penalty
Summary
The facility failed to ensure that the transfer or discharge process met the resident's needs and preferences, and did not adequately prepare the resident for a safe transfer or discharge. The report identifies a deficiency related to the lack of proper planning and preparation for the resident's transition, which is necessary to ensure continuity of care and resident well-being. No additional details about the specific resident's medical history or condition at the time of the deficiency are provided in the report.
Failure to Provide Required Discharge Notification to Resident's Representative
Penalty
Summary
A resident with Alzheimer's disease and diabetes mellitus, who was severely cognitively impaired and exhibited wandering and behavioral issues, was discharged to another facility. The resident's care plan did not address any plan for discharge, and progress notes indicated the discharge was scheduled, but there was no documentation that a discharge notice was provided to the resident or that the family or legal representative was notified. The resident's family member, who held power of attorney, stated she was never informed of the discharge by the facility. Facility policy requires that written notice of transfer or discharge, including the reason, effective date, and new location, be provided to the resident and, if known, a family member or legal representative prior to the transfer or discharge. The medical record lacked documentation of this required notification, and the administrator confirmed that such documentation would be expected in the record.
Failure to Implement Fall Prevention Measures
Penalty
Summary
The facility failed to implement care plan interventions to prevent falls for a resident, identified as R44, who was severely cognitively impaired and required supervision and assistance for transfers. Despite having a care plan that included specific interventions such as ensuring non-skid socks or shoes were worn, keeping the area free of clutter, and using non-skid strips on the floor, these measures were not consistently implemented. Observations revealed that R44's wheelchair was positioned with brakes unlocked, and non-skid strips were absent from the floor beside her bed, contrary to the care plan requirements. R44 experienced multiple falls at the facility, including a significant incident where she sustained a fracture of the left hip. The falls were documented in several reports, highlighting instances where R44 attempted to transfer herself without assistance, leading to falls. In one instance, she tripped over catheter tubing, and in another, she fell while trying to walk to the bathroom. The facility's failure to maintain the non-skid strips in the correct position and ensure proper supervision contributed to these incidents. The Director of Nursing acknowledged that after R44 returned from the hospital, her room was changed, and the non-skid strips were overlooked, which was a deviation from the care plan. The facility's policy on accident and incident documentation emphasizes the need for investigation and analysis to prevent such occurrences, yet the oversight in implementing the care plan interventions for R44 indicates a lapse in adherence to these protocols.
Lack of Qualified Infection Preventionist
Penalty
Summary
The facility failed to ensure they had a qualified Infection Preventionist responsible for the Infection Control Program, potentially affecting all 57 residents. On July 16, 2024, the Administrator identified a Registered Nurse (RN) as the Infection Control Specialist. However, on July 19, 2024, the RN admitted to having completed all the necessary modules but did not pass the certification test and expressed no intention to retake it. The facility's job description for the Infection Preventionist, dated November 1, 2019, requires maintaining certification in Infection Prevention and Control, which the RN did not fulfill.
Failure to Protect Residents from Abuse
Penalty
Summary
The facility failed to ensure residents were free from abuse, as evidenced by incidents involving four residents. Resident R22, who was severely cognitively impaired and used a wheelchair, was struck on the arm by another resident, R112, who had diagnoses including paranoid schizophrenia and homicidal ideations. The incident occurred in the hallway while staff were moving R22's belongings. Despite the immediate separation of the residents and notification of the incident, R22's care plan did not address abuse prevention. Another incident involved R10, who was cognitively intact and used a wheelchair and walker, and R37, who was severely cognitively impaired with a history of verbal abuse and hallucinations. R37 mistakenly entered R10's room, believing it was his own, and struck R10 multiple times with a call light cord. This resulted in redness on R10's back. The residents were separated, but R10's care plan also lacked measures to address abuse prevention. The facility's abuse prevention policy, revised in October 2022, emphasizes the commitment to protecting residents from abuse by anyone, including other residents. However, the incidents involving R22 and R10 highlight a failure to implement this policy effectively, as evidenced by the lack of abuse prevention measures in the care plans of the affected residents.
Failure to Implement QAPI Program with Required Members
Penalty
Summary
The facility failed to implement a Quality Assurance Performance Improvement (QAPI) Program that meets at least quarterly with the required members, including the Medical Director. The last QAPI meeting was held in March 2024, and no subsequent meeting had been scheduled at the time of the survey. The Administrator acknowledged that the Medical Director does not regularly attend the meetings and is instead sent a recap email after each meeting. This failure to hold regular meetings with the required members has the potential to affect all 57 residents residing in the facility.
Failure to Investigate and Document Resident Injuries
Penalty
Summary
The facility failed to investigate and provide treatment for bruises and abrasions for a resident (R2) who was severely cognitively impaired and required assistance for activities of daily living. The resident's care plan included instructions to monitor and report any skin issues, but there were no documented skin concerns prior to the incident. After returning from an outing with family, the resident was found with multiple bruises and abrasions, but the facility did not conduct a thorough investigation or provide adequate documentation of the injuries or their causes. The resident's weekly skin assessments documented various bruises and abrasions over several weeks, but there was no incident report or investigation to determine the cause of these injuries. The Director of Nurses and other staff members acknowledged the presence of bruises and abrasions but did not follow the facility's policy for documenting and investigating incidents. The facility's policy requires the licensed nurse to conduct an investigation, complete an incident report, and document the incident in the resident's medical record, but these steps were not taken. The resident's family expressed concerns about the lack of communication and information regarding the resident's injuries. Despite multiple requests for an investigation and explanation, the facility was unable to provide any documentation or investigation of the bruises. The staff members interviewed stated that they were aware of the bruises and abrasions but did not complete incident reports or follow the proper procedures for investigating and documenting the injuries. The facility's failure to investigate and document the resident's injuries led to a deficiency in providing adequate supervision and care to prevent accidents and ensure the resident's safety.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 52 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Hardin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Elsberry Missouri Health Care Center | 11.2 mi | ★★★★★ | 0 | 0 |
| Jerseyville Manor | 15.3 mi | ★★★★★ | 5 | 0 |
| Evercare Of Jerseyville | 16.2 mi | ★★★★★ | 16 | 1 |
| Jerseyville Nsg & Rehab Center | 16.7 mi | ★★★★★ | 3 | 1 |
| Lincoln County Nursing & Rehab | 21.6 mi | — | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.