All citations for Evervella of Swansea

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Evervella of Swansea

Last standard health inspection on record

September 26, 2025

Showing 1 to 25 of 40 citations

  1. Harm to a resident

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of November 21, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (November 11, 2025).

  2. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 27, 2024).

  3. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 23, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

  4. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of September 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2025).

  5. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0809, Nutrition and Dietary Deficiencies. Inspection of September 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2025).

  6. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2025).

  7. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

  8. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 27, 2024).

  9. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 27, 2024).

  10. No harm, with potential for more than minimal harm

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0836, Administration Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 27, 2024).

  11. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 27, 2024).

  12. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2024).

  13. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of October 10, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

  14. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of June 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2023).

  15. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 9, 2023).

  16. No harm, with potential for more than minimal harm

    Implement a program that monitors antibiotic use.

    Widespread (many residents). CMS level F.

    Health citation F-0881, Infection Control Deficiencies. Inspection of June 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 6, 2023).

  17. No harm, with potential for more than minimal harm

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of June 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2023).

  18. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of December 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 16, 2025).

  19. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of September 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

  20. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of September 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

  21. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of July 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 30, 2025).

  22. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  23. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2023).

  24. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of June 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 28, 2023).

  25. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of June 16, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 17, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.