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Evergreen Healthcare Center

924 Charlie'S Way, Montpelier, OH 43543
4194858307
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Overall CMS Rating

2.0/5

vs State Average: 3.2 stars

2.0/5

Health Inspections

vs State Average: 2.8/5

2.0/5

Staffing Level

vs State Average: 2.4/5

2.0/5

Quality Measures

vs State Average: 4.4/5

0 penalties in last 3 years
Penalties
vs State Average: 0.8 penalties

About This Facility

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Ratings Deep Dive

Score
2.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Jan 18, 2023 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J
Jan 18, 2023 Respond appropriately to all alleged violations. D
Jan 18, 2023 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D
Jan 18, 2023 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G
Jan 18, 2023 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
Score
2.0
State Average
2.4
National Average
2.9
0.5 RN Hours / Resident / Day
3.2 Total Nurse Hours / Resident / Day
RN Turnover Rate
Score
2.0
State Average
4.4
National Average
3.6
4.0 Long-Stay QM Rating
1.0 Short-Stay QM Rating
45.3 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST SXCY MSTR LSCO, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST C.R. STOLTZ FAMILY INVESTMENT COMPANY INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST C.R. STOLTZ IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST HEALTH CARE LEASE FACILITIES, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST I. ROSEDALE IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST R.S. WILHEIM IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST RONALD S WILHEIM 2012 SPOUSAL TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST ROSEDALE FAMILY INVESTMENT COMPANY, INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST RRW, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST S.L. ROSEDALE IRREVOCABLE TRUST
Recent Penalties

No penalty records found.

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