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Evergreen Health And Rehabilitation Center

380 Millwood Avenue, Winchester, VA 22601
5406677010
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Overall CMS Rating

2.0/5

vs State Average: 3.0 stars

2.0/5

Health Inspections

vs State Average: 2.8/5

2.0/5

Staffing Level

vs State Average: 2.5/5

4.0/5

Quality Measures

vs State Average: 3.9/5

1 penalties in last 3 years
Penalties
vs State Average: 0.5 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
Citation Date Description Severity
Jan 10, 2024 Allow residents to self-administer drugs if determined clinically appropriate. D
Jan 10, 2024 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
Jan 10, 2024 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D
Jan 10, 2024 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. E
Jan 10, 2024 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. D
Score
2.0
State Average
2.5
National Average
2.9
0.8 RN Hours / Resident / Day
3.3 Total Nurse Hours / Resident / Day
58.8% RN Turnover Rate
Score
4.0
State Average
3.9
National Average
3.6
5.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
167.9 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 EVERGREEN SNF OPERATIONS HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST COPPER VA TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST EVERGREEN NOBLE PARENTCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST GOLD VA TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST HVH EVERGREEN OPERATIONS HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST LION 26 HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST SABRINA 1818 HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST SAESSY IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST SILVER VA TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST TATIRIQ IRREVOCABLE TRUST
Recent Penalties
Date Type Fine
Apr 25, 2023 Fine $8,190

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