Evergreen Post Acute faces challenges in its CMS ratings, earning a D grade with a score of 42/100. The facility ranks in the 32th percentile among Delaware nursing homes, suggesting significant room for improvement.
Staffing at Evergreen Post Acute is near the national average, with 3.89 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 64 deficiencies at Evergreen Post Acute. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.89 | 3.8 | Average |
| Registered Nurses (RN) | 0.50 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.95 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.45 | 2.4 | Average |
| Weekend Total Nursing | 3.60 | 3.8 | Average |
| Weekend RN Hours | 0.33 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0760 Severity GEnsure that residents are free from significant medication errors.Apr 16, 2025 · Pharmacy Service Deficiencies
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dApr 16, 2025 · Resident Rights Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Apr 16, 2025 · Nutrition and Dietary Deficiencies
- Tag 0657 Severity EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Apr 16, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Apr 16, 2025 · Infection Control Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.7% | 4.5% | Worse |
| Falls with major injury | 2.9% | 3.0% | Average |
| On antipsychotic medication | 21.9% | 14.5% | Worse |
| Urinary tract infections | 0.9% | 2.5% | Better |
| ADL decline (daily activities) | 13.0% | 14.0% | Average |
| Excessive weight loss | 2.0% | 7.5% | Better |
| New/worsened incontinence | 23.7% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $94,156
How This Grade Was Calculated
This facility's grade of D is based on a score of 42 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -9 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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