With a score of 59 out of 100, Evergreen Woods earns a C grade — placing it near the middle of Florida nursing facilities. Families should review the detailed metrics below when considering this Spring Hill location.
Staffing levels are a potential concern at Evergreen Woods, with 3.36 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 18 deficiencies at Evergreen Woods, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.36 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.57 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.74 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 2.05 | 2.4 | Below Average |
| Weekend Total Nursing | 3.12 | 3.8 | Below Average |
| Weekend RN Hours | 0.43 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0806 Severity JEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealingJul 21, 2025 · Nutrition and Dietary Deficiencies
- Tag 0684 Severity EProvide appropriate treatment and care according to orders, resident’s preferences and goals.May 20, 2025 · Quality of Life and Care Deficiencies
- Tag 0695 Severity EProvide safe and appropriate respiratory care for a resident when needed.May 20, 2025 · Quality of Life and Care Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiMay 20, 2025 · Pharmacy Service Deficiencies
- Tag 0838 Severity EConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day opeMay 20, 2025 · Administration 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 | 2.8% | 4.5% | Better |
| Falls with major injury | 0.8% | 3.0% | Better |
| On antipsychotic medication | 10.6% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 6.5% | 14.0% | Better |
| Excessive weight loss | 5.3% | 7.5% | Better |
| New/worsened incontinence | 10.4% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $16,153
How This Grade Was Calculated
This facility's grade of C is based on a score of 59 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: 4★ → 16 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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