D

EVERGREEN HEALTH AND REHABILITATION CENTER

139 MORAN LAKE ROAD, NE, ROME, GA 30161
Score: 42 / 100

CMS data shows Evergreen Health And Rehabilitation Center earning a D grade with a score of 42/100, placing it below most facilities in Georgia. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing at Evergreen Health And Rehabilitation Center is near the national average, with 3.57 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 11 deficiencies at Evergreen Health And Rehabilitation Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 3 / 15 pts
1 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.57 3.8 Average
Registered Nurses (RN) 0.47 0.7 Below Average
Licensed Practical Nurses (LPN) 0.79 0.7 Above Average
Certified Nursing Assistants (CNA) 2.31 2.4 Average
Weekend Total Nursing 2.73 3.8 Below Average
Weekend RN Hours 0.32 0.7 Below Average

🔍 Inspection & Deficiency History

11
Total Deficiencies
Jan 8, 2026
Most Recent Inspection
🟠 11 Moderate
View recent deficiencies (5 shown)
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jan 8, 2026 · Nutrition and Dietary Deficiencies
  • Tag 0628 Severity D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    Jan 8, 2026 · Resident Rights Deficiencies
  • Tag 0921 Severity F
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    Sep 4, 2025 · Environmental Deficiencies
  • Tag 0584 Severity E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Sep 4, 2025 · Resident Rights Deficiencies
  • Tag 0761 Severity E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Sep 4, 2025 · Pharmacy Service 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 7.5% 4.5% Worse
Falls with major injury 6.8% 3.0% Worse
On antipsychotic medication 29.0% 14.5% Worse
Urinary tract infections 2.4% 2.5% Average
ADL decline (daily activities) 25.0% 14.0% Worse
Excessive weight loss 7.0% 7.5% Average
New/worsened incontinence 7.5% 45.0% Better

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: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 1★ → 3 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
100
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 8, 2026
Deficiencies (Cycle 1)
7