F

Evergreen Health and Rehabilitation Center

19933 West Thirteen Mile Road, Southfield, MI 48076
Score: 27 / 100

Evergreen Health And Rehabilitation Center has received an F grade based on CMS data, with a score of 27/100 — placing it among the lowest-rated nursing facilities in Michigan. Families considering this Southfield facility should carefully review its inspection history and quality metrics.

Staffing at Evergreen Health And Rehabilitation Center is near the national average, with 4.02 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 59 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 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.02 3.8 Average
Registered Nurses (RN) 0.51 0.7 Below Average
Licensed Practical Nurses (LPN) 1.52 0.7 Above Average
Certified Nursing Assistants (CNA) 1.99 2.4 Below Average
Weekend Total Nursing 3.46 3.8 Average
Weekend RN Hours 0.22 0.7 Below Average

🔍 Inspection & Deficiency History

59
Total Deficiencies
Sep 10, 2025
Most Recent Inspection
🟠 59 Moderate
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Sep 10, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Sep 10, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Sep 10, 2025 · Quality of Life and Care Deficiencies
  • Tag 0693 Severity D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a f
    Sep 10, 2025 · Quality of Life and Care Deficiencies
  • Tag 0770 Severity D
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    Sep 10, 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 3.8% 4.5% Better
Falls with major injury 0.3% 3.0% Better
On antipsychotic medication 10.6% 14.5% Better
Urinary tract infections 1.7% 2.5% Better
ADL decline (daily activities) 7.9% 14.0% Better
Excessive weight loss 1.9% 7.5% Better
New/worsened incontinence 15.3% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $71,130

How This Grade Was Calculated

This facility's grade of F is based on a score of 27 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -7 pts

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

Facility Details

Ownership
For profit - Corporation
Certified Beds
172
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 10, 2025
Deficiencies (Cycle 1)
9