CMS data shows Evergreen Commons Rehabilitation And Nursing Ctr earning a D grade with a score of 43/100, placing it below most facilities in New York. Prospective residents and families should carefully review the specific areas of concern detailed below.
With 3.03 total nurse hours per resident per day, Evergreen Commons Rehabilitation And Nursing Ctr falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 17 deficiencies at Evergreen Commons Rehabilitation And Nursing Ctr. 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 | 3.03 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.40 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.94 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.68 | 2.4 | Below Average |
| Weekend Total Nursing | 2.50 | 3.8 | Below Average |
| Weekend RN Hours | 0.21 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- 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 dJan 10, 2024 · Resident Rights 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 biologiJan 10, 2024 · Pharmacy Service Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jan 10, 2024 · Nutrition and Dietary Deficiencies
- Tag 0908 Severity EKeep all essential equipment working safely.Jan 10, 2024 · Environmental Deficiencies
- Tag 0925 Severity EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.Jan 10, 2024 · Environmental 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 | 6.1% | 4.5% | Worse |
| Falls with major injury | 3.1% | 3.0% | Average |
| On antipsychotic medication | 28.3% | 14.5% | Worse |
| Urinary tract infections | 1.3% | 2.5% | Better |
| ADL decline (daily activities) | 13.6% | 14.0% | Average |
| Excessive weight loss | 3.4% | 7.5% | Better |
| New/worsened incontinence | 31.6% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 43 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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