Evergreen Health And Rehabilitation Center faces challenges in its CMS ratings, earning a D grade with a score of 41/100. The facility ranks in the 33th percentile among Virginia nursing homes, suggesting significant room for improvement.
With 3.29 total nurse hours per resident per day, Evergreen Health And Rehabilitation Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 63 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
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.29 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.77 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.75 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.77 | 2.4 | Below Average |
| Weekend Total Nursing | 2.95 | 3.8 | Below Average |
| Weekend RN Hours | 0.60 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0865 Severity FHave a plan that describes the process for conducting QAPI and QAA activities.Jan 9, 2024 · Administration Deficiencies
- Tag 0880 Severity FProvide and implement an infection prevention and control program.Jan 9, 2024 · Infection Control Deficiencies
- Tag 0623 Severity EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including aJan 9, 2024 · Resident Rights Deficiencies
- Tag 0698 Severity EProvide safe, appropriate dialysis care/services for a resident who requires such services.Jan 9, 2024 · Quality of Life and Care 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 9, 2024 · Nutrition and Dietary 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 | 2.0% | 4.5% | Better |
| Falls with major injury | 4.0% | 3.0% | Worse |
| On antipsychotic medication | 8.5% | 14.5% | Better |
| Urinary tract infections | 1.1% | 2.5% | Better |
| ADL decline (daily activities) | 13.1% | 14.0% | Average |
| Excessive weight loss | 3.5% | 7.5% | Better |
| New/worsened incontinence | 27.3% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $8,190
How This Grade Was Calculated
This facility's grade of D is based on a score of 41 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: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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