CMS data shows Evergreen Health Services earning a D grade with a score of 50/100, placing it below most facilities in Wisconsin. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing levels are a potential concern at Evergreen Health Services, with 3.40 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 20 deficiencies at Evergreen Health Services, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.40 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.76 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.78 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.86 | 2.4 | Below Average |
| Weekend Total Nursing | 3.02 | 3.8 | Below Average |
| Weekend RN Hours | 0.39 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Sep 15, 2025 · Quality of Life and Care Deficiencies
- Tag 0677 Severity EProvide care and assistance to perform activities of daily living for any resident who is unable.Sep 15, 2025 · Quality of Life and Care Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Sep 15, 2025 · Infection Control Deficiencies
- Tag 0693 Severity DEnsure 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 fAug 19, 2025 · Quality of Life and Care Deficiencies
- Tag 0809 Severity EEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative mealsMay 28, 2025 · 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 | 8.7% | 4.5% | Worse |
| Falls with major injury | 0.8% | 3.0% | Better |
| On antipsychotic medication | 8.8% | 14.5% | Better |
| Urinary tract infections | 1.6% | 2.5% | Better |
| ADL decline (daily activities) | 23.6% | 14.0% | Worse |
| Excessive weight loss | 2.8% | 7.5% | Better |
| New/worsened incontinence | 33.0% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 50 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: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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