The home failed to provide care or services that were trauma-informed and culturally competent. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 699 — 42 CFR §483.25 — S/S: G
Nursing home report
EVERGREEN CARE CENTER
FRESNO, CA · Medicare-certified · 49 beds
In good standing
For-profitChain member
3 of 5 overall
3 out of 5 stars overall. Evergreen Care Center in Fresno has mid-range health inspection, staffing, and quality ratings, reported nurse staffing above the federal benchmark (4.40 vs 4.1 hours per resident per day), no fines in the last 24 months, and recent inspection citations related to trauma-informed/culturally competent care, abuse prevention, and RN coverage/director of nursing requirements.
Facility ratings
Health inspections
Staffing
4.4024 hrs/resident/day
Quality measures
Last inspection: March 5, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4024.
Staffing detail
- Registered nurses
- 0.59
- Licensed practical nurses
- 0.84
- Nurse aides
- 2.97
- Weekend nursing
- 3.95
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 67%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—14.3%—
Residents with a fall causing major injury
0%2.6%Worsening
Residents with pressure ulcers (bedsores)
9.4%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.2%28.6%Worsening
Residents whose ability to walk got worse
—26.5%—
Long-stay residents on antianxiety or sleep medication
24.2%27.8%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
12.7%40.1%Worsening
Residents with depressive symptoms
3.3%14.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—93.7%—
Short-stay residents given the pneumonia vaccine
92.2%100%Improving
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited May 2019 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to help the resident get transportation to and from outside laboratory services. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 774 — 42 CFR §483.50 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AJC HEALTHCARE · 14 homes · 2.3 stars avg
- Occupancy
- 46.2 residents on an average day (94% of 49 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 6 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.