The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
Nursing home report
EVERGREEN HEALTH AND REHABILITATION CENTER
WINCHESTER, VA · Medicare-certified · 176 beds
In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Evergreen Health and Rehabilitation Center in Winchester, VA has a 2-star overall rating, with 2-star health inspection and staffing ratings and a stronger 4-star quality measures rating. Reported nurse staffing is 3.16 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.1568 hrs/resident/day
Quality measures
Last inspection: May 6, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1568.
Staffing detail
- Registered nurses
- 0.81
- Licensed practical nurses
- 0.63
- Nurse aides
- 1.71
- Weekend nursing
- 2.93
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 55%
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
10.5%12%Worsening
Residents with a fall causing major injury
4%2.6%Improving
Residents with pressure ulcers (bedsores)
1.1%0.9%No change
Residents with a urinary tract infection
0.7%1.4%Worsening
Residents who lost too much weight
6%5.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.6%11.1%Worsening
Residents whose ability to walk got worse
5.4%10.8%Worsening
Long-stay residents on antianxiety or sleep medication
24.4%18.6%Improving
Short-stay residents newly given an antipsychotic
0%2.2%Worsening
Residents with a long-term catheter
0.6%1.2%Worsening
Residents with new or worsening incontinence
24.8%19.6%Improving
Residents with depressive symptoms
26.5%44.3%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
—98.7%—
Long-stay residents given the pneumonia vaccine
100%99.3%Worsening
Short-stay residents given the seasonal flu vaccine
—89.3%—
Short-stay residents given the pneumonia vaccine
87.4%90.8%Improving
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2022 — 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 notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited January 2024 — limited pattern, potential for harm.
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F-Tag 623 — 42 CFR §483.15 — S/S: E
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited January 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 698 — 42 CFR §483.25(l) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 22 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Jul 1, 2021
Now operated by Evergreen Snf Operations LLC, previously Pinnacle Services Winchester, INC..
- Ownership
- For profit - Limited Liability company
- Chain
- Part of HILL VALLEY HEALTHCARE · 43 homes · 1.7 stars avg
- Occupancy
- 172.3 residents on an average day (98% of 176 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 42 years
The most recent standard health inspection was more than two years ago.
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.