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.
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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
2 of 5 overall
2 out of 5 stars overall. Health inspection and staffing are both 2 stars, quality measures are 4 stars, reported nurse staffing is below the federal benchmark (3.20 vs 4.1 hours per resident per day), and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.203 hrs/resident/day
Quality measures
Last inspection: January 10, 2024Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.203.
Staffing detail
- Registered nurses
- 0.77
- Licensed practical nurses
- 0.70
- Nurse aides
- 1.74
- Weekend nursing
- 2.94
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 57%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
9.7%Worsening
Residents with a fall causing major injury
4%Steady
Residents with pressure ulcers (bedsores)
2.2%Steady
Residents with a urinary tract infection
1.2%Improving
Residents who lost too much weight
3.6%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13.3%Worsening
Residents whose ability to walk got worse
13.5%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
22.3%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.6%Worsening
Residents with new or worsening incontinence
29.1%Worsening
Residents with depressive symptoms
30.2%Worsening
Long-stay residents given the seasonal flu vaccine
98.7%Steady
Long-stay residents given the pneumonia vaccine
99.8%Steady
Short-stay residents given the seasonal flu vaccine
89.3%Steady
Short-stay residents given the pneumonia vaccine
89.9%Worsening
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.
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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.
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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 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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of HILL VALLEY HEALTHCARE · 44 homes · 2 stars avg
- Occupancy
- 171.1 residents on an average day (97% of 176 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 41 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.