The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Evergreen Manor Senior Care Center
Battle Creek, MI · Medicare-certified · 91 beds
In good standing
For-profitChain member
4 of 5 overall
Evergreen Manor Senior Care Center has a 4 out of 5 star overall rating, with 4-star ratings for health inspections, staffing, and quality measures. It reported 3.50 nurse hours per resident per day versus the 4.1 federal benchmark, had $0 in fines in the last 24 months, and recent citations included accident safety, enough nursing staff, and professional standards of quality.
Facility ratings
Health inspections
Staffing
3.5041 hrs/resident/day
Quality measures
Last inspection: December 16, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5041.
Staffing detail
- Registered nurses
- 0.60
- Licensed practical nurses
- 0.64
- Nurse aides
- 2.26
- Weekend nursing
- 3.05
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 31%
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
19%12.7%Improving
Residents with a fall causing major injury
2.9%1.4%Improving
Residents with pressure ulcers (bedsores)
2.2%1.6%Improving
Residents with a urinary tract infection
1.5%0%Improving
Residents who lost too much weight
3.3%12.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.8%4.9%No change
Residents whose ability to walk got worse
6.1%5.5%Improving
Long-stay residents on antianxiety or sleep medication
20%16.7%Improving
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
4.3%1.3%Improving
Residents with depressive symptoms
7.5%10.8%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%98.6%Worsening
Short-stay residents given the seasonal flu vaccine
—87.3%—
Short-stay residents given the pneumonia vaccine
82.6%70.8%Worsening
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited December 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The nursing home failed to provide services that met professional standards of quality. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited January 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: D
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited January 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of NEXCARE HEALTH SYSTEMS · 20 homes · 3.8 stars avg
- Occupancy
- 89 residents on an average day (98% of 91 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 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.