The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Pinnacle Rehabilitation & Health Center
Registered name: EVERGREEN POST ACUTE
SMYRNA, DE · Medicare-certified · 151 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Pinnacle Rehabilitation & Health Center in Smyrna, DE has a 2-star overall rating, with a 1-star health inspection rating and 3-star staffing; reported nurse staffing is 3.71 hours per resident per day, below the 4.1 federal benchmark, and it had $17,345 in fines in the last 24 months, including a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.707 hrs/resident/day
Quality measures
Last inspection: May 11, 2026Penalties, last 24 months: $17,345recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.707.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 1.00
- Nurse aides
- 2.23
- Weekend nursing
- 3.36
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 58%
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%15.3%Improving
Residents with a fall causing major injury
3.4%0%Improving
Residents with pressure ulcers (bedsores)
4.1%3.5%Improving
Residents with a urinary tract infection
0.9%2%Worsening
Residents who lost too much weight
0.9%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.7%4.3%Improving
Residents whose ability to walk got worse
13.6%6.9%Improving
Long-stay residents on antianxiety or sleep medication
13.9%26.7%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0.7%0%Improving
Residents with new or worsening incontinence
23.2%25.1%Worsening
Residents with depressive symptoms
7.6%49.5%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
—97.6%—
Long-stay residents given the pneumonia vaccine
100%99%Worsening
Short-stay residents given the seasonal flu vaccine
—97.2%—
Short-stay residents given the pneumonia vaccine
95.8%94.5%Worsening
What the inspectors found
The home failed to provide enough food and fluids to keep residents healthy. Cited May 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The nursing home failed to ensure residents were free from significant medication errors. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $17,345 was recorded.
- INSPECTION
Health inspection found 23 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $76,811 was recorded.
- INSPECTION
Health inspection found 27 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $94,156 in total fines.
- $17,345
Federal fine
Apr 17, 2025
- $76,811
Federal fine
May 30, 2024
Operator & ownership
Recent ownership change · Feb 1, 2025
Now operated by Evergreen Post Acute, previously Pinnacle Rehabilitation and Health Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES · 15 homes · 3.2 stars avg
- Occupancy
- 137.7 residents on an average day (91% of 151 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 45 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.