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
Nursing home report
EVERGREEN POST ACUTE
SMYRNA, DE · Medicare-certified · 151 beds
Needs attention
For-profitChain member
3 of 5 overall
Evergreen Post Acute (Smyrna, DE) has an overall rating of 3 out of 5 stars. Key concerns include a 2-star health inspection rating, 2-star staffing rating, nurse staffing below the federal benchmark (3.72 vs. 4.1 hours per resident per day), and $94,156 in fines in the last 24 months, including a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.7249 hrs/resident/day
Quality measures
Last inspection: April 17, 2025Penalties, last 24 months: $94,156recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7249.
Staffing detail
- Registered nurses
- 0.46
- Licensed practical nurses
- 1.02
- Nurse aides
- 2.25
- Weekend nursing
- 3.38
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 69%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20.6%Improving
Residents with a fall causing major injury
2.3%Improving
Residents with pressure ulcers (bedsores)
4.6%Improving
Residents with a urinary tract infection
0.9%Worsening
Residents who lost too much weight
0.7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.8%Improving
Residents whose ability to walk got worse
10.5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
17.4%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.8%Worsening
Residents with new or worsening incontinence
21.2%Worsening
Residents with depressive symptoms
25.7%Worsening
Long-stay residents given the seasonal flu vaccine
97.6%Steady
Long-stay residents given the pneumonia vaccine
98.6%Improving
Short-stay residents given the seasonal flu vaccine
97.2%Steady
Short-stay residents given the pneumonia vaccine
93.1%Steady
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited May 2024 — 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 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.
- 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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES · 15 homes · 3.5 stars avg
- Occupancy
- 130.4 residents on an average day (86% 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.