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Evergreen Health And Rehabilitation Center in Winchester, VA

380 Millwood Avenue, Winchester, VA 22601
5406677010
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Overall CMS Rating

2.0/5

vs State Average: 3.0 stars

2.0/5

Health Inspections

vs State Average: 2.8/5

2.0/5

Staffing Level

vs State Average: 2.5/5

4.0/5

Quality Measures

vs State Average: 3.9/5

1 penaltiesin last 3 years
Penalties
vs State Average: 0.5 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.8
National Average
2.8
5Deficiencies found in last inspections
1Penalties in last 3 years
1Fines issued
CitationDateDescriptionSeverity
Jan 10, 2024Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D
F582Jan 10, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D
F554Jan 10, 2024Allow residents to self-administer drugs if determined clinically appropriate.D
F580Jan 10, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
F623Jan 10, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E
Score
2.0
State Average
2.5
National Average
2.9
0.8RN Hours / Resident / Day
3.3Total Nurse Hours / Resident / Day
58.8%RN Turnover Rate
Score
4.0
State Average
3.9
National Average
3.6
5.0Long-Stay QM Rating
3.0Short-Stay QM Rating
167.9Avg Residents Per Day
MeasureScoreType
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay
Percentage of long-stay residents who lose too much weightLong Stay
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay
Percentage of long-stay residents with a urinary tract infectionLong Stay
Percentage of long-stay residents who have depressive symptomsLong Stay
Percentage of long-stay residents who were physically restrainedLong Stay
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineLong Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccineShort Stay
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay

Ownership & Compliance

Ownership Info

Ownership information has not been added yet.

Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTERESTEVERGREEN SNF OPERATIONS HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTERESTCOPPER VA TRUST
5% OR GREATER INDIRECT OWNERSHIP INTERESTEVERGREEN NOBLE PARENTCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTERESTGOLD VA TRUST
5% OR GREATER INDIRECT OWNERSHIP INTERESTHVH EVERGREEN OPERATIONS HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTERESTLION 26 HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTERESTSABRINA 1818 HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTERESTSAESSY IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTERESTSILVER VA TRUST
5% OR GREATER INDIRECT OWNERSHIP INTERESTTATIRIQ IRREVOCABLE TRUST
Recent Penalties
DateTypeFine
Apr 25, 2023Fine$8,190

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