EVERGREEN CARE CENTER
EVERGREEN CARE CENTER is a 49-bed nursing home in FRESNO, California. CMS has certified it for Medicare and Medicaid since 2019-11-12. It averages 46.3 residents a day.
What harm was found in the violations cited at EVERGREEN CARE CENTER?
CMS lists 35 health-inspection deficiencies for EVERGREEN CARE CENTER since 2019-05-23, 25 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-27.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-27 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2026-03-05 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D |
| 2025-07-09 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-06-17 | F0774 | Help the resident with transportation to and from laboratory services outside of the facility. | E |
| 2025-03-11 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | G |
| 2025-03-11 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F |
| 2025-03-11 | F0550, F0656 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-02-26 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| 2024-11-13 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-05-17 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-05-17 | F0550, F0842 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2024-05-17 | F0656, F0658, F0755, F0805, F0880 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Provide and implement an infection prevention and control program. | D |
| 2024-05-17 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B |
| 2024-01-16 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-12-01 | F0658, F0693 | Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D |
| 2023-10-11 | F0607, F0656 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-08-21 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D |
| 2019-05-23 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2019-05-23 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2019-05-23 | F0623, F0656, F0657, F0658, F0700 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E |
| 2019-05-23 | F0637, F0641 | Assess the resident when there is a significant change in condition / Ensure each resident receives an accurate assessment. | D |
| 2019-05-23 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B |
How is EVERGREEN CARE CENTER staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.19984 | 4.51570 |
| Total nursing staff turnover (%) | 51.5 | 36.7 |
| Average number of residents per day | 46.3 | 87.9 |
Who owns EVERGREEN CARE CENTER, and what chain is it in?
EVERGREEN CARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name EVERGREEN CARE CENTER LLC and belongs to the AJC HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | EVERGREEN CARE CENTER HOLDINGS LLC | since 05/17/2019 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | SWC CA OPCO, LLC, CHESLEY, AARON | since 02/01/2021 |
| W-2 MANAGING EMPLOYEE | SMITH, PHYLICIA | since 02/01/2021 |
| CORPORATE OFFICER | CHESLEY, AARON, GAMETT, JAMES | since 02/01/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | EVERGREEN CARE CENTER HOLDINGS LLC | since 05/17/2019 |
Were you or a family member harmed at EVERGREEN CARE CENTER?