EVERGREEN POST ACUTE, SMYRNA
EVERGREEN POST ACUTE, SMYRNA is a 151-bed nursing home in SMYRNA, Delaware. CMS has certified it for Medicare and Medicaid since 1980-10-06. It averages 137.7 residents a day.
What harm was found in the violations cited at EVERGREEN POST ACUTE, SMYRNA?
CMS lists 69 health-inspection deficiencies for EVERGREEN POST ACUTE, SMYRNA since 2023-04-11, 57 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 2026-05-11.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-11 | F0689, F0692 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. | G |
| 2026-05-11 | F0609, F0684, F0755 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-04-17 | F0760 | Ensure that residents are free from significant medication errors. | G |
| 2025-04-17 | F0584, F0657, F0812, F0880 | 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2025-04-17 | F0550, F0583, F0641, F0656, F0676, F0677, F0684, F0689, F0808, F0881, F0883, F0578, F0582, F0603, F0623, F0637, F0660 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Keep residents' personal and medical records private and confidential. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. / Implement a program that monitors antibiotic use. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Assess the resident when there is a significant change in condition / Plan the resident's discharge to meet the resident's goals and needs. | D |
| 2025-04-17 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | B |
| 2025-01-14 | F0609, F0610 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | D |
| 2024-05-30 | F0686, F0690, F0689, F0692 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. | G |
| 2024-05-30 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-05-30 | F0657, F0880 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide and implement an infection prevention and control program. | E |
| 2024-05-30 | F0550, F0558, F0578, F0585, F0641, F0644, F0645, F0656, F0658, F0677, F0684, F0756, F0757, F0761, F0773, F0842, F0609, F0610, F0695, F0711 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / PASARR screening for Mental disorders or Intellectual Disabilities / 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 care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D |
| 2023-04-11 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-04-11 | F0584, F0623, F0677, F0684, F0698, F0730, F0759, F0760, F0790, F0842, F0887 | 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Observe each nurse aide's job performance and give regular training. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / Provide routine and 24-hour emergency dental care for each resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D |
Why was EVERGREEN POST ACUTE, SMYRNA fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2025-04-17 | Fine | $17,345 |
| 2024-05-30 | Fine | $76,811 |
How is EVERGREEN POST ACUTE, SMYRNA staffed relative to the DE average?
| Measure | This facility | DE average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.70703 | 4.34546 |
| Total nursing staff turnover (%) | 51.0 | 41.3 |
| Average number of residents per day | 137.7 | 90.1 |
Who owns EVERGREEN POST ACUTE, SMYRNA, and what chain is it in?
EVERGREEN POST ACUTE, SMYRNA is registered with CMS as For profit - Limited Liability company, operates under the legal business name EVERGREEN POST ACUTE LLC and belongs to the PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | EVPA HOLDINGS LLC | since 02/01/2025 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | COPPER DE TRUST, GOLD DE TRUST, SILVER DE TRUST, STAR DE I HOLDINGS LLC, STAR DE I TRUST | since 02/01/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | RASTOGI, RITU, ROCHESTER, JESSICA | since 01/01/2025 |
| ADP OF THE SNF | RASTOGI, RITU, ROCHESTER, JESSICA | since 01/01/2025 |
Were you or a family member harmed at EVERGREEN POST ACUTE, SMYRNA?