EVERGREEN HEALTH AND REHABILITATION CENTER, WINCHESTER
Certified for Medicare and Medicaid since 1984-07-01, EVERGREEN HEALTH AND REHABILITATION CENTER, WINCHESTER is a 176-bed nursing home in WINCHESTER, Virginia, averaging 172.3 residents a day.
Has EVERGREEN HEALTH AND REHABILITATION CENTER, WINCHESTER been cited for violations?
CMS lists 61 health-inspection deficiencies for EVERGREEN HEALTH AND REHABILITATION CENTER, WINCHESTER since 2019-04-25, 28 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-05-06.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-06 | F0607, F0609, F0657, F0740, F0745, F0842 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-01-10 | F0865, F0880 | Have a plan that describes the process for conducting QAPI and QAA activities. / Provide and implement an infection prevention and control program. | F |
| 2024-01-10 | F0623, F0698, F0812, F0840, F0887 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. / 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. | E |
| 2024-01-10 | F0554, F0580, F0582, F0625, F0641, F0656, F0658, F0687, F0688, F0695, F0730, F0755, F0759, F0842 | Allow residents to self-administer drugs if determined clinically appropriate. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Notify 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. / 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 services provided by the nursing facility meet professional standards of quality. / Provide appropriate foot care. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide safe and appropriate respiratory care for a resident when needed. / Observe each nurse aide's job performance and give regular training. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-01-10 | F0732 | Post nurse staffing information every day. | C |
| 2022-04-14 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2022-04-14 | F0578, F0622, F0623, F0625, F0657, F0730 | 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. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Observe each nurse aide's job performance and give regular training. | E |
| 2022-04-14 | F0582, F0641, F0656, F0689, F0695, F0700, F0842, F0880, F0947 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D |
| 2022-04-14 | F0732 | Post nurse staffing information every day. | C |
| 2019-04-25 | F0695, F0730, F0759, F0761 | Provide safe and appropriate respiratory care for a resident when needed. / Observe each nurse aide's job performance and give regular training. / Ensure medication error rates are not 5 percent or greater. / 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. | E |
| 2019-04-25 | F0550, F0580, F0622, F0623, F0641, F0656, F0657, F0697, F0755, F0758, F0812, F0842 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide safe, appropriate pain management for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
How is EVERGREEN HEALTH AND REHABILITATION CENTER, WINCHESTER staffed relative to the VA average?
| Measure | This facility | VA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.15684 | 3.75779 |
| Total nursing staff turnover (%) | 49.7 | 48.1 |
| Average number of residents per day | 172.3 | 99.5 |
Who owns EVERGREEN HEALTH AND REHABILITATION CENTER, WINCHESTER, and what chain is it in?
EVERGREEN HEALTH AND REHABILITATION CENTER, WINCHESTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name EVERGREEN SNF OPERATIONS LLC and belongs to the HILL VALLEY HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | EVERGREEN SNF OPERATIONS HOLDINGS LLC | since 07/01/2021 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | COPPER VA TRUST, EVERGREEN NOBLE PARENTCO LLC, GOLD VA TRUST, HVH EVERGREEN OPERATIONS HOLDINGS LLC, SILVER VA TRUST, MEISNER, ROBERT | since 07/01/2021 |
| W-2 MANAGING EMPLOYEE | RINGSTAFF, RAMONA | since 07/01/2021 |
| CORPORATE OFFICER | IDELS, SHIMON | since 01/01/2023 |
Were you or a family member harmed at EVERGREEN HEALTH AND REHABILITATION CENTER, WINCHESTER?