Evergreen Health Services
Evergreen Health Services is a 50-bed nursing home in Shawano, Wisconsin. CMS has certified it for Medicare and Medicaid since 1983-12-01. It averages 37.5 residents a day.
What harm was found in the violations cited at Evergreen Health Services?
CMS lists 20 health-inspection deficiencies for Evergreen Health Services since 2023-05-10, 18 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-09-16.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-09-16 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-09-16 | F0677, F0880 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide and implement an infection prevention and control program. | E |
| 2025-08-20 | F0693 | 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 |
| 2025-05-29 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E |
| 2025-05-29 | F0695, F0755, F0880, F0684 | Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-03-19 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-08-07 | 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. | D |
| 2024-05-22 | F0657, F0755, F0757, F0849, F0883 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2024-01-29 | F0580, F0686 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2023-05-10 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-05-10 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
Why was Evergreen Health Services fined?
| Date | Type | Amount |
|---|---|---|
| 2025-08-20 | Fine | $14,020 |
How is Evergreen Health Services staffed relative to the WI average?
| Measure | This facility | WI average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.58494 | 4.21234 |
| Total nursing staff turnover (%) | 52.4 | 46.9 |
| Average number of residents per day | 37.5 | 54.8 |
Who owns Evergreen Health Services, and what chain is it in?
Evergreen Health Services is registered with CMS as For profit - Limited Liability company, operates under the legal business name NSH SHAWANO-EVERGREEN LLC and belongs to the NORTH SHORE HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | NSHR OPERATIONS LLC | since 10/01/2019 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | ARROWHEAD 123 LLC, THE LANE MORRELL BOWEN TRUST, MILLS, DAVID | since 10/01/2019 |
| 5% OR GREATER MORTGAGE INTEREST | CIBC BANK USA | since 12/31/2024 |
| 5% OR GREATER SECURITY INTEREST | CIBC BANK USA | since 12/31/2024 |
| CORPORATE DIRECTOR | BAUMANN, TROY, HOEHN, JEFFREY | since 10/01/2019 |
| OPERATIONAL/MANAGERIAL CONTROL | CIBC BANK USA, CLIFTONLARSONALLEN LLP, CONTINUUM THERAPY PARTNERS LLC, NORTH SHORE HEALTHCARE LLC, NSH REHAB LLC, WIPFLI LLP, BAUMANN, TROY, BELONGIA, CHRISTINA, CHERUKULA, MADHAVI, GEE, DARREN, GOSSEN, JENNIFER, GREER, LAUREN, HOEHN, JEFFREY, PATZER, COLLEEN, PURTELL, BRIAN | since 01/05/2026 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | GEE, DARREN | since 02/10/2026 |
| ADP OF THE SNF | ARROWHEAD 123 LLC, CLIFTONLARSONALLEN LLP, CONTINUUM THERAPY PARTNERS LLC, NORTH SHORE HEALTHCARE LLC, NSH 1250 EVERGREEN STREET LLC, NSH REHAB LLC, WIPFLI LLP, BAUMANN, TROY, BELONGIA, CHRISTINA, CHERUKULA, MADHAVI, GEE, DARREN, GOSSEN, JENNIFER, GREER, LAUREN, HOEHN, JEFFREY, PATZER, COLLEEN, PURTELL, BRIAN | since 01/05/2026 |
Were you or a family member harmed at Evergreen Health Services?