F56

EVERGREEN HEALTHCARE CENTER

Grade F 56/100 composite score

For profit - CorporationAbuse Citation

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
2/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

73

Ownership

For profit - Corporation

Total Fines

$63,645

Last Survey

N/A

924 CHARLIE'S WAY, MONTPELIER, OH 43543
4194858307

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.50h
LPN
0.89h
CNA
1.60h
Total
2.99h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

SXCY MSTR LSCO, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2022

100%

C.R. STOLTZ FAMILY INVESTMENT COMPANY INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2018

C.R. STOLTZ IRREVOCABLE TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2018

HEALTH CARE LEASE FACILITIES, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2018

I. ROSEDALE IRREVOCABLE TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2018

R.S. WILHEIM IRREVOCABLE TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2018

RONALD S WILHEIM 2012 SPOUSAL TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2018

ROSEDALE FAMILY INVESTMENT COMPANY, INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2018

RRW, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2018

S.L. ROSEDALE IRREVOCABLE TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2018

SKILLED HC HOLDINGS, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2018

SXCY HOLDINGS, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2022

WILHEIM FAMILY INVESTMENT COMPANY, INC.

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2018

ROBINAIR MGT CO., LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Mar 2018

GROVES, DONNA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2023

GUTIERREZ, YVETTE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2021

PARK, KEVIN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2024

ROMEO, DOMINIC

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2023

ROMEO, DOMINIC

IndividualCORPORATE OFFICERSince Apr 2023

STOLTZ, CHARLES

IndividualCORPORATE OFFICERSince Mar 2018

WILHEIM, RONALD

IndividualCORPORATE OFFICERSince Mar 2018

Penalties & Fines (1)

$63,645total fines
DateTypeDescriptionAmount
Jan 18, 2023Fine$63,645

Health Inspection Deficiencies (18)

January 18, 2023Health11 deficiencies2 severe
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Feb 14, 2023
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Feb 14, 2023
0835DMinimal harm, Isolated

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Administration Deficiencies

Corrected Feb 14, 2023
0881DMinimal harm, Isolated

Implement a program that monitors antibiotic use.

Infection Control Deficiencies

Corrected Feb 14, 2023
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Feb 14, 2023
0600JImmediate jeopardy, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 14, 2023
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 14, 2023
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Feb 14, 2023
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Feb 14, 2023
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Feb 14, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 14, 2023
December 21, 2021Health7 deficiencies
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Jan 21, 2022
0623DMinimal harm, Isolated

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Jan 21, 2022
0625DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Jan 21, 2022
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Jan 21, 2022
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Jan 21, 2022
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Jan 21, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 21, 2022

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Frequently Asked Questions

What is the CareGrader rating for EVERGREEN HEALTHCARE CENTER?

EVERGREEN HEALTHCARE CENTER in MONTPELIER, Ohio has a CareGrader grade of F (Poor), with a composite score of 56.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for EVERGREEN HEALTHCARE CENTER?

EVERGREEN HEALTHCARE CENTER has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does EVERGREEN HEALTHCARE CENTER have?

EVERGREEN HEALTHCARE CENTER has 18 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.

Has EVERGREEN HEALTHCARE CENTER been fined?

Yes. EVERGREEN HEALTHCARE CENTER has $63,645 in total fines from CMS enforcement actions across 1 penalty.

How many beds does EVERGREEN HEALTHCARE CENTER have?

EVERGREEN HEALTHCARE CENTER has 73 certified beds with approximately 45 current residents (62% occupancy). The facility is located at 924 CHARLIE'S WAY, MONTPELIER, Ohio 43543. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.