C73

EVERGREEN HEALTH SERVICES

Grade C 73/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
4/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

50

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

1250 EVERGREEN ST, SHAWANO, WI 54166
7155263107

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.78h
LPN
0.79h
CNA
1.91h
Total
3.48h
Facility
State Average

Turnover Rates

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

Ownership

NSHR OPERATIONS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Oct 2019

100%

ARROWHEAD 123 LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2019

THE LANE MORRELL BOWEN TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2019

BAUMANN, TROY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2019

HOEHN, JEFFREY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2019

MILLS, DAVID

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2019

CIBC BANK USA

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 2019

CLIFTONLARSONALLEN LLP

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 2019

CONTINUUM THERAPY PARTNERS

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Mar 2025

NORTH SHORE HEALTHCARE LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 2019

NSH REHAB LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Mar 2025

WIPFLI LLP

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

BALLESTAD, MICHELLE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2025

BAUMANN, TROY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2019

BELONGIA, CHRISTINA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2019

CHERUKULA, MADHAVI REDDY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2023

GEE, DARREN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2021

GREER, LAUREN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2023

HOEHN, JEFFREY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2019

PATZER, COLLEEN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2023

PURTELL, BRIAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2019

BAUMANN, TROY

IndividualCORPORATE DIRECTORSince Oct 2019

HOEHN, JEFFREY

IndividualCORPORATE DIRECTORSince Oct 2019

CIBC BANK USA

Organization5% OR GREATER SECURITY INTERESTSince Dec 2024

CIBC BANK USA

Organization5% OR GREATER MORTGAGE INTERESTSince Dec 2024

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (20)

September 16, 2025Health3 deficiencies1 severe
0677EMinimal harm, Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Oct 9, 2025
0689JImmediate jeopardy, 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 Oct 9, 2025
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Oct 9, 2025
August 20, 2025Health1 deficiency
0693DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Sep 11, 2025
May 29, 2025Health5 deficiencies
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 19, 2025
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jun 19, 2025
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jun 19, 2025
0809EMinimal harm, Pattern

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.

Nutrition and Dietary Deficiencies

Corrected Jun 19, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 19, 2025
March 19, 2025Health1 deficiency1 severe
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 May 2, 2025
August 7, 2024Health1 deficiency
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Aug 19, 2024
May 22, 2024Health5 deficiencies
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 20, 2024
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jun 20, 2024
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Jun 20, 2024
0849DMinimal harm, Isolated

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.

Administration Deficiencies

Corrected Jun 20, 2024
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Jun 20, 2024
January 29, 2024Health2 deficiencies
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 29, 2024
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Feb 29, 2024
May 10, 2023Health2 deficiencies
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Jun 8, 2023
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected May 31, 2023

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Frequently Asked Questions

What is the CareGrader rating for EVERGREEN HEALTH SERVICES?

EVERGREEN HEALTH SERVICES in SHAWANO, Wisconsin has a CareGrader grade of C (Average), with a composite score of 72.5 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 HEALTH SERVICES?

EVERGREEN HEALTH SERVICES has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does EVERGREEN HEALTH SERVICES have?

EVERGREEN HEALTH SERVICES has 20 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does EVERGREEN HEALTH SERVICES have?

EVERGREEN HEALTH SERVICES has 50 certified beds with approximately 38 current residents (76% occupancy). The facility is located at 1250 EVERGREEN ST, SHAWANO, Wisconsin 54166. It is a for profit - limited liability company 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.