Evergreen Manor Senior Care Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

54.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 136 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 63.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 81 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.24 therapist hours per resident per day in 2026Q1 — more than 33% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 36% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 91 beds and averages 88.4 residents a day — about 97% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.38 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.61 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.12 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.94 hrs/resident/day on weekends vs 3.56 on weekdays — 17% thinner on weekends. RN hours go from 0.71 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 47% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · F2026-04-02 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to have an active and ongoing plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP), resulting in the potential for increased risk of respiratory infection among all residents in the facility.Findings include: On 3/31/26 at 10:02 AM, observation of the mop sink closet in the kitchen found that a hot water storage tank was placed where the old mop sink was located. At this time, it was observed that the hot water line from the old mop sink was connected to the storage tank and the cold-water line was observed connected to nothing, indicating a stagnant water line. On 3/31/26 at 10:49 AM, observation of the 300 hall Soiled Utility room found that the hopper fixture had been removed from the room. When asked if the water lines that were left, from the hopper being removed, were on a flushing schedule, Plant Operations Director (POD) P stated that the facilities flushing schedule is every Friday for eye wash stations and some minimal use fixtures, but the lines for the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-02 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure that one resident (#100) was treated with dignity and care in manner that promotes maintenance or enhancement of her quality of life out of one resident reviewed for dignity.Findings included: Resident #100 (R100)Review of the medical record revealed R100 was admitted [DATE] with diagnoses that included metabolic encephalopathy (brain dysfunction caused by chemical imbalance, urinary tract infection, hypertension, difficulty walking, and muscle weakness. Review of R98's document entitled Brief Interview of Mental Status (3.0 BIMS), completed 03/30/2026, revealed a BIMS score of 15 (cognitively intact) out of 15.On 03/31/2026 at 09:31 a.m. during observation and interview R100 was observed lying down in bed. R100's daughter V was observed sitting in a chair at her bedside. R100 explained that she had a concern regarding her care. She explained that sometime in the middle of the night an aide had told her just to urinate in her brief…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-02 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to report an allegation of neglect/abuse to the appropriate state survey agency for one resident (#100) of one resident reviewed for neglect/abuse.Findings Included:Resident #100 (R100)Review of the medical record revealed R100 was admitted [DATE] with diagnoses that included metabolic encephalopathy (brain dysfunction caused by chemical imbalance, urinary tract infection, hypertension, difficulty walking, and muscle weakness. Review of R98's document entitled Brief Interview of Mental Status (3.0 BIMS), completed 03/30/2026, revealed a BIMS score of 15 (cognitively intact) out of 15.On 03/31/2026 at 09:31 a.m. during observation and interview R100 was observed lying down in bed. R100's daughter V was observed sitting in a chair at her bedside. R100 explained that she had a concern regarding her care. She explained that sometime in the middle of the night an aide had told her just to urinate in her brief because the aide did not have time to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-02 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to adequately investigate an allegation of neglect/abuse for one resident (#100) of one resident review of neglect/abuse.Findings Included: Resident #100 (R100)Review of the medical record revealed R100 was admitted [DATE] with diagnoses that included metabolic encephalopathy (brain dysfunction caused by chemical imbalance, urinary tract infection, hypertension, difficulty walking, and muscle weakness. Review of R98's document entitled Brief Interview of Mental Status (3.0 BIMS), completed 03/30/2026, revealed a BIMS score of 15 (cognitively intact) out of 15.On 03/31/2026 at 09:31 a.m. during observation and interview R100 was observed lying down in bed. R100's daughter V was observed sitting in a chair at her bedside. R100 explained that she had a concern regarding her care. She explained that sometime in the middle of the night an aide had told her just to urinate in her brief because the aide did not have time to take her to the bathroom.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-02 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to provide a written summary of the baseline care plan to one resident (#98) or residents representative out of 18 residents reviewed for baseline care plan.Findings included: Resident #98 (R98)Review of the medical record revealed R98 was admitted [DATE] with diagnoses that include stroke, atrial fibrillation, hyperlipidemia (high fat content in blood), respiratory failure, type 2 diabetes, aphasia (language disorder), right sided paralysis (loss of muscle function), dysphagia (difficulty swallowing), and insomnia. Review of R98's document entitled Brief Interview of Mental Status (3.0 BIMS), completed 03/31/2026, revealed a BIMS score that was not assessed related to R98's medical condition. On 03/31/2026 at 09:06 a.m. R98 was observed lying down in bed. R98 did not respond to verbal questions.Review of R98's medical record revealed an interim plan of care that was initiated upon admission. During an interview on 03/31/2026 at 03:08 p.m.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-16 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake 2648236.Based on observation, interview, and record review, the facility failed to provide adequate post-surgical wound care for one (R201) of one resident reviewed.Review of the clinical record revealed R201 was admitted into the facility on 9/25/25 with diagnoses that included: encounter for surgical aftercare following surgery on the nervous system, depression, anxiety, and difficulty walking.According to the Minimum Data Set (MDS) assessment dated [DATE], R201 required substantial/maximal assistance for shower/bathing and scored 15/15 on the Brief Interview for Mental Status exam (which indicated intact cognition).A review of R201's After Visit Summary (instructions provided to resident at discharge from the hospital) dated 9/25/25 revealed resident underwent spinal surgery. The incision care instructions documented in part Shower every day, when showering, use a mild soap and let warm soapy water wash over the incision. If unable to shower daily, wash the incision gently…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-15 · tag F0585 — failed to handle grievances — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to provide and document evidence of prompt resolution to a grievance for missing personal clothing of one (resident #48) out of one resident reviewed resulting in unresolved grievance. Findings Included: Resident #48 (R48) Review of the medical record revealed R48 was admitted to the facility 12/06/24 with diagnoses that included sepsis (complicated infection), cellulitis (bacterial skin infection) of left lower limb, chronic pain syndrome, depression, gastro-esophageal reflux, hypertension, neuropathy (pain from nerve damage), osteoarthritis (degenerative joint disease), rheumatoid arthritis (chronic inflammation of joints), spinal stenosis(spinal narrowing), obesity, lymphedema (swelling of extremities cause by lymphatic system blockage), and difficulty walking. The most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 12/12/2024, demonstrated a Brief Interview for Mental Status (BIMS) of 15 (cognitively intact) out of 15. During observation and interview 01/13/2025 at 02:01 p.m. R48…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-15 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to justify the ongoing use of an indwelling urinary catheter for one (R11) of three reviewed. Findings include: Review of the medical record revealed R11 was admitted to the facility on [DATE] with diagnoses that included functional urinary incontinence. The Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/18/24 revealed R11 scored 15 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool, did not have an indwelling catheter, was not on a urinary toileting program, and was always incontinent of urine. On 01/13/25 at 09:31 AM, R11 was observed sitting in their wheelchair in their room, eating breakfast. R11 reported she had an indwelling urinary catheter that was uncomfortable. R11 reported the facility inserted the catheter because the resident was sick, really sick and had pus in their bladder. R11's catheter tubing was observed with clear, yellow urine. Review of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-09 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure two of seven staff reviewed who performed cardiopulmonary resuscitation (CPR) on Resident #2 maintained current CPR certification for healthcare providers. Findings include: Resident #2 (R2) Review of medical record revealed R2 was admitted to the facility on [DATE] with diagnoses that included atrial fibrillation, diabetes, and lymphedema. The Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of [DATE] revealed R2 scored 15 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS). R2's wishes were to be a full code and have CPR performed. R2 died in the facility on [DATE]. Review of the Nurses Note dated [DATE] revealed in part At 0543 [5:43 AM] this nurse grabbed the crash cart and yelled for the other nurse in the facility for help with CPR if necessary. At 0545 [5:45 AM] two nurses noted resident was no longer breathing and no pulse. Resident was immediately lowered her to the floor and chest compressions…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-07 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to ensure two out of two residents (Resident #46 & 190) were free from misappropriation of property when $70 and a purse were identified to be missing. Findings Included: In an interview on 3/06/2024 at 9:38 AM, Resident # 46 (R46) stated that she had $70 stolen, and said it was on her windowsill under a small bag (resembled a makeup bag). R46 said about one week ago was when her $70 was found to be missing. R46 said a Certified Nurse Aid (CNA), who's name she could not recall, was in her room cleaning off her windowsill approximately one week ago from this interview, and said she told the CNA not to lift the bag up off the windowsill, but the CNA did anyhow and saw the money. R46 said that no staff had interviewed her nor got a statement from her regarding her missing $70. Record review of a care plan dated 12/23/2023, and titled COMMUNICATION/SENSORY revealed R46 was able to communicate her wants and needs, understood others, and her vision and hearing were adequate. In an interview on 3/07/2024 at 9:51 AM, CNA…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to NEXCARE HEALTH SYSTEMS — 20 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 74% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $990K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MI