EVERGREEN HEALTH AND REHABILITATION CENTER — Nursing Home in WINCHESTER, VA
CMS Five-Star Rating
Based on health inspections, staffing, and quality measures
Facility Overview
| Certified Beds | 176 |
|---|---|
| Average Residents/Day | 167.8 |
| CMS Certification Number | 495142 |
Staffing Levels
Hours Per Resident Day (HPRD)
| Total Nurse Staffing | 3.10 HPRD |
|---|---|
| RN Staffing | 0.66 HPRD |
Health Inspection Findings & Deficiencies
EVERGREEN HEALTH AND REHABILITATION CENTER had 22 health inspection deficiencies on its most recent inspection (January 10, 2024).
Inspection Findings — January 10, 2024
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Ensure services provided by the nursing facility meet professional standards of quality. (Level D)Corrected — February 19, 2024
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Allow residents to self-administer drugs if determined clinically appropriate. (Level D)Corrected — February 19, 2024
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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Level D)Corrected — February 19, 2024
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Level D)Corrected — February 19, 2024
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Level E)Corrected — February 19, 2024
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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. (Level D)Corrected — February 19, 2024
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Ensure each resident receives an accurate assessment. (Level D)Corrected — February 19, 2024
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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Level D)Corrected — February 19, 2024
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Provide appropriate foot care. (Level D)Corrected — February 19, 2024
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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. (Level D)Corrected — February 19, 2024
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Provide safe and appropriate respiratory care for a resident when needed. (Level D)Corrected — February 19, 2024
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Provide safe, appropriate dialysis care/services for a resident who requires such services. (Level E)Corrected — February 19, 2024
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Observe each nurse aide's job performance and give regular training. (Level D)Corrected — February 19, 2024
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Post nurse staffing information every day. (Level C)Corrected — February 19, 2024
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Level D)Corrected — February 19, 2024
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Ensure medication error rates are not 5 percent or greater. (Level D)Corrected — February 19, 2024
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Level E)Corrected — February 19, 2024
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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. (Level E)Corrected — February 19, 2024
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Level D)Corrected — February 19, 2024
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Have a plan that describes the process for conducting QAPI and QAA activities. (Level F)Corrected — February 19, 2024
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Provide and implement an infection prevention and control program. (Level F)Corrected — February 19, 2024
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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. (Level E)Corrected — February 19, 2024
Evergreen Health and Rehabilitation Center is a 176-bed nursing home in Winchester, Virginia. It holds a 2-star CMS overall rating. Total nurse staffing is 3.1 hours per resident day, below the Virginia average of 3.8. Its most recent inspection, in January 2024, cited 22 deficiencies, none of them severe.
The recent inspection found multiple deficiencies but none were classified as severe, which suggests the facility has correctable issues rather than the most serious regulatory problems. You may want to ask how the facility addresses its below‑average nurse staffing levels and what steps they take to make sure residents still receive timely, consistent care.
Frequently Asked Questions
Is EVERGREEN HEALTH AND REHABILITATION CENTER Medicare and Medicaid certified?
EVERGREEN HEALTH AND REHABILITATION CENTER is Medicare certified and Medicaid certified according to CMS data.
What is EVERGREEN HEALTH AND REHABILITATION CENTER's CMS star rating?
EVERGREEN HEALTH AND REHABILITATION CENTER has an overall CMS rating of 2 out of 5 stars.
How is staffing at EVERGREEN HEALTH AND REHABILITATION CENTER?
EVERGREEN HEALTH AND REHABILITATION CENTER reports 3.10288 total nurse hours per resident day.
Has EVERGREEN HEALTH AND REHABILITATION CENTER had health inspection deficiencies?
On its most recent inspection, EVERGREEN HEALTH AND REHABILITATION CENTER had 22 total deficiencies, including 0 classified as severe.
How many beds does EVERGREEN HEALTH AND REHABILITATION CENTER have?
EVERGREEN HEALTH AND REHABILITATION CENTER has 176 certified beds.
Nearby Nursing Homes
- SHENANDOAH VALLEY WESTMINSTER CANTERBURY — 2/5 — 2.3 mi
- WINCHESTER HEALTH & REHABILITATION — 2/5 — 2.4 mi
- THE VILLAGE AT ORCHARD RIDGE — 5/5 — 3.3 mi
- ROSE HILL HEALTH AND REHAB — 1/5 — 10.0 mi
Data Source
This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.
CMS Provider Information updated May 1, 2026.
CMS Survey Summary updated May 1, 2026.
CMS Health Deficiencies updated May 1, 2026.
CareQED last updated June 22, 2026.