Evergreen Health and Rehabilitation Center
380 Millwood Avenue · Winchester, VA · 22601 · 5406677010
176 certified beds For profit - Limited Liability company Chain: Hill Valley Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.20 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.77 | 0.55–0.75 |
| Weekend hours / resident-day | 2.94 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (55 in the current record)
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Potential for harm · D January 10, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected February 19, 2024 · Resident Rights
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Potential for harm · D January 10, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 19, 2024 · Resident Rights
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Potential for harm · D January 10, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected February 19, 2024 · Resident Rights
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Potential for harm · E January 10, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected February 19, 2024 · Resident Rights
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Potential for harm · D January 10, 2024
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.
Corrected February 19, 2024 · Resident Rights
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Potential for harm · D January 10, 2024
Ensure each resident receives an accurate assessment.
Corrected February 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 10, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 10, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 10, 2024
Provide appropriate foot care.
Corrected February 19, 2024 · Quality of Life and Care
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Potential for harm · D January 10, 2024
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.
Corrected February 19, 2024 · Quality of Life and Care
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Potential for harm · D January 10, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 19, 2024 · Quality of Life and Care
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Potential for harm · E January 10, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected February 19, 2024 · Quality of Life and Care
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Potential for harm · D January 10, 2024
Observe each nurse aide's job performance and give regular training.
Corrected February 19, 2024 · Nursing and Physician Services
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Potential for harm · D January 10, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 19, 2024 · Pharmacy Service
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Potential for harm · D January 10, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected February 19, 2024 · Pharmacy Service
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Potential for harm · E January 10, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 19, 2024 · Nutrition and Dietary
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Potential for harm · E January 10, 2024
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.
Corrected February 19, 2024 · Administration
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Potential for harm · D January 10, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · F January 10, 2024
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected February 19, 2024 · Administration
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Potential for harm · F January 10, 2024
Provide and implement an infection prevention and control program.
Corrected February 19, 2024 · Infection Control
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Potential for harm · E January 10, 2024
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.
Corrected February 19, 2024 · Infection Control
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No harm found · C January 10, 2024
Post nurse staffing information every day.
Corrected February 19, 2024 · Nursing and Physician Services
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Potential for harm · E April 14, 2022
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected May 16, 2022 · Resident Rights
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Potential for harm · D April 14, 2022
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 16, 2022 · Resident Rights
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Potential for harm · E April 14, 2022
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected May 16, 2022 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495142 · certified since July 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.