Evergreen Healthcare Center
924 Charlie's Way · Montpelier, OH · 43543 · 4194858307
73 certified beds For profit - Corporation Chain: Communicare Health
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- 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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 2.91 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (19 in the current record)
-
Potential for harm · D April 9, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected May 8, 2026 · Quality of Life and Care
-
Immediate jeopardy · J January 18, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 14, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G January 18, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 14, 2023 · Quality of Life and Care
-
Potential for harm · D January 18, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 14, 2023 · Resident Rights
-
Potential for harm · D January 18, 2023
Respond appropriately to all alleged violations.
Corrected February 14, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 18, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 14, 2023 · Quality of Life and Care
-
Potential for harm · D January 18, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected February 14, 2023 · Quality of Life and Care
-
Potential for harm · D January 18, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 14, 2023 · Pharmacy Service
-
Potential for harm · D January 18, 2023
Ensure that residents are free from significant medication errors.
Corrected February 14, 2023 · Pharmacy Service
-
Potential for harm · D January 18, 2023
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected February 14, 2023 · Administration
-
Potential for harm · D January 18, 2023
Provide and implement an infection prevention and control program.
Corrected February 14, 2023 · Infection Control
-
Potential for harm · D January 18, 2023
Implement a program that monitors antibiotic use.
Corrected February 14, 2023 · Infection Control
-
Potential for harm · D December 21, 2021
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 21, 2022 · Resident Rights
-
Potential for harm · D December 21, 2021
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 21, 2022 · Resident Rights
-
Potential for harm · D December 21, 2021
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 January 21, 2022 · Resident Rights
-
Potential for harm · D December 21, 2021
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected January 21, 2022 · Resident Assessment and Care Planning
-
Potential for harm · D December 21, 2021
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected January 21, 2022 · Quality of Life and Care
-
Potential for harm · D December 21, 2021
Ensure medication error rates are not 5 percent or greater.
Corrected January 21, 2022 · Pharmacy Service
-
Potential for harm · D December 21, 2021
Provide and implement an infection prevention and control program.
Corrected January 21, 2022 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365495 · certified since April 17, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.