Evergreen Health And Rehab
Nursing Home Facility
380 Millwood Avenue, Winchester, VA 22601
Evergreen Health And Rehab is a senior care community located in Winchester, VA. It provides nursing home care and senior living for older adults in the Winchester area. To learn more or schedule a tour, call (540) 667-7010.
Operated by Hill Valley Healthcare, which runs 34 communities in our directory.
With 176 beds, Evergreen Health And Rehab is one of the larger communities in the area, senior care communities in Winchester average about 66 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 98% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in January 2024 and recorded 28 deficiencies.
Residents receive about 3.2 hours of nursing care per day on average, including 0.8 hours from a registered nurse. Communities in Winchester average about 4.1 hours. Nursing staff turnover over the past year was about 50%.
The community is located in Winchester City County, VA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 61 problems at Evergreen Health And Rehab. None of them caused harm to a resident. 6 came from investigating complaints by residents or families.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide medically-related social services to help each resident achieve the highest possible quality of life.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, widespread
Administration
Have a plan that describes the process for conducting QAPI and QAA activities.
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Could cause more than minimal harm, widespread
Infection Control
Provide and implement an infection prevention and control program.
Show 20 more
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Could cause more than minimal harm, a pattern
Resident Rights
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Administration
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.
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Could cause more than minimal harm, a pattern
Infection Control
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.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate foot care.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
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.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
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Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
Observe each nurse aide's job performance and give regular training.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure medication error rates are not 5 percent or greater.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Allow residents to self-administer drugs if determined clinically appropriate.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Minimal harm or the potential for it, widespread
Nursing and Physician Services
Post nurse staffing information every day.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Evergreen Health And Rehab offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 176
- Occupancy 98%
- Nursing hours per resident/day 3.2
- Annual staff turnover 50%
- Last health inspection January 2024
Resident & family reviews
No one has shared a review of Evergreen Health And Rehab yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.