Abuse.com - EVERGREEN HEALTH AND REHAB

Abuse.com Nursing Home Profile

Detailed information for EVERGREEN HEALTH AND REHAB

Nursing Home Results

Contact Information:

	Long Term Care Ombudsman	Not Available
	State Survey Agency	Not Available
	State Quality Improvement Organization	Not Available

EVERGREEN HEALTH AND REHAB	As of 04/30/2004
380 MILLWOOD AVENUE WINCHESTER, VA 22601 (540) 667-7010	Not located within a Hospital Resident Councils Only 176 Certified Beds
Initial Date of Certification: 07/01/1984 Type of Ownership: For profit - Individual Not a Multi-Nursing home (chain) Ownership	Medicare Certified Medicaid Certified

Medicare.gov is pleased to provide information about Quality Measures, Inspection Results and Nursing Home Staffing for the nursing home you have selected.

Quality Measures information comes from resident assessment data that nursing homes routinely collect on all residents at specific intervals during their stay. The information collected pertains to the resident’s physical, clinical conditions and abilities.

Inspection Results information refers to the regulatory requirement that the nursing home failed to meet but does not reflect the entire inspection report.

Nursing Home Staffing information comes from reports that the nursing home reports to its state survey agency. It contains the nursing staff hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts the reported information into the number of staff hours per resident per day.

Quality Measures

Quality Measures	Percentage for EVERGREEN HEALTH AND REHAB	National Average
Percent of Residents Whose Need for Help With Daily Activities Has Increased	25%	16%
Percent of Residents Who Have Moderate to Severe Pain	10%	6%
Percent of High-Risk Residents Who Have Pressure Sores	17%	14%
Percent of Low-Risk Residents Who Have Pressure Sores	3%	3%
Percent of Residents Who Were Physically Restrained	1%	8%
Percent of Residents Who are More Depressed or Anxious	6%	15%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder	49%	47%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	5%	6%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair	5%	4%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse	21%	13%
Percent of Residents With a Urinary Tract Infection	5%	8%
Percent of Short-Stay Residents With Delirium	0%	3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	20%	22%
Percent of Short-Stay Residents With Pressure Sores	17%	21%

Inspection Results

EVERGREEN HEALTH AND REHAB 380 MILLWOOD AVENUE WINCHESTER, VA 22601 (540) 667-7010
Date of this inspection: 04/30/2004 Complaint Investigations During: 04/01/2003 - 06/30/2004 Total number of health deficiencies for this nursing home: 12 Average number of Health Deficiencies in : 5 Average number of Health Deficiencies in the United States: 7 Range of Health Deficiencies in : 1 - 12 View Previous Inspection Results
Quality Care Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
1. Give each resident care and services to get or keep the highest quality of life possible. (07/23/2003)	09/04/2003	2 = Minimal harm or potential for actual harm	Few
2. Give each resident care and services to get or keep the highest quality of life possible. (04/30/2004)		2 = Minimal harm or potential for actual harm	Few
3. Properly assign doctors' tasks. (04/30/2004)		1 = Potential for minimal harm	Some
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
4. 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. (04/30/2004)		1 = Potential for minimal harm	Some
5. Make sure that residents are well nourished. (04/30/2004)		1 = Potential for minimal harm	Many
6. Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. (04/30/2004)		1 = Potential for minimal harm	Some
7. Store, cook, and give out food in a safe and clean way. (04/30/2004)		1 = Potential for minimal harm	Some
Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
8. Have a program to keep infection from spreading. (04/30/2004)		2 = Minimal harm or potential for actual harm	Few
9. Make sure that a working call system is available in each resident's room or bathroom and bathing area. (04/30/2004)		2 = Minimal harm or potential for actual harm	Few
10. Make sure there is a program to prevent/deal with mice, insects, or other pests. (04/30/2004)		2 = Minimal harm or potential for actual harm	Few
11. Put firmly secured handrails on each side of hallways. (04/30/2004)		1 = Potential for minimal harm	Some
Administration Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
12. Keep accurate and appropriate medical records. (04/30/2004)		1 = Potential for minimal harm	Some

Nursing Home Staffing

Nursing Staff Hours Per Resident Per Day
	EVERGREEN HEALTH AND REHAB	State Average in	National Average
Number of Residents	130	42.8	89.2
RN Hours per Resident per Day*	0.25	1.7	0.7
LPN/LVN Hours per Resident per Day*	0.68	0.7	0.8
CNA Hours per Resident per Day*	1.42	4	2.4
Total Number of Nursing Staff Hours per Resident per Day*	2.35	6.4	3.9

*Hours per resident per day is the average daily work (in hours) given by the entire group of nurses or nursing assistants divided by total number of residents. The amount of care given to each resident varies.

Please use our Nursing Home Checklist for help with narrowing your nursing homes choices. The checklist provides questions and observations that are important to keep in mind as you visit nursing homes and will help you make a good choice for you or your relative.

Page Last Updated: January 22, 2004
Data Last Updated: August 2, 2004

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