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C
Below Standard

EVERGREEN HEALTH AND REHABILITATION CENTER

380 MILLWOOD AVENUE · WINCHESTER, VA 22601

5406677010 · For profit - Limited Liability company

176 beds167.9 residents241 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
A
Very Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

EVERGREEN HEALTH AND REHABILITATION CENTER receives an overall staffing grade of C (Below Standard). With 3.288 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.61 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 13.57% compared to weekdays. The facility relies heavily on temporary agency staff (15.74% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.288 HPRD — needs 0.19 more hours per resident per day.
⚠️15.74% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.288hrs/resident/day▼ 0.61
CMS benchmark: 3.48
RN HPRD
0.7665hrs/resident/day▲ 0.08
Recommended: 0.75
Weekend Drop-off
13.57%
3.4192 weekday → 2.9551 weekend
Agency Staff
15.74%
31.39% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7492hrs/resident/day
Direct care aides
LPN HPRD
0.7489hrs/resident/day
Licensed practical nurses
Consistency
0.2776std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Winchester City County Average+0.00 HPRD
3.29
03.29 HPRD
vs. Virginia State Average-0.54 HPRD
3.83
03.29 HPRD
vs. National Average-0.61 HPRD
3.90
03.29 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
EVERGREEN HEALTH AND REHABILITATION CENTER ★
WINCHESTER · This facility
—
C
3.2880.7665★★☆☆☆
SHENANDOAH VALLEY WESTMINSTER CANTERBURY
WINCHESTER
2.3 mi
C
5.23460.4932★★★☆☆
ROSE HILL HEALTH AND REHAB
BERRYVILLE
10 mi
C
3.29880.4094★☆☆☆☆
HERITAGE HALL FRONT ROYAL
FRONT ROYAL
15.6 mi
D
3.63490.3307★★★★★
LYNN CARE CENTER
FRONT ROYAL
16.7 mi
B
3.93110.7651★★★☆☆
Woodstock Valley Health and Rehabilitation
WOODSTOCK
27.9 mi
F
2.53780.1544★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
63
Total Deficiencies
$8,190
Fines Assessed
Jan 10, 2024Health
22 deficiencies cited
▼
Apr 25, 2023Health
8 deficiencies cited· Includes actual harm
▼
Apr 14, 2022Health
17 deficiencies cited
▼
Apr 25, 2019Health
16 deficiencies cited
▼

Penalty History

Apr 25, 2023Fine
$8,190
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.