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Evergreen Health Care Center

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About Evergreen Health Care Center

General Information

Legal Business NameStafford Springs Ct Snf LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 26, 1989 (28 years)
Capacity180
Residents144
Percent Occupied80%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Evergreen Health Care Center

Evergreen Health Care Center
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Connecticut Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

August 25, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,365 fine
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
DFewPotential for HarmHealth InspectionMake sure that special or therapeutic diets are ordered by the attending doctor.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionProtect each resident from mistreatment, neglect and misappropriation of personal property.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.

April 13, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
GFewActual HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

August 7, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide or obtain dental services for each resident.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.

September 26, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Evergreen Health Care Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 25min
2hr 35min
ReportedExpected
CNA
45min
40min
ReportedExpected
LPN
45min
1hr
ReportedExpected
RN
3hr 55min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.6%
96.8%
96.8%
96.8%
94.8%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.2%
95.8%
93.2%
71.8%
94.7%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
44.4%
45.8%
57.5%
62.2%
45.9%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of low risk long-stay residents who lose control of their bowels or bladder
25.3%
24.3%
21.1%
23.4%
21.8%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents who received an antianxiety or hypnotic medication
18.2%
42.2%
33.8%
29.8%
19.2%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents whose ability to move independently worsened
23.9%
22.9%
28.2%
26.7%
16.5%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents who received an antipsychotic medication
18.1%
21.5%
28.0%
23.4%
16.1%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents whose need for help with daily activities has increased
0.9%
8.3%
14.6%
4.9%
5.5%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents who self-report moderate to severe pain
11.3%
5.2%
11.9%
8.6%
6.8%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents who lose too much weight
1.1%
2.2%
0.0%
4.2%
4.2%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of high risk long-stay residents with pressure ulcers
3.6%
11.8%
2.7%
0.9%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents who have depressive symptoms
10.4%
4.3%
5.1%
0.0%
3.3%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents with a urinary tract infection
4.3%
3.4%
3.4%
3.4%
3.4%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents experiencing one or more falls with major injury
1.8%
2.9%
2.5%
0.0%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents with a catheter inserted and left in their bladder
2.6%
0.8%
0.0%
0.9%
0.3%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

88.4%
88.6%
68.0%
36.0%
80.6%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
84.4%
83.3%
83.3%
83.3%
80.2%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
73.7%
75.1%
76.2%
69.0%
66.4%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of short-stay residents who made improvements in function
24.5%
26.7%
25.0%
21.2%
15.5%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of short-stay residents who self-report moderate to severe pain
0.7%
2.2%
6.1%
5.5%
1.5%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.0%
0.5%
0.9%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of short-stay residents with pressure ulcers that are new or worsened