Evergreen Health and Rehabilitation Center

Nursing Home · Winchester, VA

CMS overall rating 2/5 For profit - Limited Liability company

CMS certification number495142

Contact & location

380 Millwood Avenue
Winchester, VA 22601
Winchester City County
Phone
(540) 667-7010
ZIP code
22601 – all care providers

Open in Google Maps

Facility details

Certified beds
176
Residents per day
172.3 (98% occupied)
Ownership
For profit - Limited Liability company
Legal name
Evergreen SNF Operations LLC
Chain
Hill Valley Healthcare (43 facilities, avg 1.8★)
Medicare certified since
July 1, 1984
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.0
Health inspections★★★★★ 2/5
State avg 2.7
Staffing★★★★★ 2/5
State avg 2.4
Quality measures★★★★★ 4/5
State avg 3.9
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.16 (state 3.76 · U.S. 3.86)
Registered nurses (RN)
0.81 (state 0.69 · U.S. 0.69)
Licensed practical nurses
0.63 (state 1.00 · U.S. 0.86)
Nurse aides
1.71 (state 2.07 · U.S. 2.32)
Weekend total
2.93 (state 3.29 · U.S. 3.42)
Nursing staff turnover
49.7 (state 48.1 · U.S. 45.8)%
RN turnover
54.8 (state 48.2 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
January 10, 2024
Health deficiencies (last cycle)
28.0 (state 14.5 · U.S. 9.3)
From complaints
6
Citations on record (3 years)
61 health · 11 fire safety
DateCitationSeverityStatus
2026-05-06 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-01
2026-05-06 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-01
2026-05-06 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-01
2026-05-06 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F0740 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-01
2026-05-06 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-01
2026-05-06 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-01
2024-01-10 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 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.
F0840 · Administration Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 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.
F0887 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 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.
F0625 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 Provide appropriate foot care.
F0687 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 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.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-19
2024-01-10 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2024-02-19
2022-04-14 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-05-16
2022-04-14 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-05-16
2022-04-14 Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
F0622 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-05-16
2022-04-14 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-05-16
2022-04-14 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.
F0625 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-05-16
2022-04-14 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-05-16
2022-04-14 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-05-16
2022-04-14 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-05-16
2022-04-14 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-05-16
2022-04-14 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-05-16
2022-04-14 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-05-16
2022-04-14 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-05-16
2022-04-14 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
F0700 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-05-16
2022-04-14 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-05-16
2022-04-14 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-05-16
2022-04-14 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-05-16
2022-04-14 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2022-05-16
2019-04-25 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2019-06-21
2019-04-25 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2019-05-28
2019-04-25 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2019-05-28
2019-04-25 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2019-05-28
2019-04-25 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-05-28

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Evergreen SNF Operations Holdings LLC (organization)5%+ Direct Ownership Interest · 100%
Copper VA Trust (organization)5%+ Indirect Ownership Interest
Evergreen Noble Parentco LLC (organization)5%+ Indirect Ownership Interest
Gold VA Trust (organization)5%+ Indirect Ownership Interest
HVH Evergreen Operations Holdings LLC (organization)5%+ Indirect Ownership Interest
Meisner, Robert (individual)5%+ Indirect Ownership Interest
Silver VA Trust (organization)5%+ Indirect Ownership Interest
Idels, Shimon (individual)Corporate Officer · NOT APPLICABLE
Ringstaff, Ramona (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Evergreen Health and Rehabilitation Center?

Evergreen Health and Rehabilitation Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Virginia.

How many beds does Evergreen Health and Rehabilitation Center have?

It has 176 certified beds and cares for about 172 residents per day.

Has Evergreen Health and Rehabilitation Center been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Evergreen Health and Rehabilitation Center?

It is part of Hill Valley Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Evergreen Health and Rehabilitation Center?

(540) 667-7010. The facility is located at 380 Millwood Avenue, Winchester, VA 22601.

Other nursing homes in Winchester

Compare all nursing homes in Winchester, VA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.