Evergreen Healthcare Center
Evergreen Healthcare Center Information
| Facility Name | Evergreen Healthcare Center |
| Location | 924 Charlie's Way, Montpelier, OH 43543 |
| County (SSA Code) | Williams (870) |
| Phone Number | 419-485-8307 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 73 |
| Average Number of Residents | 45.2 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | ROBINAIR LEASING CO., LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1980-04-17 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 0.92036 |
| Reported LPN Staffing Hours per Resident per Day | 0.89275 |
| Reported RN Staffing - Hours per Resident per Day | 0.57527 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.46802 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.38838 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.0211 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.16332 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.87944 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.44708 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.48984 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.18193 |
| Total Weighted Health Survey Score for three cycles | 2.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-06-26 |
| Rating cycle 1 - Total Health Inspection Score | 8 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-05-17 |
| Rating cycle 2 - Health Deficiency Score | 8 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-08-03 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |