Evergreen Nursing & Rehab Center
Evergreen Nursing & Rehab Center Information
| Facility Name | Evergreen Nursing & Rehab Center |
| Location | 1115 North Wenthe, Effingham, IL 62401 |
| County (SSA Code) | Effingham (330) |
| Phone Number | 217-347-7121 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 120 |
| Average Number of Residents | 58.6 |
| 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 | HELIA HEALTHCARE OF EFFINGHAM LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1989-07-14 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.62842 |
| Reported LPN Staffing Hours per Resident per Day | 0.85305 |
| Reported RN Staffing - Hours per Resident per Day | 0.41716 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.27021 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.89863 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.01503 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.20969 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.8254 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.34663 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.38171 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.73275 |
| Total Weighted Health Survey Score for three cycles | 53.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-10-25 |
| Rating cycle 1 - Health Deficiency Score | 11 |
| Rating cycle 1 - Total Health Inspection Score | 64 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-12-13 |
| Rating cycle 2 - Health Deficiency Score | 64 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-10-19 |
| Rating cycle 3 - Health Deficiency Score | 12 |
| Rating cycle 3 - Total Health Inspection Score | 12 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 2 |
| Number of Substantiated Complaints | 2 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |