Evergreen Manor
Evergreen Manor Information
| Facility Name | Evergreen Manor |
| Location | 328 North St, Saco, ME 4072 |
| County (SSA Code) | York (150) |
| Phone Number | 207-282-5161 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 42 |
| Average Number of Residents | 37.7 |
| 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 | EVERGREEN MANOR, INC. |
| Ownership Type | For profit - Individual |
| Date First Approved | 1994-01-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.92542 |
| Reported LPN Staffing Hours per Resident per Day | 0.59006 |
| Reported RN Staffing - Hours per Resident per Day | 0.81041 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.40048 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.32589 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.04299 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.1006 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.64557 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.26707 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.01324 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.57704 |
| Total Weighted Health Survey Score for three cycles | 40 |
| Rating cycle 1 Standard Survey Health Date | 2019-05-08 |
| Rating cycle 1 - Health Deficiency Score | 8 |
| Rating cycle 1 - Total Health Inspection Score | 42 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-07-11 |
| Rating cycle 2 - Health Deficiency Score | 28 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-08-31 |
| Rating cycle 3 - Health Deficiency Score | 36 |
| Rating cycle 3 - Total Health Inspection Score | 36 |
| 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 |