Evergreen Health Center
Evergreen Health Center Information
| Facility Name | Evergreen Health Center |
| Location | 1130 N Westfield St, Oshkosh, WI 54902 |
| County (SSA Code) | Winnebago (690) |
| Phone Number | 920-233-2340 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 80 |
| Average Number of Residents | 51.7 |
| CCRC Facility? | Yes |
| 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 RETIREMENT COMMUNITY INC |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1999-04-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.71729 |
| Reported LPN Staffing Hours per Resident per Day | 0.36535 |
| Reported RN Staffing - Hours per Resident per Day | 1.33272 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.69808 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.41537 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.06383 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.14633 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.69047 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.32154 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.15834 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.46654 |
| Total Weighted Health Survey Score for three cycles | 12 |
| Rating cycle 1 Standard Survey Health Date | 2019-12-18 |
| Rating cycle 1 - Health Deficiency Score | 6 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-01-23 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-10-26 |
| 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 |