Evergreen Health Care Center
Evergreen Health Care Center Information
| Facility Name | Evergreen Health Care Center |
| Location | 205 Chestnut Hill Road, Stafford Springs, CT 6076 |
| County (SSA Code) | Tolland (60) |
| Phone Number | 860-684-6341 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 180 |
| Average Number of Residents | 141.1 |
| 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 | Both |
| Provider Business Name | STAFFORD SPRINGS CT SNF LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1989-10-26 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.16962 |
| Reported LPN Staffing Hours per Resident per Day | 1.04853 |
| Reported RN Staffing - Hours per Resident per Day | 0.40985 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.45838 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.62799 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.07337 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.06271 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.65493 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.29474 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.01238 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.83973 |
| Total Weighted Health Survey Score for three cycles | 28 |
| Rating cycle 1 Standard Survey Health Date | 2019-10-03 |
| Rating cycle 1 - Health Deficiency Score | 4 |
| Rating cycle 1 - Total Health Inspection Score | 36 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-08-03 |
| Rating cycle 2 - Health Deficiency Score | 36 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-07-13 |
| Rating cycle 3 - Health Deficiency Score | 36 |
| Rating cycle 3 - Total Health Inspection Score | 36 |
| Number of Facility-Reported Incidents | 2 |
| Number of Substantiated Complaints | 1 |
| Number of Substantiated Complaints | 1 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |