Nursing homes › Virginia › Evergreen Health and Rehabilitation Center
380 Millwood Avenue, Winchester, VA 22601 · 5406677010 · 176 certified beds
Per CMS filings, this facility is affiliated with Hill Valley Healthcare, a group operating 43 facilities in 6 states. Group record: average rating 1.7/5, 7 abuse citation icons, 4 facilities on the Special Focus list, $1,568,552 in federal fines. This facility rates above its group average (1.7/5).
Total nurse staffing: 3.16 (Virginia median: 3.45). RN hours: 0.81. Weekend total: 2.93. Nursing staff turnover: 50%.
All-time on record: 61 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-06 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2026-06-01 |
| 2026-05-06 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-06-01 |
| 2026-05-06 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2026-06-01 |
| 2026-05-06 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | complaint | corrected 2026-06-01 |
| 2026-05-06 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | complaint | corrected 2026-06-01 |
| 2026-05-06 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-06-01 |
| 2024-01-10 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Health | corrected 2024-02-19 |
| 2024-01-10 | Provide and implement an infection prevention and control program. | F | Health | corrected 2024-02-19 |
| 2024-01-10 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Health | corrected 2024-02-19 |
| 2024-01-10 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Health | corrected 2024-02-19 |
| 2024-01-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-02-19 |
| 2024-01-10 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | E | Health | corrected 2024-02-19 |
| 2024-01-10 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Health | corrected 2024-02-19 |
| 2024-01-10 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2024-02-19 |
| 2024-01-10 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2024-02-19 |
| 2024-01-10 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2024-02-19 |
| 2024-01-10 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Health | corrected 2024-02-19 |
| 2024-01-10 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-02-19 |
| 2024-01-10 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-02-19 |
| 2024-01-10 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-02-19 |
| 2024-01-10 | Provide appropriate foot care. | D | Health | corrected 2024-02-19 |
| 2024-01-10 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Health | corrected 2024-02-19 |
| 2024-01-10 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-02-19 |
| 2024-01-10 | Observe each nurse aide's job performance and give regular training. | D | Health | corrected 2024-02-19 |
| 2024-01-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2024-02-19 |
| 2024-01-10 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-02-19 |
| 2024-01-10 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2024-02-19 |
| 2024-01-10 | Post nurse staffing information every day. | C | Health | corrected 2024-02-19 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| EVERGREEN SNF OPERATIONS HOLDINGS LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 07/01/2021 |
| COPPER VA TRUST | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/01/2021 |
| EVERGREEN NOBLE PARENTCO LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/01/2021 |
| GOLD VA TRUST | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/01/2021 |
| HVH EVERGREEN OPERATIONS HOLDINGS LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/01/2021 |
| SILVER VA TRUST | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/01/2021 |
| MEISNER, ROBERT | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 07/01/2021 |
| IDELS, SHIMON | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 495142. Corrections: data@carerecords.org.