Evergreen Health and Rehabilitation Center
State inspectors recorded 3 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2025-04-08 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-03-14 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-03-14 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2023-06-29 — ACTUAL HARM (tag F0690, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2023-06-29 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
3.48
state median 3.44
Weekend staffing gap
−5%
fewer nursing hours on weekends · state median −6%
RN hours / resident / day
0.15
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
46%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $28,815 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-03-14 | Fine | $28,815 |
Ownership
Ownership type: For profit - Corporation. Part of the OPTALIS HEALTH & REHABILITATION chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Optalis Health & Rehabilitation of Muskegon (Muskegon, MI) —
- Optalis Health & Rehabilitation of Ionia (Ionia, MI) —
- Optalis Health & Rehabilitation at Kent-Crossing (Grand Rapids, MI) —
- Optalis Health and Rehabilitation of Grosse Pointe (Grosse Pointe Woods, MI) —
- Optalis Health & Rehabilitation of Whitehall (Whitehall, MI) —
- Optalis Health & Rehabilitation of Bloomfield Hill (Bloomfield Hills, MI) —
- Optalis Health and Rehabilitation at St. Francis (Saginaw, MI) —
- Optalis Health & Rehabilitation at Leonard (Grand Rapids, MI) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-07 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-04-07 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-09-11 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-09-11 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-09-11 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-09-11 | F0770 | Administration Deficiencies | D | not recorded |
| 2025-09-11 | F0810 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-09-11 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-08-06 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-08 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-04-08 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-20 | F0551 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-20 | F0925 | Environmental Deficiencies | D | not recorded |
| 2024-12-10 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-12-10 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-08-07 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2024-08-07 | F0555 | Resident Rights Deficiencies | D | not recorded |
| 2024-08-07 | F0559 | Resident Rights Deficiencies | D | not recorded |
| 2024-08-07 | F0563 | Resident Rights Deficiencies | F | not recorded |
| 2024-08-07 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2024-08-07 | F0624 | Resident Rights Deficiencies | D | not recorded |
| 2024-08-07 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-08-07 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-08-07 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-07 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-07 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-07 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-08-07 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-07-08 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-28 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2024-05-28 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-14 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-03-14 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-03-14 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-03-14 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-14 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-14 | F0773 | Administration Deficiencies | E | not recorded |
| 2024-03-14 | F0825 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-30 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-30 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-11-15 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2023-11-15 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-11-15 | F0805 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-06-29 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2023-06-29 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-06-29 | F0660 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-06-29 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-06-29 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-29 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-06-29 | F0688 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-06-29 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-29 | F0690 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-06-29 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-29 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-29 | F0726 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2023-06-29 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-06-29 | F0770 | Administration Deficiencies | D | not recorded |
| 2023-06-29 | F0809 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-06-29 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-06-29 | F0847 | Administration Deficiencies | D | not recorded |
| 2023-06-29 | F0880 | Infection Control Deficiencies | E | not recorded |