Evergreen Health Services

1250 Evergreen St, Shawano, WI 54166 · CCN 525343 · 50 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing3 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2025-09-16 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-03-19 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

3.31

state median 3.58

Weekend staffing gap

−3%

fewer nursing hours on weekends · state median −4%

RN hours / resident / day

0.44

registered nurses only

Contract (agency) staff

16%

share of all nursing hours

Nursing staff turnover

52%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $14,020 in fines.

Date	Type	Amount
2025-08-20	Fine	$14,020

Ownership

Ownership type: For profit - Limited Liability company. Part of the NORTH SHORE HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Menominee Health Services (Menominee, MI) — CMS overall5 of 5
Rochester Restorative Care Center (ROCHESTER, MN) — CMS overall1 of 5
WHITEWATER HEALTH SERVICES (ST CHARLES, MN) — CMS overall3 of 5
HOPKINS RESTORATIVE CARE CENTER (HOPKINS, MN) — CMS overall1 of 5
LA CRESCENT HEALTH SERVICES (LA CRESCENT, MN) — CMS overall1 of 5
MINOT HEALTH AND REHAB, LLC (MINOT, ND) — CMS overall1 of 5
Wisconsin Rapids Health Services (Wisconsin Rapids, WI) — CMS overall1 of 5
MONROE HEALTH SERVICES (MONROE, WI) — CMS overall4 of 5

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 18 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2025-09-16	F0677	Quality of Life and Care Deficiencies	E	not recorded
2025-09-16	F0689	Quality of Life and Care Deficiencies	J	not recorded
2025-09-16	F0880	Infection Control Deficiencies	E	not recorded
2025-08-20	F0693	Quality of Life and Care Deficiencies	D	not recorded
2025-05-29	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-05-29	F0695	Quality of Life and Care Deficiencies	D	not recorded
2025-05-29	F0755	Pharmacy Service Deficiencies	D	not recorded
2025-05-29	F0809	Nutrition and Dietary Deficiencies	E	not recorded
2025-05-29	F0880	Infection Control Deficiencies	D	not recorded
2025-03-19	F0689	Quality of Life and Care Deficiencies	G	not recorded
2024-08-07	F0761	Pharmacy Service Deficiencies	D	not recorded
2024-05-22	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-05-22	F0755	Pharmacy Service Deficiencies	D	not recorded
2024-05-22	F0757	Pharmacy Service Deficiencies	D	not recorded
2024-05-22	F0849	Administration Deficiencies	D	not recorded
2024-05-22	F0883	Infection Control Deficiencies	D	not recorded
2024-01-29	F0580	Resident Rights Deficiencies	D	not recorded
2024-01-29	F0686	Quality of Life and Care Deficiencies	D	not recorded
2023-05-10	F0757	Pharmacy Service Deficiencies	D	not recorded
2023-05-10	F0812	Nutrition and Dietary Deficiencies	F	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Evergreen Health Services, Shawano” at medicare.gov/care-compare.