CCN 015089
Evergreen Nursing Home
100 SANDERS DRIVE, Evergreen, AL 36401 · Conecuh County
- Ownership
- For profit - Corporation
- Certified beds
- 61
- Residents per day
- 55.5
- Health citations
- 6
- Penalties
- 0
- Fines
- 0 · $0
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 2.77
- 2.44
- 2.32
- LPN/LVN
- 1.18
- 0.79
- 0.86
- Registered nurse
- 0.49
- 0.65
- 0.69
- Total nurse staff
- 4.44
- 3.88
- 3.86
- Weekend total
- 3.62
- 3.26
- 3.42
- Weekend RN
- 0.17
- 0.36
- 0.48
Adjusted total nurse hours: 4.91. Adjusted RN hours: 0.54. Case-mix total: 3.47. Case-mix index: 1.267.
Total nursing staff turnover: 27.3%. RN turnover: 0.0%. Administrators who left: 0.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 0 fines totaling $0, and 0 payment denials.
The Penalties file has no individual penalty rows for this CCN.
Cycle 1 standard survey: March 12, 2020. Health deficiencies counted in cycle 1: 2. Cycle 1 total health score: 8.
Cycle 2 standard survey: January 17, 2019. Cycle 2/3 health deficiencies: 1. Total weighted health survey score: 7.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 6 citations for this home, including 0 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
March 12, 2020
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · April 16, 2020 |
| F880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · April 16, 2020 |
January 17, 2019
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Standard survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · February 21, 2019 |
February 1, 2018
3 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Standard survey · Cycle 3 | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · March 8, 2018 |
| F641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · March 8, 2018 |
| F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Standard survey · Cycle 3 | C: widespread, no actual harm, with potential for minimal harm | Deficient, Provider has date of correction · March 8, 2018 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections