CCN 525647
Evergreen Health Center
1130 N Westfield St, Oshkosh, WI 54902 · Winnebago County
- Ownership
- Non profit - Corporation
- Certified beds
- 80
- Residents per day
- 57.0
- Health citations
- 7
- 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
- 3.43
- 2.58
- 2.32
- LPN/LVN
- 0.25
- 0.64
- 0.86
- Registered nurse
- 1.40
- 0.99
- 0.69
- Total nurse staff
- 5.08
- 4.21
- 3.86
- Weekend total
- 4.57
- 3.77
- 3.42
- Weekend RN
- 1.06
- 0.68
- 0.48
Adjusted total nurse hours: 5.56. Adjusted RN hours: 1.53. Case-mix total: 3.50. Case-mix index: 1.280.
Total nursing staff turnover: 49.0%. RN turnover: 45.8%. Administrators who left: —.
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: May 27, 2026. Health deficiencies counted in cycle 1: 2. Cycle 1 total health score: 8. This was a Risk-Based Survey. Unlike a standard inspection, a risk-based inspection is a shorter visit with a smaller team and is used for higher-performing facilities.
Cycle 2 standard survey: March 12, 2025. Cycle 2/3 health deficiencies: 3. Total weighted health survey score: 13.
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 7 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.
May 27, 2026
2 citations. This was a Risk-Based Survey. Unlike a standard inspection, a risk-based inspection is a shorter visit with a smaller team and is used for higher-performing facilities.
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 15, 2026 |
| 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 · June 15, 2026 |
March 12, 2025
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 2 | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · April 7, 2025 |
| F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Standard survey · Cycle 2 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · April 7, 2025 |
| F692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Standard survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · April 7, 2025 |
January 11, 2024
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · February 1, 2024 |
| F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · February 1, 2024 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections