Evergreen Nursing & Rehab Center
Effingham, Illinois · CCN 145628
29 surveys since 2011. The first finding at harm level was recorded in 2017.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 84
- Surveys
- 29
- Harm or worse
- 8
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 120
- Ownership
- For profit - Corporation
- Chain
- HELIA HEALTHCARE
- County
- Effingham · rural
- Medicare-certified since
- 1989
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 2
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 110 for-profit facilities of 100–127 beds in Illinois.
Last survey on record
Jun 1, 2026
161 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.78 | 3.16 |
| Registered-nurse hours per resident day | 0.52 | — |
| Annual nurse turnover | 68.5% | 48.7% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $10,542 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G423.5% | H— | I— |
| No harm, potential for more than minimal | D1058.8% | E15.9% | F211.8% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5581×
Reasonably accommodate the needs and preferences of each resident.
- F5801×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6441×
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
In the surveyor’s words
From the most serious findings on record at Evergreen Nursing & Rehab Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF684Apr 18, 2022
Based on interview and record review, the facility failed to accurately report a decline in condition and seek timely medical treatment for 1 (R2) of 3 residents reviewed for decline in condition in the sample of 11. These failures resulted in an Immediate Jeopardy, which was identified to have begun on [DATE] when the facility failed to accurately report and seek timely medical treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] & pneumonia. This past noncompliance occurred from [DATE] to [DATE]. V20, Regional Director, and V1, Administrator were notified of the Immediate Jeopardy on [DATE] at 10:38 AM. The surveyor confirmed by observations, record review and interview that the Immediate Jeopardy was removed on [DATE]. […]
- Actual harm, isolatedF698Apr 16, 2026
Based on record review and interview, the facility failed to ensure that dialysis services were provided within the professional standards of practice for 1 of 3 residents (R1) reviewed for appointments in a sample of 7. This resulted in R1 experiencing fluid overload and being hospitalized .Findings include:R1's Face sheet documents an admission date of 2/18/26 with the following diagnoses included: acute respiratory failure with hypoxia, hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, end stage renal disease and unspecified diastolic (congestive) heart failure.R1's Minimum Data Set (MDS) dated [DATE] documents a Brief Interview for Mental Status (BIMS) of 15, indicating that R1 is cognitively intact. […]
- Actual harm, isolatedF689Feb 25, 2025
Based on interview and record review the facility failed to position residents properly to prevent injury for 1 of 3 residents (R1) reviewed for accidents in a sample of 11. This injury resulted in R1 sustaining a closed displaced fracture of right femoral neck. This past non-compliance occurred between 01/19/25 and 01/23/25. Findings include: R1's face sheet documents an admitted [DATE] with diagnoses including: fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with routine healing, Alzheimer's disease, osteoarthritis, iron deficiency, shortness of breath, nutritional deficiency, anxiety disorder, insomnia, muscle weakness, rheumatoid arthritis, pain, unsteadiness on feet, age related osteoporosis without current pathological fracture, mid… […]
- Actual harm, isolatedF550Dec 20, 2024
Based on observation, interview, and, record review the facility failed to treat residents with dignity by answering call lights in a timely manner for two residents of nine residents (R1,R6) reviewed for resident rights in the sample of nine. This failure resulted in R1 and R6 experiencing feelings of embarrassment and humiliation. Findings include: 1. R1's Face Sheet documented an admitted [DATE] and listed diagnoses including Displaced Comminuted Fracture of Shaft of Left Femur, Fibromyalgia, Polyneuropathy, Depression, and Anxiety Disorder. R1's Brief Interview for Mental Status Score (BIMS) dated 12/8/24 documented a score of 14, indicating R1 has minimal deficits in cognition. […]
- Actual harm, isolatedF697Dec 20, 2024
Based on observation, interview, and record review, the facility failed to formulate a Care Plan to address a resident's pain and to provide as needed pain medication in a timely fashion for one resident of nine residents (R1) reviewed for quality of care in the sample of nine. This failure resulted in R1 experiencing unresolved excruciating pain from a femur fracture, with accompanying feelings of fear and anxiety. Findings include: R1's Face Sheet documented an admitted [DATE] and listed diagnoses including Displaced Comminuted Fracture of Shaft of Left Femur, Fibromyalgia, Polyneuropathy, Depression, and Anxiety Disorder. R1's Care Plan dated 12/9/24 did not document any problem areas nor interventions addressing pain. […]
Read 24 findings in full →The most serious and the most recent: 24 of 84 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 1, 2026Complaint1 finding
- Apr 16, 2026Complaint1 finding · 1 harm
- Oct 17, 2025Complaint2 findings
- Aug 28, 2025Standard1 finding
- Feb 25, 2025Complaint2 findings · 1 harm
- Dec 20, 2024Complaint3 findings · 2 harm
- Oct 18, 2024Standard1 finding
- Sep 1, 2023Standard5 findings
Show the 21 earlier surveys
- Jan 11, 2023Complaint1 finding
- Sep 29, 2022Standard and complaint1 finding
- Sep 2, 2022Complaint4 findings
- May 20, 2022Complaint2 findings · 1 harm
- Apr 18, 2022Complaint5 findings · 2 harm
- Mar 16, 2022Complaint1 finding
- Oct 26, 2021Complaint1 finding
- Jul 15, 2021Standard2 findings
- Oct 25, 2019Standard11 findings
- Feb 14, 2019Complaint1 finding
- Dec 13, 2018Standard10 findings
- Nov 8, 2018Complaint1 finding
- Oct 19, 2017Standard2 findings
- Mar 16, 2017Complaint1 finding · 1 harm
- Sep 15, 2016Standard3 findings
- Aug 20, 2015Standard3 findings
- Jul 10, 2014Standard4 findings
- Sep 19, 2013—8 findings
- Oct 4, 2012—5 findings
- Mar 6, 2012—1 finding
- Aug 18, 2011—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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