Evergreen Post Acute
Smyrna, Delaware · CCN 085020
39 surveys since 2009, 13 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 340
- Surveys
- 39
- Harm or worse
- 13
- Immediate jeopardy
- 3
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
- 151
- Ownership
- For profit - Limited Liability company
- Chain
- PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES
- County
- Kent
- Medicare-certified since
- 1980
CMS ratings
- Overall
- 2
- Health inspection
- 1
- Staffing
- 3
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 32 for-profit facilities in Delaware.
Last survey on record
May 11, 2026
182 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 | 3.71 | 3.90 |
| Registered-nurse hours per resident day | 0.47 | — |
| Annual nurse turnover | 51.0% | 41.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $94,156 across 2 penalties
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 | G710.1% | H— | I— |
| No harm, potential for more than minimal | D5376.8% | E710.1% | F11.4% |
| No harm, potential for minimal | A— | B11.4% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6844×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6093×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6773×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F6893×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
In the surveyor’s words
From the most serious findings on record at Evergreen Post Acute, in the surveyor’s own words.
- Immediate jeopardy, isolatedF678Dec 21, 2022
Based on interview, record review and review of other documentation as indicated, it was determined that for one (R1) out of three residents sampled for a change in condition, the facility failed to ensure that Nursing personnel provided basic life support Cardiopulmonary Resuscitation (CPR) to a resident who was a full code (a designation that means to intercede if a patient's heart stops beating and/or the patient stops breathing). Upon finding R1 unresponsive on [DATE] at approximately 5:10 to 5:15 AM, facility nursing staff failed to provide CPR to R1 who had a physicians' order for a full Code. Facility staff did not check R1's code status. […]
- Actual harm, isolatedF689May 11, 2026
Based on interview, record review and review of other facility documentation, it was determined that for one (R109) out of seven residents reviewed for accidents, the facility failed to provide adequate supervision and implement safe bed mobility practices to prevent a fall. As a result, R109 fell from the bed, sustained a head laceration, required hospital transfer, and received six sutures causing harm to the resident. Findings include:Review of R109 clinical record revealed:6/9/25 - R109 was admitted to the facility with diagnoses including seizures, gastrostomy tube, tracheostomy, anxiety, and muscle spasms.A care plan last updated 6/10/25 documented ADL self-care deficit related to physical limitations. […]
- Actual harm, isolatedF692May 11, 2026
Based on record review and interview, it was determined that for one (R155) out of one resident reviewed for hydration, the facility failed to ensure that R155 was offered sufficient fluids to maintain proper hydration. This failure resulted in harm with R155 being transferred to the hospital on [DATE] with diagnoses of dehydration and AKI (acute kidney injury). Findings include:The BUN (blood urea nitrogen) lab measures the amount of urea nitrogen in the blood. The BUN is directly related to the metabolic function of the liver and the excretory function of the kidney . BUN levels also may vary according to the state of hydration, with increased levels seen in dehydration and decreased levels seen in overhydration. Mosby's Diagnostic and Laboratory Test Reference 2023. […]
- Actual harm, isolatedF760Apr 17, 2025
Based on record review and interview, it was determined that for one (R644) out of eleven residents, the facility failed to ensure that R644 was free of medication error. On 9/13/24, R644 was inadvertently given the incorrect medications (amlodopine 10mg, benzapril 40mg, Coreg 25 mg and selevamer 800mg). This medication error resulted in harm as R644's blood pressure significantly dropped and she was sent emergently to the hospital for evaluation and treatment. This harm is being cited as past non-compliance. […]
- Actual harm, isolatedF686May 30, 2024
REVISED POST IDR Based on observation, interviews and record review it was determined that for one (R110) out of two residents reviewed for pressure ulcers, the facility failed to provide care and services to prevent an avoidable deep tissue injury from developing, causing harm. Findings include: Review of R110's clinical record revealed: 7/7/23 - R110 was admitted to the facility with diagnoses including but not limited to diabetes mellitus with other circulatory complications, dementia, progressive neuropathy and stroke. 7/7/23 - A care plan, last revised 1/4/24, documented that R110 was at risk for alteration in skin integrity related to diabetes, impaired mobility and incontinence. […]
Read 30 findings in full →The most serious and the most recent: 30 of 340 on record.
Every survey on record
FindingsAt actual harm or above
- May 11, 2026Complaint5 findings · 2 harm
- Apr 17, 2025Standard and complaint23 findings · 1 harm
- Jan 14, 2025Complaint2 findings
- May 30, 2024Standard and complaint27 findings · 4 harm
- Apr 11, 2023Standard12 findings
- Jan 19, 2023Complaint2 findings
- Dec 21, 2022Complaint2 findings · 1 harm
- Nov 7, 2022Complaint6 findings
Show the 31 earlier surveys
- Mar 17, 2021Infection control1 finding
- Feb 3, 2021Infection control4 findings
- Nov 2, 2020Complaint7 findings · 1 harm
- Apr 27, 2020Infection control1 finding
- Jan 17, 2020Standard and complaint10 findings
- Nov 21, 2019Complaint2 findings
- Apr 24, 2019Complaint7 findings
- Apr 1, 2019Complaint1 finding
- Nov 20, 2018Standard18 findings
- Aug 30, 2018Complaint2 findings
- Aug 8, 2018Complaint15 findings · 2 harm
- Oct 17, 2017Standard16 findings
- Jun 30, 2017Complaint5 findings
- Jan 10, 2017Complaint3 findings
- Sep 30, 2016Standard8 findings
- Sep 20, 2016Complaint2 findings
- Aug 25, 2015Standard13 findings
- Jul 30, 2015Complaint1 finding
- Dec 17, 2014Complaint5 findings
- Jul 23, 2014Standard5 findings
- Jul 3, 2014Complaint4 findings
- May 6, 2014Complaint4 findings
- Oct 10, 2013—2 findings
- Aug 6, 2013Standard and complaint13 findings
- Jul 11, 2013Complaint11 findings
- Apr 25, 2012—23 findings
- Mar 14, 2012Complaint22 findings · 1 harm
- Jan 4, 2012—1 finding
- Mar 25, 2011—5 findings
- Dec 23, 2010—20 findings
- Apr 28, 2009—30 findings · 1 harm
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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