Nursing HomeInspections

Evergreen Health and Rehabilitation Center

Nursing home in Winchester, VA

Medicare & Medicaid certified2★ overall (CMS)

Call (540) 667-7010Send a messageMap ↗

Public-record details

Address
380 Millwood Avenue, Winchester, VA 22601
Phone
(540) 667-7010
Listed under
For-profit, No fines in 3 years
Medicare CCN
495142
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
176
Average residents per day
172
Ownership
For-profit, limited Liability company
Legal business name
Evergreen SNF Operations LLC
Chain
Hill Valley Healthcare (43 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 1, 1984
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 495142. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 10, 2024. CMS lists 61 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 25, 2019 to May 6, 2026): 6 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
May 6, 2026Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
May 6, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
May 6, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
May 6, 2026Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
May 6, 2026Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
May 6, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 10, 2024Post nurse staffing information every day.
Nursing and Physician Services		C
Potential for minimal harm, widespread
Jan 10, 2024Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights		D
Potential for more than minimal harm, isolated
Jan 10, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Jan 10, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
Jan 10, 2024Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights		D
Potential for more than minimal harm, isolated
Jan 10, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 61. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.16 hours
Registered nurse (RN) time per resident per day
0.81 hours
Nurse aide time per resident per day
1.71 hours
Total nurse staffing on weekends
2.93 hours
Nursing staff turnover (yearly)
50%
RN turnover (yearly)
55%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Winchester

The Village at Orchard Ridge100 Procession Way · Winchester, VA 22603 · (540) 431-2800 · Nonprofit4 health citations in 3 inspection cycles · last standard inspection Mar 6, 2024 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Shenandoah Valley Westminster Canterbury300 Westminster Canterbury Dr · Winchester, VA 22603 · (540) 665-0156 · Nonprofit22 health citations in 3 inspection cycles · last standard inspection May 1, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)Winchester Health & Rehabilitation110 Lauck Dr · Winchester, VA 22603 · (540) 667-7830 · For-profit71 health citations in 3 inspection cycles · last standard inspection Apr 12, 2023 · no CMS fines in 3 yrsMedicare & Medicaid certified1★ overall (CMS)

All 4 in Winchester →