| Evergreen Woods | |
| 7045 Evergreen Woods Trl, Spring Hill, Florida 34608 | |
| (352) 596-8371 | |
| Name | Evergreen Woods |
|---|---|
| Location | 7045 Evergreen Woods Trl, Spring Hill, Florida |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 120 |
| Occupancy Rate | 94.42% |
| Medicare ID (CCN) | 105397 |
| Legal Business Name | Fi-evergreen Woods, LLC |
| Ownership Type | Non Profit - Corporation |
| Chain | Florida Institute for Long-term Care (17 nursing homes) |
| Chain Average Overall Rating | 2.2 out of 5 |
| NPI Number | 1043129364 |
| Match | Possible same name, address or phone number |
| Organization Name | SS Hernando Community HC LLC |
| Doing Business As | Evergreen Woods |
| Address | 7045 Evergreen Woods Trl, Spring Hill, FL 34608 |
| Phone Number | 352-596-8371 |
| NPI Number | 1487658043 |
| Match | Possible same name, address or phone number |
| Organization Name | Fi-evergreen Woods, LLC |
| Doing Business As | Evergreen Woods |
| Address | 7045 Evergreen Woods Trl, Spring Hill, FL 34608 |
| Phone Number | 352-596-8371 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.34 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.87 | 0.86 |
| Nurse aide hours per resident per day | 2.03 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.16 | 3.42 |
| RN hours per resident per day on the weekend | 0.37 | 0.48 |
| Physical therapist hours per resident per day | 0.1 | 0.07 |
| Total nursing staff turnover | 39.8% | 45.8% |
| Registered nurse turnover | 21.4% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $16,153 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jul 22, 2025 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806, Nutrition and Dietary, Complaint inspection | Immediate jeopardy, isolated | Past non-compliance (already corrected) |
| May 21, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jul 3, 2025 |
| May 21, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jul 3, 2025 |
| May 21, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jul 3, 2025 |
| May 21, 2025 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F0838, Administration, Standard inspection | Potential for harm, pattern | Corrected by Jul 3, 2025 |
| May 21, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jul 3, 2025 |
| May 21, 2025 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jul 3, 2025 |
| May 21, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 3, 2025 |
| May 21, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 3, 2025 |
| May 21, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 3, 2025 |
| May 21, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 3, 2025 |
| May 21, 2025 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Jul 3, 2025 |
| May 21, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jul 3, 2025 |
| Feb 22, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 19, 2024 |
| Feb 22, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Mar 19, 2024 |
| Sep 27, 2022 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Oct 26, 2022 |
| Sep 27, 2022 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 26, 2022 |
| Sep 27, 2022 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, widespread | Corrected by Oct 26, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.86 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.3 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.61 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.62 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.91 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.06 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.16 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.94 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.33 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.13 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 10.37 | 15.38 |