Lilisity

Nursing home

Evergreen Health and Rehabilitation Center

380 Millwood Avenue, Winchester, VA 22601 · Map
For profit - Limited Liability company · Part of Hill Valley Healthcare (40 facilities) · 176 certified beds

Medicare and Medicaid certified
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Evergreen Health and Rehabilitation Center is a Medicare-certified nursing home in Winchester, Virginia. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.29 hours per resident per day, below the Virginia average of 3.81. Its most recent inspection on Jan 10, 2024 cited 22 deficiencies.

2 out of 5Overall CMS rating
2 out of 5Health inspections
2 out of 5Staffing
176 bedsCertified beds
  • 1 fine totaling $8,190In CMS records: 1 total penalty.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating2/5
Health inspections2/5
Staffing2/5
Quality measures4/5
Long-stay quality5/5
Short-stay quality3/5

How Evergreen Health and Rehabilitation Center compares

This facility vs. the Virginia and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityVirginia avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.293.813.89below avg
RN staffing (hrs/resident/day)0.770.690.68above avg
Aide staffing (hrs/resident/day)1.772.122.34below avg
Nursing staff turnover51.7%48.4%46.4%above avg
Deficiencies cited, last inspection22.014.59.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.29Total nurse hrs/resident/day
0.77RN hrs/resident/day
0.75LPN hrs/resident/day
1.77Aide hrs/resident/day
2.95Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff51.7%
Registered nurses58.8%
Administrator changes0 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Jan 10, 2024Most recent inspection
22Deficiencies found
128Health inspection score
1Fines

Penalties in CMS records: 1 fine totaling $8,190, 1 total penalty.

What inspectors found at Evergreen Health and Rehabilitation Center

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Jan 10, 2024 · Full report (PDF)
  • Potential for harm

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Administration Deficiencies · Jan 10, 2024 · Full report (PDF)
  • Potential for harm

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Infection Control Deficiencies · Jan 10, 2024 · Full report (PDF)
  • Potential for harm

    Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

    Administration Deficiencies · Jan 10, 2024 · Full report (PDF)
  • Potential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary Deficiencies · Jan 10, 2024 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Quality of Life and Care Deficiencies · Jan 10, 2024 · Full report (PDF)
  • Potential for harm

    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 · Jan 10, 2024 · Full report (PDF)
  • Potential for harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Resident Assessment and Care Planning Deficiencies · Jan 10, 2024 · Full report (PDF)
  • Potential for harm

    Ensure medication error rates are not 5 percent or greater.

    Pharmacy Service Deficiencies · Jan 10, 2024 · Full report (PDF)
  • Potential for harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pharmacy Service Deficiencies · Jan 10, 2024 · Full report (PDF)
  • Potential for harm

    Observe each nurse aide's job performance and give regular training.

    Nursing and Physician Services Deficiencies · Jan 10, 2024 · Full report (PDF)
  • Potential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Quality of Life and Care Deficiencies · Jan 10, 2024 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
380 Millwood Avenue
Winchester, VA 22601
CMS certification #
495142
Ownership
For profit - Limited Liability company
Certified beds
176
Avg residents/day
167.9
Provider type
Medicare and Medicaid
First certified
1984-07-01
Chain
Hill Valley Healthcare (40 facilities)
Setting
Urban

Part of Hill Valley Healthcare

Hill Valley Healthcare operates 40 nursing facilities across the United States. View all Hill Valley Healthcare facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Evergreen Health and Rehabilitation Center using Google Maps.

Other public records

  • Workplace safety 1 OSHA workplace safety inspection since 2017, no violations cited
Full public records, with dates and sources

Staff pay and workplace safety

Federal records about how the employer here treats its staff.

OSHA workplace safety inspections

OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.

  • Sep 7, 2017: programmed (planned) inspection, complete (safety). Case closed Sep 15, 2017. No violations cited. OSHA record. OSHA recorded the employer as Evergreen Health and Rehab.

Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.

Location and nearby care

Nearest hospital with an emergency room
Winchester Medical Center, Winchester. 2.0 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
Nearest Medicare nursing home
Shenandoah Valley Westminster Canterbury, Winchester. 2.3 miles away, straight line.
Nearest home health agency office
Valley Health Home Health, Winchester. 1.0 mile away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Walgreens. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 22601 as metropolitan (metropolitan core).
Dialysis within 15 miles
Fmc Shenandoah Valley, Winchester, 0.6 miles away, straight line (CMS rating 3 of 5 stars)
Davita Winchester Dialysis, Winchester, 1.2 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Davita Rutherford Crossing Dialysis, Winchester, 3.7 miles away, straight line (CMS rating 4 of 5 stars)
Hospice
3 Medicare hospices tell CMS they serve ZIP code 22601.
Blue Ridge Hospice, Inc, office in Winchester, 1.0 mile away, straight line (CMS family survey rating 4 of 5 stars)
Pathwell Home Health & Hospice, office in Winchester, 2.6 miles away, straight line
Nearest geriatric medicine practice
Inova Health Care Services, Leesburg. 37.1 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
FEMA has a flood map for this community (effective January 29, 2021), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
FEMA National Risk Index
Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire very low, tornado relatively low, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026See above
Hurricane evacuation zone mapsNot in a mapped zone
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteCould not read the site

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Frequently asked questions

Is Evergreen Health and Rehabilitation Center a good nursing home?

CMS gives Evergreen Health and Rehabilitation Center an overall rating of 2 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Evergreen Health and Rehabilitation Center staffed?

Evergreen Health and Rehabilitation Center reports 3.29 total nurse hours per resident per day, compared with the Virginia average of 3.81.

Has Evergreen Health and Rehabilitation Center had inspection problems?

Its most recent CMS inspection cited 22 deficiencies.

How many beds does Evergreen Health and Rehabilitation Center have?

Evergreen Health and Rehabilitation Center is certified for 176 beds.