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Evergreen Health and Rehabilitation Center

139 Moran Lake Road, Ne, Rome, GA 30161 · Floyd County · (706) 378-3383

100 certified beds, about 85 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2008

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 115720 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 9, 2026, inspectors cited 2 health deficiencies (the Georgia average is 5, the national average 9.2).

None of its 10 health citations since October 2022 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.68 hours per resident per day, against 3.56 across Georgia and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.

33.3% of nursing staff left within the year CMS measured (Georgia average 46.0%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
3E
1F
Potential for minimal harm
0A
0B
0C
January 9, 2026Standard inspection · 2 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observations, staff interviews, and facility policy review, the facility failed to ensure foods stored in one of two nourishment refrigerators (South unit) were labeled, dated when opened, and not expired. This failure placed the residents on the South unit at risk for transmission of foodborne illness.
  2. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on record review, staff interviews, and facility policy review, the facility failed to ensure written notice to the resident or representative of the transfer to the hospital included a statement of the appeal rights, information on how to file an appeal, and appeals contact information for two of four residents (Resident (R) 91 and R79) reviewed for hospitalization in a sample of 23 residents. This failure created the potential for a lack of understanding of appeal rights should the resident not be permitted to return or disagree with the reason for transfer, potentially causing confusion or distress upon transfer.
September 5, 2025Complaint inspection · 5 citations
  1. F
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) November 20, 2025
    Inspectors wroteBased on observations and staff interviews, the facility failed to ensure a safe, functional, sanitary, comfortable environment in the clean linen room, the overflow Linen Room, the Biohazard Room, and the South Hall Medication Room were maintained in an clean, orderly, and sanitary manner.
  2. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 20, 2025
    Inspectors wroteBased on observations, record review, staff interviews, and review of the facility policy titled, Routine Cleaning and Disinfection, the facility failed to ensure a safe, clean, comfortable, homelike environment in the North and South hallways, resident rooms for four of 24 sampled residents (Resident (R)3, R4, R20, and R5), resident shower rooms, resident equipment for five of 24 sampled Rs (R22, R25, R24, R15, and R21), and the main dining room were maintained in a safe, clean, comfortable and clutter-free manner to create a homelike environment.
  3. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 20, 2025
    Inspectors wroteBased on observations, staff interviews, record review, and facility policy review, the facility failed to ensure expired insulin pens and insulin vials were removed from two of four medication carts (South Hall long and South Hall short) reviewed. In addition, the facility failed to ensure two of two medication room refrigerators (North Hall and South Hall) were locked and the schedule II lock box (containing narcotics that have a high incidence of abuse) were affixed to shelving, as required. This failure had the potential of medication diversion to residents, staff or visitors, and residents receiving ineffective medications.
  4. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 20, 2025
    Inspectors wroteBased on observations, record review, and resident and staff interviews, the facility failed to ensure staff provided nail care for one of four residents (Resident (R) 3) observed for the provision of ADL (activities of daily living) care out of a total sample of 24 residents resulting in dirty, long, and jagged nails.
  5. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 20, 2025
    Inspectors wroteBased on observations, staff interviews, record review, and review of facility policy, the facility failed to supervise one of one (Resident (R)1) of 24 sampled residents at risk for elopement, resulting in R1 eloping from the facility. The failure had the potential to cause harm to R1 while out of the facility unaccompanied.
August 18, 2024Standard inspection · 3 citations
  1. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 26, 2024
    Inspectors wroteBased on staff interviews, record review, and review of the facility's policies titled, Resident Assessment-Coordination with PASARR Program, the facility failed to refer one of 29 residents (R) (R61) for a pre-admission screening and resident review (PASARR) Level II screening. The deficient practice had the potential to place R61 at risk for medical complications, unmet needs, and a diminished quality of life.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 26, 2024
    Inspectors wroteBased on observations, resident and staff interviews, record review, and review of the facility policy titled, Comprehensive Care Plans, the facility failed to follow the care plan related to correctly administering the physician ordered rate of oxygen (O2) for two of 15 residents (R) (R41 and R47) receiving O2 therapy. Additionally, the facility failed to follow the care plan related to cleaning the O2 filter on the O2 concentrator (machine that converts room air into oxygen) per physician's orders for two of 15 residents (R32 and R61) receiving O2 therapy.
  3. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 26, 2024
    Inspectors wroteBased on observations, staff interviews, record review, and review of the facility policies titled, Oxygen Administration and Oxygen Concentrator, the facility failed to ensure respiratory equipment was maintained in a sanitary manner for two of 15 residents (R) (R32 and R61) receiving oxygen therapy. In addition, the facility failed to ensure oxygen (O2) was administered according to physician orders for two of 15 residents (R41 and R47) receiving oxygen therapy. The deficient practices could potentially place the resident at risk for medical complications, unmet needs, and a diminished quality of life.
October 21, 2022Standard inspection · 0 citations

Fire safety inspections

10 fire safety citations on file: 3 on January 9, 2026, 5 on August 18, 2024, 2 on October 21, 2022.

Every fire safety citation10 citations
  1. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · January 9, 2026 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 9, 2026 · Corrected (the home has a date of correction)
  3. D
    Ensure proper usage of power strips and extension cords.
    K 920 · January 9, 2026 · Corrected (the home has a date of correction)
  4. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · August 18, 2024 · Corrected (the home has a date of correction)
  5. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 18, 2024 · Corrected (the home has a date of correction)
  6. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 18, 2024 · Corrected (the home has a date of correction)
  7. D
    Install properly constructed windows in hallway walls or doors.
    K 364 · August 18, 2024 · Corrected (the home has a date of correction)
  8. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · August 18, 2024 · Corrected (the home has a date of correction)
  9. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · October 21, 2022 · Corrected (the home has a date of correction)
  10. F
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · October 21, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeGeorgiaUnited States
All nursing staff (RN, LPN and aides)3.683.563.86
Registered nurses0.460.500.69
All nursing staff on weekends2.673.103.42
Nurse aides2.41
Licensed practical nurses0.81
Nursing staff turnover (share who left in a year)33.3%46.0%45.8%
Registered nurse turnover27.3%44.5%42.9%
Administrators who left0

CMS expects 4.29 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.08 on weekdays and 2.67 on weekends, 35% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.55 in April to June 2025 to 3.68 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.680.464.082.67 3.8%0 of 9085
Oct to Dec 20253.530.443.832.75 2.5%0 of 9288
Jul to Sep 20253.570.473.902.73 1.9%0 of 9290
Apr to Jun 20253.550.463.902.68 2.5%0 of 9192
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Georgia, Jan to Mar 20263.500.463.683.033.3%0.6% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Georgia

JobMedianMiddle halfEmployed
Georgia, all employers
CNAs (nursing assistants)$18.12$17.06 to $20.6643,440
LPNs and LVNs$29.82$25.43 to $33.9921,060
Registered nurses$44.98$38.02 to $51.12100,950
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeGeorgiaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
18.115.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.20.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.82.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.43.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.32.61.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
15.015.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.55.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
29.119.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
17.525.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
5.111.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.72.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.31.91.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Evergreen Health and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (37.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

37.1% this home

No different from the national rate

US median of homes 51.5% · Georgia: 49 better, 27 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 30 eligible stays.

Potentially preventable readmissions

10.7% this home

No different from the national rate

US median of homes 10.7% · Georgia: 2 better, 17 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 69 eligible stays.

Infections that led to a hospital stay

6.9% this home

No different from the national rate

US median of homes 7.1% · Georgia: 0 better, 8 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 46 eligible stays.

Self-care and mobility at discharge

37.7% this home

Median of homes: Georgia46.9% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 53 residents counted.

Falls with major injury

0.0% this home

Median of homes: Georgia0.4% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 77 residents counted.

New or worsened pressure ulcers

8.7% this home

Median of homes: Georgia2.2% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 77 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Georgia97.4% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 9 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: DUKE EQUITIES LLC.

NameRoleTypeShareSince
Prince Equities LLC5% or greater direct ownership interestOrganization100%01/04/2019
Landers, LisaW-2 managing employeeIndividual03/16/2019
Landers, LisaCorporate officerIndividual03/16/2019
Prince Equities LLCOperational/managerial controlOrganization03/16/2019
Landers, LisaOperational/managerial controlIndividual03/16/2019

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on September 5, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on January 9, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on August 18, 2024: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on January 9, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.67 hours per resident per day, below the Georgia average of 3.10.

Other nursing homes nearby

Georgia contacts for a concern about a nursing home

These are the official offices in Georgia. NursingHomeClear cannot take or act on complaints.

Common questions

What is Evergreen Health and Rehabilitation Center's Medicare star rating?
CMS rates Evergreen Health and Rehabilitation Center 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Evergreen Health and Rehabilitation Center get at its last inspection?
2 health deficiencies at the standard inspection on January 9, 2026. The Georgia average is 5.
Has Evergreen Health and Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Evergreen Health and Rehabilitation Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Evergreen Health and Rehabilitation Center?
CMS lists 5 owners and managers. Legal business name: DUKE EQUITIES LLC.

Sources

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