Evergreen Health Center
1130 N Westfield St., Oshkosh, WI 54902 · Winnebago County · (920) 233-2340
80 certified beds, about 57 residents a day · Non profit - Corporation · Medicare and Medicaid since 1999
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 525647 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 27, 2026, inspectors cited 2 health deficiencies (the Wisconsin average is 9.5, the national average 9.2).
None of its 7 health citations since January 2024 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 5.08 hours per resident per day, against 4.21 across Wisconsin and 3.86 nationally. Registered nurses accounted for 1.40 of those hours.
49.0% of nursing staff left within the year CMS measured (Wisconsin average 46.9%).
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.
201/24
303/25
205/26
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 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
1E
1F
Potential for minimal harm
0A
0B
0C
May 27, 2026Standard inspection · 2 citations · risk-based survey (a shorter visit CMS gives only to higher performing homes)
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, staff interview, and record review, the facility did not ensure 1 resident (R) (R10) of 2 sampled residents received the necessary care and services to prevent pressure injuries from developing and/or promote healing. R10 had an air mattress that was implemented on 7/16/24. The mattress was not set to R10's current weight. R10's medical record did not contain an order to check the mattress settings or ensure the mattress was set appropriately.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff and resident interview, and record review, the facility did not establish and maintain an infection prevention and control program designed to prevent the development and transmission of communicable disease and infection for 3 residents (R) (R1, R5, and R10) of 4 sampled residents. R1 had a presure injury on the sacral region but was not on enhanced barrier precautions (EBP). In addition, staff completed wound care for R1 without wearing gowns. R5 had an indwelling catheter and was on EBP. Staff provided care for R5 without wearing gowns or gloves. In addition, R5's catheter bag was on the floor. R10 had a pressure injury on the sacral region and was on EBP. Staff transferred R10 without wearing gowns or gloves.
March 12, 2025Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a safe and sanitary manner. This practice had the potential to affect all 57 residents residing in the facility. Staff did not document food cooling temperatures. Staff did not follow safe reheating protocols for food meant for resident consumption. Food in freezers, coolers, and the dry storage area was not appropriately labeled and/or dated. Staff did not follow safe holding temperatures protocols for food meant for resident consumption. Staff did not consistently monitor and document dishwasher surface temperatures.
- E Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on staff interview and record review, the facility did not ensure a written transfer notice was provided for 4 residents (R) (R7, R45, R49, and R4) of 4 sampled residents reviewed for hospitalizations. R7 was transferred to the hospital on [DATE] and 12/18/24. Neither R7 or R7's Power of Attorney for Healthcare (POAHC) were provided with written transfer notices. In addition, the facility did not notify the Ombudsman of R7's hospital transfers. R45 was transferred to the hospital on 9/26/24. Neither R45 or R45's representative were provided with a written transfer notice. In addition, the facility did not notify the Ombudsman of R45's hospital transfer. R49 was transferred to the hospital on 1/23/25. Neither R49 or R49's representative were provided with a written transfer notice. R4 was transferred to the hospital on [DATE] and the emergency room (ER) on 12/13/24. [...]
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on staff interview and record review, the facility did not ensure the appropriate care and treatment was provided for 3 residents (R) (R36, R41, and R254) of 4 residents reviewed for weight monitoring. The facility did not consistently monitor R36's weight per the physician's order. In addition, the facility did not ensure the physician was notified when R36 had a significant weight loss. The facility did not ensure the physician was notified when R41 had a significant weight loss. The facility did not follow-up on a supplement order for R254 in a timely manner. In addition, the facility did not ensure physician notification was documented when R254 had significant weight loss or gain.
January 11, 2024Standard inspection · 2 citations
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on staff interview and record review, the facility did not ensure 3 Residents (R) (R100, R101, and R102) of 3 residents signed and received copies of the Notice of Medicare Non-Coverage (NOMNC) form and/or Skilled Nursing Facility Advanced Beneficiary Notice (ABN) form which are used to inform residents of their final day of Medicare Part A insurance coverage, potential liability for payment (daily cost of care and services at the facility) and standard claim appeal rights and instructions. The facility did not provide an ABN form (a document which explains financial liability, including the facility's daily rate for services) to R100 when R100's Medicare Part A benefits ended on [DATE] and R100 remained in the facility. The facility did not provide an ABN form to R101 when R1's Medicare Part A benefits ended on [DATE] and R101 remained in the facility. [...]
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on staff interview and record review, the facility did not implement their written policies and procedures to prevent abuse for 1 (Registered Nurse (RN)-C) of 8 staff reviewed for background checks. The facility did not complete a thorough background check prior to hiring RN-C as a contracted employee.
Fire safety inspections
29 fire safety citations on file: 5 on May 27, 2026, 10 on March 12, 2025, 14 on January 11, 2024.
Every fire safety citation29 citations
- F Have properly installed electrical wiring and gas equipment.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Implement emergency and standby power systems.
- F Have properly located and lighted "Exit" signs.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have properly installed electrical wiring and gas equipment.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Meet requirements for the installation and maintenance of electrical systems.
- E Ensure proper usage of power strips and extension cords.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have restrictions on the use of highly flammable decorations.
- D Have power receptacles that are properly grounded.
- D Have proper medical gas storage and administration areas.
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.
| Measure | This home | Wisconsin | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.08 | 4.21 | 3.86 |
| Registered nurses | 1.40 | 0.99 | 0.69 |
| All nursing staff on weekends | 4.57 | 3.77 | 3.42 |
| Nurse aides | 3.43 | ||
| Licensed practical nurses | 0.25 | ||
| Nursing staff turnover (share who left in a year) | 49.0% | 46.9% | 45.8% |
| Registered nurse turnover | 45.8% | 39.7% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.50 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 5.28 on weekdays and 4.57 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.29 in April to June 2025 to 5.08 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.08 | 1.40 | 5.28 | 4.57 | 9.1% | 0 of 90 | 57 |
| Oct to Dec 2025 | 5.12 | 1.28 | 5.28 | 4.71 | 12.6% | 0 of 92 | 56 |
| Jul to Sep 2025 | 4.79 | 1.35 | 4.97 | 4.32 | 9.7% | 0 of 92 | 58 |
| Apr to Jun 2025 | 5.29 | 1.43 | 5.54 | 4.66 | 6.7% | 0 of 91 | 54 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Wisconsin, Jan to Mar 2026 | 4.19 | 0.95 | 4.36 | 3.74 | 8.8% | 0.3% 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Wisconsin | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.6 | 16.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.7 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.7 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.4 | 18.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.4 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.8 | 15.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 13.1 | 23.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 25.1 | 15.5 | 12.0 |
Owners and operators
Legal business name: EVERGREEN RETIREMENT COMMUNITY INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Evergreen Retirement Community Inc | 5% or greater direct ownership interest | Organization | 100% | 02/26/1968 |
| Evergreen Communities, Inc | 5% or greater indirect ownership interest | Organization | 100% | 06/01/2022 |
| Arneson, Kenneth | Corporate director | Individual | 03/01/2006 | |
| Chitwood, James | Corporate director | Individual | 06/30/2018 | |
| Chung, Seon Yoon | Corporate director | Individual | 01/01/2024 | |
| Davis, Dawn | Corporate director | Individual | 01/01/2024 | |
| Dearmond, Sarah | Corporate director | Individual | 07/01/2021 | |
| Dewitt, Deirdre | Corporate director | Individual | 01/01/2020 | |
| Funcke, Verna | Corporate director | Individual | 01/01/2023 | |
| Grey, Michael | Corporate director | Individual | 07/01/2017 | |
| Higgins, Billie Jo | Corporate director | Individual | 04/01/2022 | |
| Kruck, David | Corporate director | Individual | 06/30/2020 | |
| Lynch, Sherry | Corporate director | Individual | 01/01/2024 | |
| Mathes, Andrew | Corporate director | Individual | 01/01/2023 | |
| Miller, Chad | Corporate director | Individual | 06/30/2020 | |
| Ramsey, Thomas | Corporate director | Individual | 07/01/2017 | |
| Richeson, Emily | Corporate director | Individual | 07/01/2021 | |
| Rommelfanger, Alan | Corporate director | Individual | 01/01/2023 | |
| Stubbs, John | Corporate director | Individual | 01/01/2023 | |
| Sullivan, Gail | Corporate director | Individual | 01/01/2024 | |
| Weignad, Cathy | Corporate director | Individual | 06/30/2020 | |
| Wilkes, Ann | Corporate director | Individual | 01/01/2024 | |
| Arneson, Kenneth | Corporate officer | Individual | 03/01/2006 | |
| Higgins, Billie Jo | Corporate officer | Individual | 04/01/2020 | |
| Aurora Medical Group, Inc. | Operational/managerial control | Organization | 01/15/2025 | |
| Evergreen Communities, Inc | Operational/managerial control | Organization | 01/15/2025 | |
| Evergreen Retirement Community Inc | Operational/managerial control | Organization | 01/15/2025 | |
| Arneson, Kenneth | Operational/managerial control | Individual | 03/01/2006 | |
| Bellin, Peggy | Operational/managerial control | Individual | 08/03/1992 | |
| Chitwood, James | Operational/managerial control | Individual | 01/15/2025 | |
| Chung, Seon Yoon | Operational/managerial control | Individual | 01/21/2025 | |
| Davis, Dawn | Operational/managerial control | Individual | 01/21/2025 | |
| Dearmond, Sarah | Operational/managerial control | Individual | 01/15/2025 | |
| Dewitt, Deirdre | Operational/managerial control | Individual | 01/21/2025 | |
| Funcke, Verna | Operational/managerial control | Individual | 01/17/2025 | |
| Grey, Michael | Operational/managerial control | Individual | 01/15/2025 | |
| Higgins, Billie Jo | Operational/managerial control | Individual | 04/01/2020 | |
| Kruck, David | Operational/managerial control | Individual | 01/15/2025 | |
| Lee, Phyllis | Operational/managerial control | Individual | 01/01/2024 | |
| Lynch, Sherry | Operational/managerial control | Individual | 01/21/2025 | |
| Mathes, Andrew | Operational/managerial control | Individual | 01/21/2025 | |
| Miller, Chad | Operational/managerial control | Individual | 01/15/2025 | |
| Peters, Jane | Operational/managerial control | Individual | 09/11/1995 | |
| Ramsey, Thomas | Operational/managerial control | Individual | 01/17/2025 | |
| Richeson, Emily | Operational/managerial control | Individual | 01/17/2025 | |
| Rommelfanger, Alan | Operational/managerial control | Individual | 01/17/2025 | |
| Stubbs, John | Operational/managerial control | Individual | 01/17/2025 | |
| Sullivan, Gail | Operational/managerial control | Individual | 01/21/2025 | |
| Weignad, Cathy | Operational/managerial control | Individual | 01/17/2025 | |
| Wilkes, Ann | Operational/managerial control | Individual | 01/21/2025 | |
| Aurora Medical Group, Inc. | Adp of the SNF | Organization | 01/15/2025 | |
| Evergreen Communities, Inc | Adp of the SNF | Organization | 01/15/2025 | |
| Evergreen Retirement Community Inc | Adp of the SNF | Organization | 01/15/2025 | |
| Arneson, Kenneth | Adp of the SNF | Individual | 03/01/2006 | |
| Bellin, Peggy | Adp of the SNF | Individual | 08/03/1992 | |
| Chitwood, James | Adp of the SNF | Individual | 01/17/2025 | |
| Chung, Seon Yoon | Adp of the SNF | Individual | 01/21/2025 | |
| Davis, Dawn | Adp of the SNF | Individual | 01/21/2025 | |
| Dearmond, Sarah | Adp of the SNF | Individual | 01/15/2025 | |
| Dewitt, Deirdre | Adp of the SNF | Individual | 01/21/2025 | |
| Funcke, Verna | Adp of the SNF | Individual | 01/17/2025 | |
| Grey, Michael | Adp of the SNF | Individual | 01/15/2025 | |
| Higgins, Billie Jo | Adp of the SNF | Individual | 04/01/2020 | |
| Kruck, David | Adp of the SNF | Individual | 01/15/2025 | |
| Lee, Phyllis | Adp of the SNF | Individual | 01/01/2024 | |
| Lynch, Sherry | Adp of the SNF | Individual | 01/21/2025 | |
| Mathes, Andrew | Adp of the SNF | Individual | 01/21/2025 | |
| Miller, Chad | Adp of the SNF | Individual | 01/15/2025 | |
| Peters, Jane | Adp of the SNF | Individual | 09/11/1995 | |
| Ramsey, Thomas | Adp of the SNF | Individual | 01/17/2025 | |
| Richeson, Emily | Adp of the SNF | Individual | 01/17/2025 | |
| Rommelfanger, Alan | Adp of the SNF | Individual | 01/17/2025 | |
| Stubbs, John | Adp of the SNF | Individual | 01/17/2025 | |
| Sullivan, Gail | Adp of the SNF | Individual | 01/21/2025 | |
| Weignad, Cathy | Adp of the SNF | Individual | 01/17/2025 | |
| Wilkes, Ann | Adp of the SNF | Individual | 01/21/2025 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on May 27, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- 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 March 12, 2025: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on May 27, 2026: "Provide and implement an infection prevention and control program."
- 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 March 12, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Bethel Home Oshkosh, 0.8 mi · 5 of 5 stars · 11 citations
- Eden Rehab Suites and Green House Homes Oshkosh, 2.2 mi · 2 of 5 stars · 16 citations
- Edenbrook of Oshkosh Oshkosh, 2.4 mi · 3 of 5 stars · 30 citations
- Park View Health Center Oshkosh, 3.9 mi · 5 of 5 stars · 7 citations
- Edenbrook Omro Omro, 8.8 mi · 4 of 5 stars · 17 citations
- Oakridge Gardens Nur Ctr, Inc Menasha, 15.9 mi · 3 of 5 stars · 20 citations
- Peabody Manor Appleton, 16.3 mi · 4 of 5 stars · 23 citations
- Meadowbrook at Appleton Appleton, 17.3 mi · 2 of 5 stars · 59 citations
Wisconsin contacts for a concern about a nursing home
These are the official offices in Wisconsin. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Wisconsin Department of Health Services, Division of Quality Assurance, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Wisconsin Board on Aging and Long Term Care, Ombudsman Program, 1-800-815-0015. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Wisconsin DHS Provider Search (Survey History), where Wisconsin publishes its own records on licensed homes.
Common questions
- What is Evergreen Health Center's Medicare star rating?
- CMS rates Evergreen Health Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Evergreen Health Center get at its last inspection?
- 2 health deficiencies at the standard inspection on May 27, 2026. The Wisconsin average is 9.5.
- Has Evergreen Health Center been fined?
- CMS lists no fines in the last three years.
- Does Evergreen Health 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 Center?
- CMS lists 76 owners and managers. Legal business name: EVERGREEN RETIREMENT COMMUNITY INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.