Evergreen Woods
7045 Evergreen Woods Trl, Spring Hill, FL 34608 · Hernando County · (352) 596-8371
120 certified beds, about 113 residents a day · Non profit - Corporation · Medicare and Medicaid since 1981
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105397 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 21, 2025, inspectors cited 12 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 18 health citations since September 2022, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $16,153 in the last three years; the largest was $16,153, and the latest is dated July 22, 2025.
Nurses and nurse aides worked 3.34 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.
39.8% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Florida Institute for Long-Term Care, an affiliated group of 17 nursing homes.
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.
309/22
202/24
1205/25
107/25
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 18 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
6E
0F
Potential for minimal harm
0A
0B
1C
July 22, 2025Complaint inspection · 1 citation
- J Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents with allergies were provided foods that were free from allergens for 1 of 9 residents, Resident #1, sampled who had food allergies. Resident #1 had a documented severe fish allergy. The dietary department prepared Resident #1's meal tray which consisted of a fish entree; due to interruptions that occur during the tray line, the meal tray was delivered to the floor. At approximately 12:00 PM, Staff D, Certified Nursing Assistant (CNA), delivered the meal tray to Resident #1. At approximately 12:30 PM, Resident #1's meal tray was collected by Staff D, CNA, and realized the meal tray contained fish. Resident #1 notified facility staff that she was allergic to fish and was treated with medication for an allergic reaction. [...]
May 21, 2025Standard inspection · 12 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received care and services in accordance with professional standards of practice for medication administration via Gastrostomy Tube (G-tube) for 1 of 3 residents reviewed for enteral medication administration (Resident #56), for 1 of 1 resident reviewed for intravenous (IV) medication administration (Resident #420), and for 3 of 6 residents reviewed for wound care (Residents #51, #419, and #421).
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, record review, the facility failed to ensure residents received respiratory care as ordered by physician order for 3 of 5 residents reviewed for respiratory services (Residents #62, #69, and #270).
- 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.
Inspectors wrote3) During an observation on 5/18/2025 at 9:53 AM in Resident #169's room, there were four 10-ml normal saline syringes at the resident's bedside. During an interview on 5/18/2025 at 9:53 AM, Resident #169 stated, I don't know who put those there. I didn't see the nurse when she came in. During an observation on 5/18/2025 at 11:00 AM in Resident #55's room, there was one medication cup containing white cream on the resident's over the bed table. During an interview on 5/18/2025 at 11:00 AM, Resident #55 stated, It is medicine for my legs. Resident #55 did not recall the name of the medication. During an interview on 5/21/2025 at 8:40 AM, the DON stated, That does look like Silvadene. No medications should be left at bedside. [...]
- E 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.
Inspectors wroteBased on record review and interview, the facility failed to evaluate residents' needs and acuity in the facility assessment to determine the number of qualified staff needed to meet each resident's needs.
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain complete and accurate medical records for 4 of 8 residents reviewed for medication management (Residents #51, #62, #59, and #81) and 1 of 5 residents reviewed for respiratory services (Resident #270).
- D 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.
Inspectors wroteBased on interview and record review, the facility failed to ensure the residents' right to formulate advance directives for 2 of 20 residents reviewed for advance directives (Resident #105 and Resident #272).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure resident assessments accurately reflected the residents' status for 2 of 8 residents reviewed (Residents #269 and #69).
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a baseline care plan for urinary catheter care for 1 of 4 residents reviewed (Resident #421).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident environment was free of accident hazards in 1 of 2 units (Photographic evidence obtained).
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received appropriate urinary catheter care and services for 1 of 4 residents reviewed (Resident #421).
- D Post nurse staffing information every day.
Inspectors wroteBased on observation and interview, the facility failed to ensure accurate nurse staffing information was posted on a daily basis.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff used appropriate Personal Protective Equipment (PPE) while providing high-contact care for 1 of 6 residents reviewed (Resident #420), and failed to ensure respiratory treatment equipment was appropriately stored for 1 of 5 residents reviewed for respiratory services (Resident #68) to prevent the possible spread of the infection and communicable diseases.
February 22, 2024Standard inspection · 2 citations
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure oxygen was administered consistent with professional standards of practice for 1 of 2 residents reviewed for respiratory services, Resident #13 (Photographic evidence obtained).
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure foods were stored in a sanitary manner in 1 of 2 nourishment rooms, Nourishment room [ROOM NUMBER].
September 27, 2022Standard inspection · 3 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program to prevent the possible development and transmission of communicable diseases and infections. The facility failed to ensure staff performed hand hygiene during six of seven medication administration observations and during tracheostomy care.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the residents who needed respiratory care received the services related to oxygen administration and tracheostomy suctioning consistent with professional standards of practice, for 2 of 9 residents reviewed for respiratory care, Residents #51 and #234.
- C Post nurse staffing information every day.
Inspectors wroteBased on observation and interview, the facility failed to post nurse staffing data on a daily basis.
Fire safety inspections
11 fire safety citations on file: 3 on May 21, 2025, 4 on February 22, 2024, 4 on September 27, 2022.
Every fire safety citation11 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Install emergency lighting that can last at least 1 1/2 hours.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Ensure proper usage of power strips and extension cords.
- E Install corridor and hallway doors that block smoke.
- D Have proper medical gas storage and administration areas.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Meet other general requirements that are deficient.
- D Have proper power supply for life support equipment.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 22, 2025 | Fine | $16,153 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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 | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.34 | 3.82 | 3.86 |
| Registered nurses | 0.44 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.16 | 3.49 | 3.42 |
| Nurse aides | 2.03 | ||
| Licensed practical nurses | 0.87 | ||
| Nursing staff turnover (share who left in a year) | 39.8% | 41.4% | 45.8% |
| Registered nurse turnover | 21.4% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.59 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 3.41 on weekdays and 3.16 on weekends, 7% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.39 in April to June 2025 to 3.34 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 | 3.34 | 0.44 | 3.41 | 3.16 | 0.1% | 0 of 90 | 113 |
| Oct to Dec 2025 | 3.31 | 0.51 | 3.40 | 3.08 | 0.1% | 0 of 92 | 112 |
| Jul to Sep 2025 | 3.36 | 0.57 | 3.46 | 3.12 | 0.1% | 0 of 92 | 111 |
| Apr to Jun 2025 | 3.39 | 0.54 | 3.51 | 3.10 | 0.1% | 0 of 91 | 114 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% 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 | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.9 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.1 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.2 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.3 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.4 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.2 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.1 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.1 | 1.8 |
Owners and operators
Legal business name: FI-EVERGREEN WOODS, LLC. CMS links this home to Florida Institute for Long-Term Care, a group of 17 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Florida Institute for Long Term Care LLC | 5% or greater indirect ownership interest | Organization | 100% | 12/23/2002 |
| Jaffe, Howard | Corporate officer | Individual | 07/01/2003 | |
| Katz-Hall, Kathy | Corporate officer | Individual | 07/01/2003 | |
| Mullarkey, James | Corporate officer | Individual | 07/01/2003 | |
| Richmond, Penny | Corporate officer | Individual | 07/01/2003 | |
| Aegir Health Management LLC | Operational/managerial control | Organization | 09/01/2009 | |
| Consulting Support Services, LLC | Operational/managerial control | Organization | 06/28/2011 | |
| Facility Support Company, LLC | Operational/managerial control | Organization | 12/13/2010 | |
| Kane Financial Services, LLC | Operational/managerial control | Organization | 06/06/2012 | |
| Hennigan, Rebecca | Operational/managerial control | Individual | 08/23/2022 | |
| Swonger, Ronald | Operational/managerial control | Individual | 07/01/2014 | |
| Aegir Health Management LLC | Adp of the SNF | Organization | 04/03/2025 | |
| Consulting Support Services, LLC | Adp of the SNF | Organization | 04/03/2025 | |
| Facility Support Company, LLC | Adp of the SNF | Organization | 03/20/2025 | |
| Florida Institute for Long Term Care LLC | Adp of the SNF | Organization | 04/03/2025 | |
| Kane Financial Services, LLC | Adp of the SNF | Organization | 03/20/2025 | |
| Omega Health Investors, Inc | Adp of the SNF | Organization | 07/01/2003 | |
| Select Rehabilitation, LLC | Adp of the SNF | Organization | 08/19/2016 | |
| Hennigan, Rebecca | Adp of the SNF | Individual | 08/23/2022 | |
| Swonger, Ronald | Adp of the SNF | Individual | 07/01/2014 |
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 6 problems in this area, most recently on May 21, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on May 21, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on July 22, 2025: "Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on May 21, 2025: "Post nurse staffing information every day."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.16 hours per resident per day, below the Florida average of 3.49.
Other nursing homes nearby
- Aviata at Spring Hill Brooksville, 0.2 mi · 4 of 5 stars · 27 citations
- Oak Hill Health & Rehabilitation Brooksville, 1.8 mi · 4 of 5 stars · 25 citations
- Brooksville Healthcare Center Brooksville, 7.3 mi · 3 of 5 stars · 21 citations
- Northbrook Center for Rehabilitation and Healing Brooksville, 7.8 mi · 2 of 5 stars · 23 citations
- Aviata at Brooksville Brooksville, 9.3 mi · 3 of 5 stars · 20 citations
- Bayonet Point Health Center by Harborview Hudson, 15.4 mi · 3 of 5 stars · 9 citations
- Windsor Woods Rehab and Healthcare Center Hudson, 15.9 mi · 3 of 5 stars · 16 citations
- Bear Creek Nursing Center Hudson, 16.9 mi · 2 of 5 stars · 21 citations
Florida contacts for a concern about a nursing home
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Florida Agency for Health Care Administration, Long Term Care Services Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Florida Long-Term Care Ombudsman Program, 1-888-831-0404. 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: FloridaHealthFinder, where Florida publishes its own records on licensed homes.
Common questions
- What is Evergreen Woods's Medicare star rating?
- CMS rates Evergreen Woods 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Evergreen Woods get at its last inspection?
- 12 health deficiencies at the standard inspection on May 21, 2025. The Florida average is 7.1.
- Has Evergreen Woods been fined?
- Yes. CMS lists 1 fine totaling $16,153 in the last three years.
- Does Evergreen Woods 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 Woods?
- CMS lists 20 owners and managers, and links the home to Florida Institute for Long-Term Care. Legal business name: FI-EVERGREEN WOODS, LLC.
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.