Evergreen Health Services – Shawano, WI

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At a Glance
The Evergreen Health Services located at 1250 Evergreen St, Shawano, WI 54166, with telephone number (715) 526-3107, is a For profit – Limited Liability company facility with 50 certified beds. It has an average of 40.3 residents per day and is classified under Medicare and Medicaid. The legal business name is Nsh Shawano-Evergreen Llc.

This facility was first approved to provide Medicare and Medicaid services on 12/01/1983. It does not belong to a continuing care retirement community. The affiliated entity name is North Shore Healthcare. This facility has No Family Council.

The overall rating is 5 stars, with a health inspection rating of 4 stars, a quality measures rating of 5 stars, a long-stay QM rating of 4 stars, a short-stay QM rating of 5 stars, and a staffing rating of 3 stars.

The reported total nurse staffing hours per resident per day is 3 hours and 28 minutes, nurse aide staffing hours is 1 hour and 60 minutes, LPN staffing hours is 50 minutes, RN staffing hours is 38 minutes, and licensed staffing hours is 1 hour and 28 minutes. On weekends, total nurse staff hours per resident per day is 3 hours and 3 minutes, and registered nurse hours per resident per day is 15 minutes. Physical therapist staffing hours per resident per day are 2 minutes.

The facility has reported 0 facility-related incidents, 3 substantiated complaints, no citations from infection control inspections, and 0 fines, with the total amount of fines in dollars being $0. The number of payment denials is 0, and the total number of penalties is 0.

Evergreen Health Services Map

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Contact Details
Evergreen Health Services Phone (715) 526-3107
Evergreen Health Services Address 1250 Evergreen St
City Shawano
State WI
ZIP Code 54166
County Shawano
Ratings
Overall Rating
Health Inspection Rating
QM Rating
Long-Stay QM Rating
Short-Stay QM Rating
Staffing Rating
Facility Information
Number of Certified Beds 50
Average Number of Residents per Day 40.3
Legal Business Name Nsh Shawano-Evergreen Llc
Affiliated Entity Name North Shore Healthcare
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
Provider Resides in Hospital No
Legal Business Name NSH SHAWANO-EVERGREEN LLC
Date First Approved to Provide Medicare and Medicaid Services 12/1/1983
Affiliated Entity Name NORTH SHORE HEALTHCARE
Continuing Care Retirement Community No
Most Recent Health Inspection More Than 2 Years Ago No
Provider Changed Ownership in Last 12 Months No
With a Resident and Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Hours Per Resident
Reported Total Nurse Staffing Hours per Resident per Day 3 hours 28 minutes
Reported Nurse Aide Staffing Hours per Resident per Day 1 hour 60 minutes
Reported LPN Staffing Hours per Resident per Day 50 minutes
Reported RN Staffing Hours per Resident per Day
Reported Licensed Staffing Hours per Resident per Day 1 hour 28 minutes
Total number of nurse staff hours per resident per day on the weekend 3 hours 3 minutes
Registered Nurse hours per resident per day on the weekend 15 minutes
Reported Physical Therapist Staffing Hours per Resident Per Day 1 minute 37 seconds
Incidents
Number of Facility Reported Incidents 0
Number of Substantiated Complaints 3
Number of Citations from Infection Control Inspections
Number of Fines 0
Total Amount of Fines in Dollars 0
Number of Payment Denials 0
Total Number of Penalties 0

Data is based on CMS Nursing homes including rehab services dataset. Processing Date: 11/1/2024.

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