Evergreen Health and Rehab
380 Millwood Avenue, Winchester VA 22601 · (540) 667-7010 · 76.87% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Evergreen Health and Rehab is a large nursing home located in Winchester, Virginia. With an overall rating of C, this looks like a solid facility. You could certainly do worse than this place. You should also take a look at this nursing home's category grades below. We discuss long-term care in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 176 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Long-term Care Quality
This facility's best grade came in the area of long-term care. In that category, we gave this nursing home a grade of B+. In a long-term care environment, the nursing home's primary objective is to maintain patients' quality of life and keep them safe. In addition to considering the volume of care provided by nurses and other staff, we also looked at the number of residents vaccinated for pneumonia. This facility administered the vaccine to 79.157425 percent of its patients. This is slightly below what we were hoping for. Although its vaccination rate was a bit lower than we had hoped, at least this place was able to limit hospitalizations. With only 1.13 hospitalizations per one thousand long-term resident days, this facility had less hospitalizations than many nursing homes.
Facility Inspections
We would also like to point out this facility's strong inspection grade. This facility earned a B in this category, which is one of our better scores. Inspection grades take several factors into consideration, including deficiencies, substantiated complaints and federal fines. You can learn more about each of these factors by reviewing copies of nursing homes' inspection reports. This facility was assessed 5 deficiencies on its inspection report, but none were considered to be severe deficiencies. This indicates that CMS didn't consider any of the deficiencies to be an imminent threat to patient safety or health. Finally, this facility had no substantiated complaints this year from residents, which is always a good sign.
Short-term Care Quality
Additionally, we gave this facility a B in our short-term care category. This happens to be one of our more impressive scores. Short-term care grades are often employed to judge a nursing home's rehabilitation services To provide good rehabilitation services, nursing homes generally must provide higher levels of highly skilled nursing. Skilled nursing includes registered nurses, physical therapists, speech therapists and other types of therapists. Fortunately, this nursing home offers both physical therapists and registered nurses. Not all facilities offer both. Finally, we looked at the number of patients who were able to return to the community from this nursing home, which as an area this nursing home performed much more favorably. It outperformed the vast majority of nursing homes in the country in this area with 57.8 percent of its residents returning home. This is a significantly higher rate than most facilities.
Nurse Quality
The last category we assessed was nursing. For this category, we gave this facility a C. When determining a facility's nursing rating, we consider the quantity of hours nurses are caring for patients as well as the level of skill of the nurses. This place averages just 2.6 hours of nursing care per patient on a daily basis, which is a very low figure. Lastly, we like to look at quality-based metrics, such as the percentage of residents who sustained pressure ulcers and major falls. These data points are decent measures of the quality of nursing care.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Evergreen Health and Rehab Quality Metrics
Minimizes Pressure Ulcers
This statistic indicates the percent of long-term care patients who are suffering from new or worsened pressure ulcers or bed sores. We factor in this statistic in computing both nursing and long-term care grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This datapoint is an indication of the percentage of long-term care patients who have had falls resulting in severe injury. Falls can happen for a variety of reasons, but high rates of major falls may be an indication of poor nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percentage of patients that have had a urinary tract infection. These infections are sometimes associated with poorer hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percent of residents given antipsychotic drugs. These drugs may be used to treat a variety of medical conditions, including Alzheimer's or other dementias.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This tells you the percent of patients who were given antianxiety medications. These medications are prescribed to patients suffering from anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This indicates the percentage of residents demonstrating signs of depression. Increased levels of depression may reveal lower quality care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This tells you the percentage of residents that were given the pneumonia and flu vaccines. Higher vaccination rates should be standard at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is a measure of the percent of long-term care patients that required increased assistance with activities of daily living over time. Activities of daily living include activities such as moving around and eating. Many believe that this is a reasonable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percent of residents that retained mobility levels over time. Retaining mobility is often a good sign for residents' health.
Percentage of Residents
Higher is Better
Hospitalizations
This tells you the number of times residents are hospitalized per 1,000 days of patient care. There is generally a correlation between keeping patients out of the hospital and the quality of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This indicates the number of times residents are rehospitalized per thousand days of short-term patient care. There is a correlation between staying out of the hospital and a nursing homes short-term rehabilitation performance.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This tells you the number of times residents are sent to the emergency room per thousand days of short-term care. There is usually a correlation between having fewer emergency room visits and the quality of care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This metric is a measure of the percentage of short-term residents who saw functional improvements, such as with activities of daily living. Many in the industry argue this is a reasonable measure of a facility's rehabilitation services.
Percentage of Resident
Higher is Better