EVERGREEN MANOR SENIOR CARE CE

πŸ“ 111 EVERGREEN, battle-creek, MI 49015 πŸ“ž 2699696110 πŸ›οΈ 91 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐
1/5

Staffing

⭐⭐⭐⭐⭐
5/5

Quality Measures

⭐⭐⭐⭐⭐
5/5

Inspection History Overview

66
Total Violations
9 years of data
$14,158
Total Fines
3 penalties
7
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 2 violations

Tag 0585 D Jan 15, 2025

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Jan 24, 2025
Tag 0690 D Jan 15, 2025

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Jan 24, 2025

2024 7 violations

Tag 0678 D May 9, 2024

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

βœ“ Corrected: May 20, 2024
Tag 0602 D Mar 7, 2024

Protect each resident from the wrongful use of the resident's belongings or money.

βœ“ Corrected: Mar 25, 2024
Tag 0609 D Mar 7, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Mar 25, 2024
Tag 0610 D Mar 7, 2024

Respond appropriately to all alleged violations.

βœ“ Corrected: Mar 25, 2024
Tag 0676 D Mar 7, 2024

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

βœ“ Corrected: Mar 25, 2024
Tag 0883 D Mar 7, 2024

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Mar 25, 2024
Tag 0921 D Mar 7, 2024

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Mar 25, 2024

2023 5 violations

Tag 0725 E Oct 11, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Oct 24, 2023
Tag 0609 D May 22, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Jun 1, 2023
Tag 0610 D May 22, 2023

Respond appropriately to all alleged violations.

βœ“ Corrected: Jun 1, 2023
Tag 0684 D May 22, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jun 1, 2023
Tag 0689 G May 22, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jun 1, 2023

2022 6 violations

Tag 0657 D Dec 13, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Jan 10, 2023
Tag 0689 D Dec 13, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jan 10, 2023
Tag 0692 D Dec 13, 2022

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Jan 10, 2023
Tag 0725 F Dec 13, 2022

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Jan 11, 2023
Tag 0758 D Dec 13, 2022

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Jan 10, 2023
Tag 0842 D Dec 13, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Jan 10, 2023

2021 3 violations

Tag 0641 E Sep 23, 2021

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Oct 27, 2021
Tag 0688 D Sep 23, 2021

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Oct 27, 2021
Tag 0760 D Sep 23, 2021

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Oct 27, 2021

2020 4 violations

Tag 0600 E Oct 28, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Nov 18, 2020
Tag 0741 E Oct 28, 2020

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

βœ“ Corrected: Nov 18, 2020
Tag 0880 F Oct 28, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 25, 2020
Tag 0886 E Oct 28, 2020

Perform COVID19 testing on residents and staff.

βœ“ Corrected: Nov 25, 2020

2019 19 violations

Tag 0578 D Sep 18, 2019

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.

βœ“ Corrected: Oct 15, 2019
Tag 0584 F Sep 18, 2019

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.

βœ“ Corrected: Oct 15, 2019
Tag 0600 G Sep 18, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Dec 4, 2019
Tag 0604 D Sep 18, 2019

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Oct 15, 2019
Tag 0607 D Sep 18, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: Oct 15, 2019
Tag 0609 D Sep 18, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Oct 15, 2019
Tag 0610 D Sep 18, 2019

Respond appropriately to all alleged violations.

βœ“ Corrected: Oct 15, 2019
Tag 0623 D Sep 18, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Oct 15, 2019
Tag 0625 D Sep 18, 2019

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

βœ“ Corrected: Oct 15, 2019
Tag 0645 D Sep 18, 2019

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Oct 15, 2019
Tag 0656 D Sep 18, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Oct 15, 2019
Tag 0657 D Sep 18, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Oct 15, 2019
Tag 0684 D Sep 18, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Oct 15, 2019
Tag 0689 J Sep 18, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Oct 15, 2019
Tag 0725 E Sep 18, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Oct 15, 2019
Tag 0756 D Sep 18, 2019

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Oct 15, 2019
Tag 0759 D Sep 18, 2019

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Oct 15, 2019
Tag 0760 J Sep 18, 2019

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Oct 15, 2019
Tag 0842 D Sep 18, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Oct 15, 2019

2018 11 violations

Tag 0607 C Oct 11, 2018

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: Nov 20, 2018
Tag 0623 F Oct 11, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Nov 20, 2018
Tag 0641 D Oct 11, 2018

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Nov 20, 2018
Tag 0656 D Oct 11, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Nov 20, 2018
Tag 0657 D Oct 11, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Nov 20, 2018
Tag 0677 D Oct 11, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Nov 20, 2018
Tag 0755 D Oct 11, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Dec 28, 2018
Tag 0761 D Oct 11, 2018

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.

βœ“ Corrected: Nov 20, 2018
Tag 0790 D Oct 11, 2018

Provide routine and 24-hour emergency dental care for each resident.

βœ“ Corrected: Nov 20, 2018
Tag 0791 D Oct 11, 2018

Provide or obtain dental services for each resident.

βœ“ Corrected: Nov 20, 2018
Tag 0812 F Oct 11, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Nov 20, 2018

2017 9 violations

Tag 0315 D Sep 13, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

βœ“ Corrected: Oct 20, 2017
Tag 0325 G Sep 13, 2017

Ensure residents maintain acceptable nutritional status.

βœ“ Corrected: Oct 20, 2017
Tag 0371 F Sep 13, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Oct 20, 2017
Tag 0387 D Sep 13, 2017

Make sure that doctors visit residents regularly, as required.

βœ“ Corrected: Oct 20, 2017
Tag 0428 D Sep 13, 2017

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

βœ“ Corrected: Oct 20, 2017
Tag 0441 D Sep 13, 2017

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: Oct 20, 2017
Tag 0514 E Sep 13, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: Oct 20, 2017
Tag 0309 D May 4, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Jun 6, 2017
Tag 0441 D May 4, 2017

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: Jun 6, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $658

$658
Fine
April 4, 2022
Average: $658 | Range: $658 - $658

2019 1 penalties totaling $0

$0
Payment Denial
September 18, 2019
Average: $0 | Range: $0 - $0

2017 1 penalties totaling $13,500

$13,500
Fine
September 13, 2017
Average: $13,500 | Range: $13,500 - $13,500

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

May 9, 2024
0.00

Health

March 7, 2024
0.00

Health

October 11, 2023
0.00

Health

May 22, 2023
0.00

Health

December 13, 2022
0.00

Health

September 23, 2021
0.00

Health

September 18, 2019
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
235054
235054
2699696110
Calhoun

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Individual