Evergreen Woods - 3-Star Rehab Facility in Spring Hill, FL | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 10.6%Falls causing major injury 0.84%Pressure ulcers (high-risk) 2.8%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Jul 2025 (317 days ago)🔍 Health Inspection
2/5
★★☆☆☆
📊 Quality Measures
5/5
★★★★★
Medicare
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 44 min · US avg: 41 min
Total Nurse / Resident / Day
3h 22m
State avg: 3h 52m · US avg: 3h 53m
6 min
State avg: 5 min · US avg: 4 min
37 per 100
State avg: 42 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
91%above avg
US avg: 64%
Federal Penalties
9 penalties · $223,650 total
| Date | Type | Fine | Denial Days |
|---|
| 7/22/2025 | Fine | $24,850 | - |
| 7/22/2025 | Fine | $24,850 | - |
| 7/22/2025 | Fine | $24,850 | - |
| 7/22/2025 | Fine | $24,850 | - |
| 7/22/2025 | Fine | $24,850 | - |
| 7/22/2025 | Fine | $24,850 | - |
| 7/22/2025 | Fine | $24,850 | - |
| 7/22/2025 | Fine | $24,850 | - |
| 7/22/2025 | Fine | $24,850 | - |
Inspection Citations
Survey: July 22, 2025(3 citations)
🔴 Immediate JeopardyNutrition and Dietary DeficienciesComplaint
🔴 Immediate JeopardyNutrition and Dietary DeficienciesComplaint
🔴 Immediate JeopardyNutrition and Dietary DeficienciesComplaint
Survey: May 21, 2025(36 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
27.9 per 100
State avg: 26.1 · US avg: 23.9
7.6 per 100
State avg: 9.3 · US avg: 12.0
0.8 per 100
State avg: 2.6 · US avg: 3.3
2.8 per 100
State avg: 5.1 · US avg: 5.1
2.4 per 100
State avg: 1.5 · US avg: 1.6
100.0 per 100
State avg: 94.7 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
22/100
Incentive Payment
-1.72% penalty
Healthcare-Assoc. Infections
7.5 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
143
Avg Length of Stay
19.2 days
Avg Payment / Stay
$11,235.51
Patient Complexity
2.98 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
Survey: February 22, 2024(6 citations)
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
Survey: September 27, 2022(9 citations)
🟡 Potential for HarmQuality of Life and Care Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
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