Senior Care Records.

Evergreen Healthcare Center

924 CHARLIE'S WAY, Montpelier, OH, 43543

Nursing home73 licensed beds0 citations on record
LocationOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 9 deficiencies against Evergreen Healthcare Center in Montpelier, Ohio at its most recent standard inspection on 2026-04-09, 1 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare rates it 3 out of 5 overall.

3 / 5Medicare overall rating
73certified beds
9deficiencies at the last inspection
1immediate-jeopardy findings on record
1actual-harm findings on record
0federal fines
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.25
Potential for minimal harmThe least serious band.0
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Nutrition and Dietary Deficiencies · F0805 · 2026-04-09 · standard survey · No actual harm, potential for more than minimal harm

E

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2026-04-09 · standard survey · No actual harm, potential for more than minimal harm

D

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2026-04-09 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0677 · 2026-04-09 · standard survey · No actual harm, potential for more than minimal harm

D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies · F0686 · 2026-04-09 · standard survey · No actual harm, potential for more than minimal harm

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.

Quality of Life and Care Deficiencies · F0690 · 2026-04-09 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0692 · 2026-04-09 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide or obtain dental services for each resident.

Quality of Life and Care Deficiencies · F0791 · 2026-04-09 · standard survey · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2026-04-09 · standard survey · No actual harm, potential for more than minimal harm

D

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2023-01-18 · standard survey · Immediate jeopardy to resident health or safety

J

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

Quality of Life and Care Deficiencies · F0689 · 2023-01-18 · standard survey · Actual harm to a resident

G

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies · F0580 · 2023-01-18 · standard survey · No actual harm, potential for more than minimal harm

D

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2023-01-18 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0684 · 2023-01-18 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0692 · 2023-01-18 · standard survey · No actual harm, potential for more than minimal harm

D

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

Pharmacy Service Deficiencies · F0756 · 2023-01-18 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies · F0760 · 2023-01-18 · standard survey · No actual harm, potential for more than minimal harm

D

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Administration Deficiencies · F0835 · 2023-01-18 · standard survey · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2023-01-18 · standard survey · No actual harm, potential for more than minimal harm

D

Implement a program that monitors antibiotic use.

Infection Control Deficiencies · F0881 · 2023-01-18 · standard survey · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below3 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.26945
Nursing staff turnoverShare of nursing staff who left in a year46.5%
Ownership

Who owns Evergreen Healthcare Center

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
SXCY MSTR LSCO, LLCOrganization100%since 01/01/2022
HEALTH CARE LEASE FACILITIES, LLCOrganizationNO PERCENTAGE PROVIDEDsince 03/01/2018
SXCY HOLDINGS, LLCOrganizationNO PERCENTAGE PROVIDEDsince 01/01/2022
ROMEO, DOMINICIndividualNOT APPLICABLEsince 04/01/2023
STOLTZ, CHARLESIndividualNOT APPLICABLEsince 03/01/2018
WILHEIM, RONALDIndividualNOT APPLICABLEsince 03/01/2018
ROBINAIR MGT CO., LLCOrganizationNOT APPLICABLEsince 03/01/2018
GROVES, DONNAIndividualNOT APPLICABLEsince 04/14/2023
GUTIERREZ, YVETTEIndividualNOT APPLICABLEsince 04/05/2021
PARK, KEVINIndividualNOT APPLICABLEsince 10/01/2024
ROMEO, DOMINICIndividualNOT APPLICABLEsince 04/01/2023
C.R. STOLTZ FAMILY INVESTMENT COMPANY INCOrganizationNOT APPLICABLEsince 03/01/2018

Part of the COMMUNICARE HEALTH group.

Contact

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What is needed

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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 365495.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction