Contact Information

EVERGREEN HEALTHCARE CENTER
ROBINAIR LEASING CO., LLC
924 CHARLIE'S WAY
MONTPELIER, OH 43543
(419) 485-8307
For profit - Individual
Medicare certification date2: April 17, 1980
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  35 residents

  73 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 2
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 35 residents Ohio Average National Average
Hours by Registered Nurse (RN) per resident per day 50 minutes 38 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 46 minutes 58 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 1 hour, 55 minutes 2 hours, 8 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 6 minutes 5 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • SXCY MSTR LSCO, LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST

  • C R STOLTZ II LLC
  • C.R. STOLTZ IRREVOCABLE TRUST
  • HEALTH CARE HOLDINGS, LLC
  • I. ROSEDALE IRREVOCABLE TRUST
  • R.S. WILHEIM IRREVOCABLE TRUST
  • RONALD S WILHEIM 2012 SPOUSAL TRUST
  • ROSEDALE FAMILY INVESTMENT COMPANY, INC
  • RRW, LLC
  • S.L. ROSEDALE IRREVOCABLE TRUST
  • WILHEIM FAMILY INVESTMENT COMPANY INC

MANAGING EMPLOYEE

  • POTTS, KANDACE

OFFICER

  • ODENTHAL, RICHARD
  • STOLTZ, CHARLES

OPERATIONAL/MANAGERIAL CONTROL

  • HEALTH CARE FACILITY MANAGEMENT, LLC

Nursing Home Report

In 2016, EVERGREEN HEALTHCARE CENTER charged a total of $1,265,299 for 58 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 79.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 19% Alzheimer's 57%
Asthma 45% Cancer 10%
Congestive Heart Failure 47% Kidney Disease 74%
COPD 53% Depression 50%
Diabetes 62% Hyperlipidemia 74%
Hypertension n/a Ischemic Heart Disease 64%
Osteoporosis 17% RA / OA 67%
Schizophrenia 22% Stroke 17%
Demographics
Medicare Beneficiaries 58 Average Age 79
Male 25 Female 33
White 56
Black 0
Asian 0
Hispanic n/a
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: May 17, 2018; fire safety inspection: May 18, 2018

Health Deficiencies as of 05/17/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 1
Resident Assessment and Care Planning None
Nursing and Physician Services None
Resident Rights 1
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 05/18/2018
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies 1
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also