Elder Care Record

Wisconsin › Winnebago County › Oshkosh

Evergreen Health Center

1130 N Westfield St, Oshkosh, WI 54902

CCN 525647 · Non-profit, corporation · 80 certified beds

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Evergreen Health Center is a Non-profit, corporation nursing home in Oshkosh, Wisconsin, certified for 80 beds and caring for about 57 residents a day.

CMS gives it 4 of 5 stars overall, above the Wisconsin median of 3; the health inspection rating is 4, staffing 4 and quality measures 4.

Inspectors recorded 7 health deficiencies across the three most recent survey cycles (2, 3, 2 by cycle, most recent first), none at the actual-harm level. That is 8.8 per 100 beds, fewer than the state median of 31.8.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 5.1 hours per resident per day (1.4 RN), above the Wisconsin median of 4.0; nursing staff turnover is 49.0%.

7health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
5.1nurse hours per resident per daystate median 4.0
71%occupancy (residents ÷ beds)57 residents a day

Compared with county, state and nation

MeasureThis facilityWinnebago Co. medianWisconsin medianUS average
Overall star rating4433.0
Health citations, 3 cycles7172128.7
Citations per 100 beds8.827.331.826.8
Total nurse hours per resident day5.14.84.03.9
RN hours per resident day1.41.30.90.7
Nursing staff turnover49.0%50.9%46.2%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (8 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)2
Cycle 23
Cycle 32

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 May 2026, 12 Mar 2025.

Severity mix: D ×5 E ×1 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
27 May 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey15 Jun 2026
27 May 2026F0880Provide and implement an infection prevention and control program.DStandard survey15 Jun 2026
12 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey7 Apr 2025
12 Mar 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey7 Apr 2025
12 Mar 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey7 Apr 2025
11 Jan 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey1 Feb 2024
11 Jan 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey1 Feb 2024

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing5.08 h
Nurse aides3.43 h
LPN0.25 h
RN1.4 h
Weekend total4.57 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 49.0%, RNs 45.8%; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityWisconsin medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay18.6%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.5%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.7%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.7%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.7%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay22.4%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.4%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay6.8%14.4%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Evergreen Retirement Community Inc.

OrganisationRole in the CMS recordInterestSince
Evergreen Retirement Community Inc5% or greater direct ownership interest100%02/26/1968
Evergreen Communities, Inc5% or greater indirect ownership interest100%06/01/2022
Aurora Medical Group, Inc.Operational/managerial controlNOT APPLICABLE01/15/2025
Evergreen Communities, IncOperational/managerial controlNOT APPLICABLE01/15/2025
Evergreen Retirement Community IncOperational/managerial controlNOT APPLICABLE01/15/2025
Aurora Medical Group, Inc.Adp of the snfNOT APPLICABLE01/15/2025
Evergreen Communities, IncAdp of the snfNOT APPLICABLE01/15/2025
Evergreen Retirement Community IncAdp of the snfNOT APPLICABLE01/15/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Winnebago County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Bethel HomeOshkosh1005451111.0—10 Sep 2025
Park View Health CenterOshkosh16855574.2—16 Apr 2025
Edenbrook OmroOmro504421734.0—1 Apr 2026
Peabody ManorAppleton584352339.7—19 Mar 2026
Edenbrook of OshkoshOshkosh1103323027.3—5 May 2026
Oakridge Gardens Nur Ctr, IncMenasha1063342119.8—14 May 2025
Eden Rehab Suites and Green House HomesOshkosh502241632.0$14K5 Feb 2026

All 8 facilities in Winnebago County

Questions and answers

How many deficiencies has Evergreen Health Center been cited for?

7 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Evergreen Health Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Evergreen Health Center compare?

Reported total nurse staffing is 5.1 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Evergreen Health Center?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Evergreen Retirement Community Inc, Evergreen Communities, Inc and Aurora Medical Group, Inc.. Individual owners and managers are not listed on this site.

When was Evergreen Health Center last inspected?

The most recent survey or investigation in the CMS record is dated 27 May 2026; the most recent standard health survey was 27 May 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.