Wisconsin › Shawano County › Shawano
Evergreen Health Services
1250 Evergreen St, Shawano, WI 54166
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 Services, in Shawano, Wisconsin, is certified for 50 beds under for-profit, limited liability company ownership and belongs to the North Shore Healthcare chain.
CMS gives it 2 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (8, 8, 4 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 40.0 per 100 beds, more than the state median of 31.8.
CMS lists 1 penalty in the period covered: fines totalling $14K.
Reported nurse staffing is 3.6 hours per resident per day (0.7 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 52.4%.
Compared with county, state and nation
| Measure | This facility | Shawano Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 20 | 20 | 21 | 28.7 |
| Citations per 100 beds | 40.0 | 40.0 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.5 | 4.0 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 52.4% | 35.7% | 46.2% | 45.8% |
| Fines listed | $14,020 | $0 | $0 | — |
County and state figures are medians across facilities (3 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 May 2025, 22 May 2024.
Severity mix: J ×1 G ×1 D ×14 E ×3 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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 16 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 9 Oct 2025 |
| 16 Sep 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 9 Oct 2025 |
| 16 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 9 Oct 2025 |
| 20 Aug 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 11 Sep 2025 |
| 29 May 2025 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 19 Jun 2025 |
| 29 May 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 19 Jun 2025 |
| 29 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 19 Jun 2025 |
| 29 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 19 Jun 2025 |
| 29 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 19 Jun 2025 |
| 19 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 2 May 2025 |
| 7 Aug 2024 | F0761 | 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. | D | Complaint investigation | 19 Aug 2024 |
| 22 May 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 20 Jun 2024 |
| 22 May 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 20 Jun 2024 |
| 22 May 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 20 Jun 2024 |
| 22 May 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 20 Jun 2024 |
| 22 May 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 20 Jun 2024 |
| 29 Jan 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 29 Feb 2024 |
| 29 Jan 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 29 Feb 2024 |
| 10 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 31 May 2023 |
| 10 May 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 8 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 20 Aug 2025 | Fine | $14,020 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 52.4%, RNs 57.1%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.0% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.5% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.2% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.2% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 34.7% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.7% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.2% | 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: for-profit, limited liability company. Legal business name: Nsh Shawano-Evergreen Llc. Chain: North Shore Healthcare (59 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nshr Operations LLC | 5% or greater direct ownership interest | 100% | 10/01/2019 |
| Arrowhead 123 LLC | 5% or greater indirect ownership interest | 10% | 10/01/2019 |
| Cibc Bank USA | 5% or greater mortgage interest | NOT APPLICABLE | 12/31/2024 |
| Cibc Bank USA | 5% or greater security interest | NOT APPLICABLE | 12/31/2024 |
| Cibc Bank USA | Operational/managerial control | NOT APPLICABLE | 12/01/2019 |
| Cliftonlarsonallen LLP | Operational/managerial control | NOT APPLICABLE | 12/01/2019 |
| Continuum Therapy Partners LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| North Shore Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 12/01/2019 |
| Nsh Rehab LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| Wipfli LLP | Operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| Arrowhead 123 LLC | Adp of the snf | NOT APPLICABLE | 12/01/2019 |
| Cliftonlarsonallen LLP | Adp of the snf | NOT APPLICABLE | 05/23/2025 |
| Continuum Therapy Partners LLC | Adp of the snf | NOT APPLICABLE | 05/23/2025 |
| North Shore Healthcare LLC | Adp of the snf | NOT APPLICABLE | 12/01/2019 |
| Nsh 1250 Evergreen Street LLC | Adp of the snf | NOT APPLICABLE | 12/01/2019 |
| Nsh Rehab LLC | Adp of the snf | NOT APPLICABLE | 05/23/2025 |
| Wipfli LLP | Adp of the snf | NOT APPLICABLE | 11/10/2025 |
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 Shawano County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Shawano Health Services | Shawano | 100 | 4 | 4 | 3 | 12 | 12.0 | — | 17 Feb 2026 |
| Birch Hill Health Services | Shawano | 50 | 2 | 3 | 3 | 22 | 44.0 | — | 1 Jul 2026 |
All 3 facilities in Shawano County
Questions and answers
How many deficiencies has Evergreen Health Services been cited for?
20 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Evergreen Health Services been fined?
Yes. CMS lists fines totalling $14K in the period covered.
How does staffing at Evergreen Health Services compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Evergreen Health Services?
It is part of the North Shore Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Nshr Operations LLC, Arrowhead 123 LLC and Cibc Bank USA. Individual owners and managers are not listed on this site.
When was Evergreen Health Services last inspected?
The most recent survey or investigation in the CMS record is dated 16 Sep 2025; the most recent standard health survey was 29 May 2025.
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.