Delaware › Kent County › Smyrna
Evergreen Post Acute
3034 South Dupont Blvd, Smyrna, DE 19977
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 Post Acute is a For-profit, limited liability company nursing home in Smyrna, Delaware, certified for 151 beds and caring for about 138 residents a day.
CMS gives it 2 of 5 stars overall, below the Delaware median of 3; the health inspection rating is 1, staffing 3 and quality measures 5.
Inspectors recorded 69 health deficiencies across the three most recent survey cycles (21, 30, 18 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 45.7 per 100 beds, more than the state median of 35.0.
CMS lists 2 penalties in the period covered: fines totalling $94K.
Reported nurse staffing is 3.7 hours per resident per day (0.5 RN), close to the Delaware median of 3.9; nursing staff turnover is 51.0%.
Compared with county, state and nation
| Measure | This facility | Kent Co. median | Delaware median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 69 | 31 | 33 | 28.7 |
| Citations per 100 beds | 45.7 | 30.0 | 35.0 | 26.8 |
| Total nurse hours per resident day | 3.7 | 4.2 | 3.9 | 3.9 |
| RN hours per resident day | 0.5 | 0.9 | 0.8 | 0.7 |
| Nursing staff turnover | 51.0% | 35.1% | 41.7% | 45.8% |
| Fines listed | $94,156 | $34,838 | $34,838 | — |
County and state figures are medians across facilities (7 in the county, 44 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: Delaware average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Apr 2025, 30 May 2024.
Severity mix: G ×7 D ×53 E ×7 F ×1 B ×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 |
|---|---|---|---|---|---|
| 11 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 25 Jun 2026 |
| 11 May 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 25 Jun 2026 |
| 11 May 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 25 Jun 2026 |
| 11 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 25 Jun 2026 |
| 11 May 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 25 Jun 2026 |
| 17 Apr 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 3 Jun 2025 |
| 17 Apr 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 3 Jun 2025 |
| 17 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Jun 2025 |
| 17 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 3 Jun 2025 |
| 17 Apr 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 3 Jun 2025 |
| 17 Apr 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 3 Jun 2025 |
| 17 Apr 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 3 Jun 2025 |
| 17 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 3 Jun 2025 |
| 17 Apr 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 3 Jun 2025 |
| 17 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 3 Jun 2025 |
| 17 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 3 Jun 2025 |
| 17 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 3 Jun 2025 |
| 17 Apr 2025 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 3 Jun 2025 |
| 17 Apr 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 3 Jun 2025 |
| 17 Apr 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 3 Jun 2025 |
| 17 Apr 2025 | 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. | B | Standard survey | 3 Jun 2025 |
| 17 Apr 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 18 Sep 2024 |
| 17 Apr 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Complaint investigation | 3 Jun 2025 |
| 17 Apr 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint investigation | 3 Jun 2025 |
| 17 Apr 2025 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Complaint investigation | 3 Jun 2025 |
| 17 Apr 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 3 Jun 2025 |
| 17 Apr 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Complaint investigation | 3 Jun 2025 |
| 17 Apr 2025 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint investigation | 3 Jun 2025 |
| 14 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 22 Jan 2025 |
| 14 Jan 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 22 Jan 2025 |
| 30 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 24 Jul 2024 |
| 30 May 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Complaint investigation | 24 Jul 2024 |
| 30 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 24 Jul 2024 |
| 30 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. | E | Standard survey | 24 Jul 2024 |
| 30 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 24 Jul 2024 |
| 30 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 24 Jul 2024 |
| 30 May 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 24 Jul 2024 |
| 30 May 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 24 Jul 2024 |
| 30 May 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 24 Jul 2024 |
| 30 May 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 24 Jul 2024 |
| 30 May 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 24 Jul 2024 |
| 30 May 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 24 Jul 2024 |
| 30 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 24 Jul 2024 |
| 30 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 24 Jul 2024 |
| 30 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 24 Jul 2024 |
| 30 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 24 Jul 2024 |
| 30 May 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 24 Jul 2024 |
| 30 May 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 24 Jul 2024 |
| 30 May 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 | 24 Jul 2024 |
| 30 May 2024 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard survey | 24 Jul 2024 |
| 30 May 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 24 Jul 2024 |
| 30 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 24 Jul 2024 |
| 30 May 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 24 Jul 2024 |
| 30 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 24 Jul 2024 |
| 30 May 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 24 Jul 2024 |
| 30 May 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 24 Jul 2024 |
| 30 May 2024 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Complaint investigation | 24 Jul 2024 |
| 11 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 19 May 2023 |
| 11 Apr 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 19 May 2023 |
| 11 Apr 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 19 May 2023 |
| 11 Apr 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 19 May 2023 |
| 11 Apr 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 19 May 2023 |
| 11 Apr 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 19 May 2023 |
| 11 Apr 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 19 May 2023 |
| 11 Apr 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 19 May 2023 |
| 11 Apr 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 19 May 2023 |
| 11 Apr 2023 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 19 May 2023 |
| 11 Apr 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 19 May 2023 |
| 11 Apr 2023 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 19 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 17 Apr 2025 | Fine | $17,345 | |
| 30 May 2024 | Fine | $76,811 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Delaware average. Turnover: nursing staff 51.0%, RNs 58.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Delaware median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.5% | 11.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.4% | 1.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.4% | 2.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.5% | 14.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.2% | 10.3% | 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: Evergreen Post Acute Llc. Chain: Prestige Healthcare Administrative Services (15 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Evpa Holdings LLC | 5% or greater direct ownership interest | 100% | 02/01/2025 |
| Star De I Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/01/2025 |
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 Kent County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Center At Eden Hill, LLC | Dover | 80 | 5 | 4 | 5 | 24 | 30.0 | — | 22 May 2026 |
| Westminster Village Health | Dover | 75 | 4 | 3 | 5 | 33 | 44.0 | $30K | 16 Dec 2025 |
| Bay Terrace Rehabilitation and Health Center | Dover | 85 | 3 | 3 | 4 | 38 | 44.7 | $35K | 23 Apr 2026 |
| Cadia Rehabilitation Capitol | Dover | 120 | 3 | 3 | 4 | 31 | 25.8 | $8K | 27 Jan 2026 |
| Complete Care At Silver Lake LLC | Dover | 120 | 3 | 3 | 4 | 30 | 25.0 | $48K | 23 Jan 2026 |
| Delaware Hospital F/T Chronically Ill (Dhci)SFF Candidate | Smyrna | 175 | 2 | 1 | 5 | 11 | 6.3 | $60K | 9 Jan 2026 |
All 7 facilities in Kent County
Questions and answers
How many deficiencies has Evergreen Post Acute been cited for?
69 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Delaware median is 33 per facility.
Has Evergreen Post Acute been fined?
Yes. CMS lists fines totalling $94K in the period covered.
How does staffing at Evergreen Post Acute compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Delaware median of 3.9 and a national average of 3.9.
Who operates Evergreen Post Acute?
It is part of the Prestige Healthcare Administrative Services chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Evpa Holdings LLC and Star De I Holdings LLC. Individual owners and managers are not listed on this site.
When was Evergreen Post Acute last inspected?
The most recent survey or investigation in the CMS record is dated 11 May 2026; the most recent standard health survey was 17 Apr 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.