Evergreens, the

Total Number of Beds: 60	Percent of Occupied Beds: 95%
Total Number of Residents: 57	Located Within a Hospital: No
Type of Ownership: Non profit - Church related	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Family & Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 11/21/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 1.04

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1

Number of CNA Hours per Nursing Home Resident per Day: 3.2

Number of Staff Hours per Nursing Home Resident per Day: 5.24

Nursing Home Resident Information**:

** Details Last Reported on: 11/21/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-11-05	2001-12-14	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
2001-11-05	2001-12-20	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
2002-10-09	2002-12-01	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Isolated	Minimal harm or potential for actual harm
2003-11-21	2003-12-01	Environmental Deficiencies	Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.	Isolated	Minimal harm or potential for actual harm

*** All violations listed are based on federal government records.