Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Evergreen Health Center during CMS and state inspections, most recent first.
Staff failed to document food cooling temperatures, follow safe reheating protocols, and ensure proper labeling and dating of food items. Food was observed being held and served at improper temperatures, and staff did not consistently monitor dishwasher sanitization. These deficiencies in food safety practices had the potential to affect all residents.
Three residents experienced significant unplanned weight changes without consistent monitoring or timely physician notification, and there were delays in implementing recommended nutritional supplements. The facility did not follow its own policies for weight monitoring, documentation, and physician communication, resulting in lapses in care for residents with complex medical needs.
Failure to Maintain Safe and Sanitary Food Storage and Preparation Practices
Penalty
Summary
The facility failed to ensure that food was stored, prepared, and served in a safe and sanitary manner, as required by professional standards and the FDA Food Code. Staff did not document food cooling temperatures, and there was no policy provided for food cooling practices. During kitchen inspections, surveyors observed that staff regularly pre-cooked and cooled food for future meals, but cooling logs could not be located by either the Dietary and Nutritional Coordinator or the Lead staff member. This lack of documentation meant there was no verification that critical food safety limits were being met. Staff also did not follow safe reheating protocols for food intended for resident consumption. During meal service observations, food items were found to be below the required hot holding temperatures, and reheating procedures did not ensure that food reached the necessary 165°F. Staff members were observed reheating food in microwaves without covering, stirring, or allowing the food to stand as required, and did not check the temperature of reheated food before serving it to residents. Additionally, staff were unclear about the correct temperature requirements and procedures for reheating and holding food. Food items in freezers, coolers, and dry storage areas were not consistently labeled or dated, with several open and undated items found during inspections. The facility lacked a specific policy for labeling and dating food, and staff relied on various charts and guidelines, but these were not consistently followed. Furthermore, staff did not consistently monitor and document dishwasher surface temperatures, and there was a period when the facility ran out of temperature strips needed to verify sanitization. These combined actions and inactions had the potential to affect all residents in the facility.
Failure to Monitor and Report Significant Weight Changes and Delays in Nutritional Interventions
Penalty
Summary
The facility failed to ensure appropriate care and treatment related to weight monitoring and nutritional management for three residents. For one resident with neurocognitive disorder, dementia, and malnutrition, the facility did not consistently monitor weights as ordered by the physician and failed to notify the physician when a significant weight loss occurred. The resident's care plan indicated increased nutritional needs and assistance with meals, but weekly weights were not completed, and the physician was not updated regarding a 10.14% weight loss over a short period. Another resident with aphasia and dysphagia experienced an 8.92% weight loss, but there was no documentation of a physician order for weight monitoring or evidence that the physician was notified of the significant weight loss. The resident had a poor appetite and required a modified diet and nutritional supplements, but the facility did not document physician notification or follow-up regarding the weight change. A third resident with multiple chronic conditions, including diabetes and heart failure, experienced significant and rapid fluctuations in weight, including both losses and gains exceeding 5 lbs. The facility did not document timely physician notification of these changes, nor did it promptly follow up on a supplement order recommended by the dietitian. Staff interviews confirmed that notifications to the physician and documentation of such notifications were inconsistent or absent, and the facility's own policies regarding weight monitoring and physician notification were not followed.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 154 citations issued within 25 miles in the last 12 months — including the 5 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Oshkosh
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bethel Home | 0.8 mi | ★★★★★ | 11 | 1 |
| Eden Rehab Suites And Green House Homes | 2.2 mi | ★★★★★ | 5 | 0 |
| Edenbrook Of Oshkosh | 2.4 mi | ★★★★★ | 3 | 0 |
| Park View Health Center | 3.9 mi | ★★★★★ | 0 | 0 |
| Edenbrook Omro | 8.8 mi | ★★★★★ | 35 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.