Starfile / Delaware

EVERGREEN POST ACUTE

3034 SOUTH DUPONT BLVD, SMYRNA, DE 19977 · CCN 085020

Inspection history vs Delaware & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$94,156

Number of fines

2

Number of penalties

2

Payment denials

0

Chain

Chain

PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES

Facilities in chain

15

Chain avg overall

3.40 / 5

Inspection citations (64)5 actual harm

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-17 · Health · corrected 2025-06-03

   Potential for more than minimal harm

2. DF0578Honor 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.2025-04-17 · Health · corrected 2025-06-03

   Potential for more than minimal harm

3. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-04-17 · Health · corrected 2025-06-03

   Potential for more than minimal harm

4. DF0583Keep residents' personal and medical records private and confidential.2025-04-17 · Health · corrected 2025-06-03

   Potential for more than minimal harm

5. EF0584Honor 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.2025-04-17 · Health · corrected 2025-06-03

   Potential for more than minimal harm

6. DF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2025-04-17 · Health · corrected 2025-06-03

   Potential for more than minimal harm

7. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-04-17 · Health · corrected 2025-06-03

   Potential for more than minimal harm

8. DF0637Assess the resident when there is a significant change in condition2025-04-17 · Health · corrected 2025-06-03

   Potential for more than minimal harm

9. DF0641Ensure each resident receives an accurate assessment.2025-04-17 · Health · corrected 2025-06-03

   Potential for more than minimal harm

10. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-17 · Health · corrected 2025-06-03

    Potential for more than minimal harm

11. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-04-17 · Health · corrected 2025-06-03

    Potential for more than minimal harm

12. DF0660Plan the resident's discharge to meet the resident's goals and needs.2025-04-17 · Health · corrected 2025-06-03

    Potential for more than minimal harm

13. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-04-17 · Health · corrected 2025-06-03

    Potential for more than minimal harm

14. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-17 · Health · corrected 2025-06-03

    Potential for more than minimal harm

15. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-17 · Health · corrected 2025-06-03

    Potential for more than minimal harm

16. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-17 · Health · corrected 2025-06-03

    Potential for more than minimal harm

17. GF0760Ensure that residents are free from significant medication errors.2025-04-17 · Health · corrected 2024-09-18

    Actual harm

18. BF0761Ensure 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.2025-04-17 · Health · corrected 2025-06-03

    Potential for minimal harm

19. DF0808Ensure 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.2025-04-17 · Health · corrected 2025-06-03

    Potential for more than minimal harm

20. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-17 · Health · corrected 2025-06-03

    Potential for more than minimal harm

21. EF0880Provide and implement an infection prevention and control program.2025-04-17 · Health · corrected 2025-06-03

    Potential for more than minimal harm

22. DF0881Implement a program that monitors antibiotic use.2025-04-17 · Health · corrected 2025-06-03

    Potential for more than minimal harm

23. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-04-17 · Health · corrected 2025-06-03

    Potential for more than minimal harm

24. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-14 · Health · corrected 2025-01-22

    Potential for more than minimal harm

25. DF0610Respond appropriately to all alleged violations.2025-01-14 · Health · corrected 2025-01-22

    Potential for more than minimal harm

26. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

27. DF0558Reasonably accommodate the needs and preferences of each resident.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

28. DF0578Honor 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.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

29. DF0585Honor 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.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

30. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

31. DF0610Respond appropriately to all alleged violations.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

32. DF0641Ensure each resident receives an accurate assessment.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

33. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

34. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

35. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

36. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

37. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

38. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

39. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

40. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-30 · Health · corrected 2024-07-24

    Actual harm

41. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-30 · Health · corrected 2024-07-24

    Actual harm

42. GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-05-30 · Health · corrected 2024-07-24

    Actual harm

43. GF0692Provide enough food/fluids to maintain a resident's health.2024-05-30 · Health · corrected 2024-07-24

    Actual harm

44. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

45. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

46. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

47. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

48. DF0761Ensure 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.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

49. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

50. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

51. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

52. EF0880Provide and implement an infection prevention and control program.2024-05-30 · Health · corrected 2024-07-24

    Potential for more than minimal harm

53. DF0584Honor 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.2023-04-11 · Health · corrected 2023-05-19

    Potential for more than minimal harm

54. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-04-11 · Health · corrected 2023-05-19

    Potential for more than minimal harm

55. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-11 · Health · corrected 2023-05-19

    Potential for more than minimal harm

56. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-11 · Health · corrected 2023-05-19

    Potential for more than minimal harm

57. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-04-11 · Health · corrected 2023-05-19

    Potential for more than minimal harm

58. DF0730Observe each nurse aide's job performance and give regular training.2023-04-11 · Health · corrected 2023-05-19

    Potential for more than minimal harm

59. DF0759Ensure medication error rates are not 5 percent or greater.2023-04-11 · Health · corrected 2023-05-19

    Potential for more than minimal harm

60. DF0760Ensure that residents are free from significant medication errors.2023-04-11 · Health · corrected 2023-05-19

    Potential for more than minimal harm

61. DF0790Provide routine and 24-hour emergency dental care for each resident.2023-04-11 · Health · corrected 2023-05-19

    Potential for more than minimal harm

62. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-11 · Health · corrected 2023-05-19

    Potential for more than minimal harm

63. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-04-11 · Health · corrected 2023-05-19

    Potential for more than minimal harm

64. DF0887Educate 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.2023-04-11 · Health · corrected 2023-05-19

    Potential for more than minimal harm

Ownership

Other facilities in SMYRNA

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.