Facility record report · CMS certification number 555920
EVERGREEN CARE CENTER
FRESNO, California · Medicare and Medicaid
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on 9 June 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,620,460 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,403,312 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,217,148 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,681,115 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $536,033 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $536,036 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $536,036 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 20,130 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,744 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 12,317 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,420 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 18,481 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 67 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 33 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 24 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 373.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 149.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1429192, read from the public cost report file SNF10FY2024.zip.
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,628,241 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,984,307 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,612,548 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,768,659 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,843,889 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $805 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,844,694 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,844,694 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,259 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 187 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 88.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 92.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 86.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1393778, read from the public cost report file SNF10FY2023.zip.
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 October 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,041,184 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $91,153 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,950,031 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,822,649 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,127,382 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,559 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,128,941 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,128,941 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,960 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 131 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 147.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 136.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366447, read from the public cost report file SNF10FY2022.zip.
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,631,246 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$191,698 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,822,944 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,804,456 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $18,488 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $77,541 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $96,029 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $96,029 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,513 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 2 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 851 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 7,256.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333933, read from the public cost report file SNF10FY2021.zip.
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 October 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,169,121 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$228,678 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,397,799 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,921,848 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$524,049 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $345,183 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$178,866 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$178,866 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,431 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 107.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 314.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 257.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1302240, read from the public cost report file SNF10FY2020.zip.
Cost report for 12 November 2019 to 31 December 2019 — a reporting period of 49 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 14 October 2020.
None of these figures is carried on this report.
CMS report record 1271331, read from the public cost report file SNF10FY2020.zip.
Five facilities of a similar size in California, fiscal year 2024
Chosen for having certified bed counts closest to this facility’s, listed by name. Every one filed for the same fiscal year; the day each year ends differs and is shown. Each figure is that facility’s own filing.
| Facility | Total facility beds | Total patient days | Net patient revenue | Total operating expenses | Net income from service to patients | Period ended |
|---|---|---|---|---|---|---|
| CRENSHAW NURSING HOME | 55 | 17,722 | $5,917,696 | $7,610,040 | −$1,692,344 | 31 December 2024 |
| ENSIGN SANTA ROSA LLC | 56 | 18,010 | $16,827,699 | $12,413,633 | $4,414,066 | 31 December 2024 |
| EVERGREEN CARE CENTER | 55 | 18,481 | $7,217,148 | $6,681,115 | $536,033 | 31 December 2024 |
| REEDLEY SKILLED CARE LLC | 56 | 19,014 | $6,510,538 | $6,705,889 | −$195,351 | 31 December 2024 |
| SANTA MARIA POST ACUTE | 55 | 17,327 | $7,677,762 | $8,166,049 | −$488,287 | 31 December 2024 |
| SHASTA VIEW CARE CENTER | 55 | 17,868 | $9,120,281 | $8,597,677 | $522,604 | 31 December 2024 |
Where each column comes from, on every filing in this table: Total facility beds: CMS-2540-10 worksheet S300001 line 800 column 100 · Total patient days: CMS-2540-10 worksheet S300001 line 800 column 700 · Net patient revenue: CMS-2540-10 worksheet G300000 line 300 column 100 · Total operating expenses: CMS-2540-10 worksheet G300000 line 400 column 100 · Net income from service to patients: CMS-2540-10 worksheet G300000 line 500 column 100.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| EVERGREEN CARE CENTER HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 05/17/2019 |
| CHESLEY, AARON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 02/01/2021 |
| SWC CA OPCO, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/01/2021 |
| CHESLEY, AARON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2021 |
| GAMETT, JAMES | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2021 |
| EVERGREEN CARE CENTER HOLDINGS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/17/2019 |
| SMITH, PHYLICIA | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/01/2021 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of EVERGREEN CARE CENTER LLC (enrollment ID O20190711002298).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| EVERGREEN CARE CENTER HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/17/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| AARON CHESLEY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 2/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| AJC HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 2/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAMES B GAMETT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 2/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JBG PARTNERS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 2/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| SWC CA OPCO, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 2/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| AARON CHESLEY | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JAMES B GAMETT | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| EVERGREEN CARE CENTER HOLDINGS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 5/17/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| PHYLICIA SMITH | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
No change in ownership appears in the CMS files on record since 20 September 2022.
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 17 May 2024 | 17 May 2024 | 11 | 6 |
| 2 | 23 May 2019 | 23 May 2019 | 18 | 15 |
| 3 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
35 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 27 May 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 16 June 2026 |
| 5 March 2026 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Yes | Deficient, Provider has date of correction | 25 March 2026 |
| 9 July 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 28 July 2025 |
| 17 June 2025 | Health | F 0774 | Administration Deficiencies | Help the resident with transportation to and from laboratory services outside of the facility. | E | Yes | Deficient, Provider has date of correction | 11 July 2025 |
| 11 March 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 3 April 2025 |
| 11 March 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 3 April 2025 |
| 11 March 2025 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | G | Yes | Deficient, Provider has date of correction | 3 April 2025 |
| 11 March 2025 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Yes | Deficient, Provider has date of correction | 3 April 2025 |
| 26 February 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Yes | Deficient, Provider has date of correction | 4 April 2025 |
| 13 November 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 5 December 2024 |
| 17 May 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | No | Deficient, Provider has date of correction | 13 June 2024 |
| 17 May 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 13 June 2024 |
| 17 May 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | 13 June 2024 |
| 17 May 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 13 June 2024 |
| 17 May 2024 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | No | Deficient, Provider has date of correction | 13 June 2024 |
| 17 May 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 13 June 2024 |
| 17 May 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | No | Deficient, Provider has date of correction | 13 June 2024 |
| 17 May 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 13 June 2024 |
| 17 May 2024 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Waiver has been granted | 13 June 2024 |
| 16 January 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 28 January 2024 |
| 1 December 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | 20 December 2023 |
| 1 December 2023 | Health | F 0693 | Quality of Life and Care Deficiencies | 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 | Yes | Deficient, Provider has date of correction | 20 December 2023 |
| 11 October 2023 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | 23 October 2023 |
| 11 October 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 23 October 2023 |
| 21 August 2023 | Health | F 0584 | Resident Rights Deficiencies | 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 | Yes | Deficient, Provider has date of correction | 1 September 2023 |
| 23 May 2019 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | No | Deficient, Provider has date of correction | 7 September 2019 |
| 23 May 2019 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | No | Deficient, Provider has date of correction | 7 September 2019 |
| 23 May 2019 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | 7 September 2019 |
| 23 May 2019 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 7 September 2019 |
| 23 May 2019 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | 7 September 2019 |
| 23 May 2019 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | No | Deficient, Provider has date of correction | 7 September 2019 |
| 23 May 2019 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | 7 September 2019 |
| 23 May 2019 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | No | Deficient, Provider has date of correction | 7 September 2019 |
| 23 May 2019 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 7 September 2019 |
| 23 May 2019 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Deficient, Provider has date of correction | 7 September 2019 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | EVERGREEN CARE CENTER LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2019-11-12 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Fresno |
| Telephone Number | 5592518244 |
| Chain Name | AJC HEALTHCARE |
| Chain ID | 616 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 49 |
| Average Number of Residents per Day | 46.3 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Every change on this record
- 9 June 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 6 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 11 October 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 23 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 20 October 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 14 October 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2020.zip
How to read this report
Every figure is printed as the CMS file it came from printed it. Each cost-report figure carries the worksheet, line and column of form CMS-2540 it was read from, so a reader holding the same public file can go to that cell; each Care Compare and Medicare enrollment section names its file and the date CMS stamped on it.
A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.
This report carries no percentile and no score, and it does not place this facility above or below another. The five facilities above are the one comparison it draws: the nearest certified bed counts in the same state at the same fiscal year, listed by name. Nurse staffing is printed in its own section, on its own page, apart from the cost-report figures.
How to cite this report
Velarion Records, EVERGREEN CARE CENTER — facility record report, CMS certification number 555920. https://velarionrecords.com/facility/555920/report.
- Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-10, publication year 2024, file
SNF10FY2024.zip. - Provider information, inspections, deficiencies and penalties: CMS Care Compare, file dated 1 August 2026.
- Care Compare ownership: CMS file dated 1 August 2026.
- Medicare enrollment ownership: CMS file dated 1 August 2026.
- Nurse staffing: CMS Payroll-Based Journal, quarters 2023Q3 to 2026Q1.
Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 555920. Velarion Records publishes these records as filed.
Nurse staffing, quarter by quarter
Hours this facility reported to CMS’s Payroll-Based Journal, one row per quarter, oldest first, each with how its figures are derived and the file it came from.
| Quarter | Quarter ended | Days reported | Resident days | Registered nurse hours | Licensed practical nurse hours | Nurse aide hours | Total nurse hours |
|---|---|---|---|---|---|---|---|
| 2023Q3 | 30 September 2023 | 92 | 4,008 | 1,047.62 | 4,649.63 | 9,392.45 | 15,089.7 |
| 2023Q4 | 31 December 2023 | 92 | 4,260 | 1,062.74 | 4,779 | 9,286.86 | 15,128.6 |
| 2024Q2 | 30 June 2024 | 91 | 3,255 | 1,623.62 | 5,191.8 | 10,667.97 | 17,483.39 |
| 2024Q3 | 30 September 2024 | 92 | 4,082 | 1,141.46 | 4,621.41 | 10,912.17 | 16,675.04 |
| 2024Q4 | 31 December 2024 | 92 | 4,151 | 966.89 | 4,941.97 | 11,406.88 | 17,315.74 |
| 2025Q1 | 31 March 2025 | 90 | 4,264 | 1,108.01 | 5,103.29 | 11,366.78 | 17,578.08 |
| 2025Q2 | 30 June 2025 | 91 | 4,122 | 1,767.81 | 4,921.17 | 11,159.85 | 17,848.83 |
| 2025Q3 | 30 September 2025 | 92 | 4,233 | 2,078.06 | 3,747.57 | 11,112.55 | 16,938.18 |
| 2025Q4 | 31 December 2025 | 92 | 4,251 | 2,495.68 | 3,588.24 | 12,630.82 | 18,714.74 |
| 2026Q1 | 31 March 2026 | 90 | 4,163 | 2,572.77 | 3,283.01 | 11,628.15 | 17,483.93 |
| Quarter | Registered nurse hours per resident day | Licensed practical nurse hours per resident day | Nurse aide hours per resident day | Total nurse hours per resident day |
|---|---|---|---|---|
| 2023Q3 | 0.261382 | 1.160087 | 2.343426 | 3.764895 |
| 2023Q4 | 0.249469 | 1.121831 | 2.180014 | 3.551315 |
| 2024Q2 | 0.498808 | 1.595023 | 3.27741 | 5.371241 |
| 2024Q3 | 0.279633 | 1.132144 | 2.673241 | 4.085017 |
| 2024Q4 | 0.232929 | 1.190549 | 2.747984 | 4.171462 |
| 2025Q1 | 0.259852 | 1.196832 | 2.665755 | 4.122439 |
| 2025Q2 | 0.428872 | 1.193879 | 2.707387 | 4.330138 |
| 2025Q3 | 0.490919 | 0.885322 | 2.625219 | 4.00146 |
| 2025Q4 | 0.587081 | 0.844093 | 2.971259 | 4.402432 |
| 2026Q1 | 0.618009 | 0.788616 | 2.793214 | 4.199839 |
How each quarter is derived, and its file
- 2023Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv - 2023Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv - 2024Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv - 2024Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv - 2024Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv - 2025Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv - 2025Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv - 2025Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv - 2025Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv - 2026Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv