EVERGREEN HEALTH SERVICES
1250 EVERGREEN ST
SHAWANO, WI, 54166
7155263107
CCN: 525343
2
Overall2
Health3
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| NSHR OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| ARROWHEAD 123 LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| THE LANE MORRELL BOWEN TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| BAUMANN, TROY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| HOEHN, JEFFREY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| MILLS, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| CIBC BANK USA | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| CIBC BANK USA | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| HOEHN, JEFFREY | CORPORATE DIRECTOR | NOT APPLICABLE |
| BAUMANN, TROY | CORPORATE DIRECTOR | NOT APPLICABLE |
| NSH REHAB LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WIPFLI LLP | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BAUMANN, TROY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BELONGIA, CHRISTINA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CHERUKULA, MADHAVI REDDY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GEE, DARREN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GOSSEN, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GREER, LAUREN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HOEHN, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PATZER, COLLEEN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PURTELL, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CLIFTONLARSONALLEN LLP | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CIBC BANK USA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CONTINUUM THERAPY PARTNERS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NORTH SHORE HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (20)
2025-09-16 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
2025-08-20 · Health
D
F693 · 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.
2025-05-29 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F809 · Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-03-19 · Health
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-08-07 · Health
D
F761 · Pharmacy Service Deficiencies
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.
2024-05-22 · Health
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
F849 · Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F657 · 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.
2024-01-29 · Health
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2023-05-10 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.40
RN Hrs/Resident/Day0.54
0.76
LPN Hrs/Resident/Day0.81
0.78
CNA Hrs/Resident/Day2.33
1.86
PT Hrs/Resident/Day0.12
0.02
Data as of 2026-03-01