Federal inspection record · CMS data as of October 1, 2026
Evergreen Manor Senior Care Center
111 Evergreen, Battle Creek, MI · (269) 969-6110
- Certified beds
- 91
- Residents per day
- 88
- Ownership
- For-Profit
- Chain
- Nexcare Health Systems
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
Evergreen Manor Senior Care Center carries 32 inspection points. That is fewer than 80% of Michigan's 420 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–18 pts
- 4★ 18–46 pts
- 3★ 46–78 pts
- 2★ 78–123 pts
- 1★ over 123 pts
Bars show every rated home in Michigan by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
16 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation5D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Quality of Life and Care3D
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Rights2D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor 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.
Resident Assessment and Care Planning2D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspection history
2026-04-02
6 health deficiencies · 13 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2025-01-15
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2024-03-07
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 33 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
3 h 33 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 31% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.2 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.3 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.4 pts worse | 95.0% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.5 pts better | 100.0% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 1.4% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.6 pts worse | 7.1% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2 pts worse | 7.5% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.5 pts better | 16.9% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.2 pts better | 14.5% | 14.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3 pts better | 8.1% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2 pts better | 8.7% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts better | 0.0% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence17.3 pts better | 2.1% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.7 pts better | 1.3% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.4 pts worse | 73.0% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2 pts worse | 13.7% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 0.2% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.5 pts better | 84.0% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.6 pts worse | 27.5% | 23.9% | 23.4% |
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Who owns and runs it
5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Nexcare Holdings, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 15 facilities |
| Nexcare Health Systems, LLC | Operational/Managerial Control · Organization | 0% | 28 facilities |
| Perry, Michael | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Sangster, Todd | Corporate Officer · Individual | 0% | 28 facilities |
| Smith, Cheryl | W-2 Managing Employee · Individual | 0% | 2 facilities |
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Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Inspect, test, and maintain automatic sprinkler systems.
Egress3F
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Have exits that are accessible at all times.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Emergency Preparedness2F
- F
Establish roles under a Waiver declared by secretary.
- F
Provide primary/alternate means for communication.
Miscellaneous2F
- F
Provide a written emergency evacuation plan.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems2F
- F
Have proper power supply for life support equipment.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
-
The Laurels of Bedford
Battle Creek, MI · Ciena Healthcare/Laurel Health Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 6 min
- Fines
- $0
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Majestic Care of Battle Creek
Battle Creek, MI · Majestic Care
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 14 min
- Fines
- $0
-
The Oaks at Battle Creek
Battle Creek, MI · Trilogy Health Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 4 min
- Fines
- $0