Evergreen Manor Senior Care Center

Name: Evergreen Manor Senior Care Center
Address: 111 Evergreen, Battle Creek, MI, 49015, US
Telephone: 2699696110

111 Evergreen, Battle Creek, MI 49015 · Calhoun County · 91 certified beds · avg 88 residents/day · certified since Jan 1, 1967

Part of chain: NEXCARE HEALTH SYSTEMS (20 facilities, chain avg rating 3.8★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.97

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (16)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 2, 2026	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Dec 16, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Jan 15, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Jan 15, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
May 9, 2024	D · Potential for harm, one-off	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint
Mar 7, 2024	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds.
Mar 7, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Mar 7, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Mar 7, 2024	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Mar 7, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Mar 7, 2024	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Oct 11, 2023	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 5).

Year	Citations	Worst severity that year
2023	1	E
2024	7	D
2025	3	D
2026	5	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Michigan avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.97	4.32	3.95	bottom 41% in Michigan; top 41% in the U.S.
Registered Nurse hours	0.71	0.84	0.69	bottom 45% in Michigan; top 35% in the U.S.
Weekend total nurse staffing	3.46	3.79	3.50	bottom 38% in Michigan; top 44% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.35	0.49	0.48	bottom 36% in Michigan; bottom 42% in the U.S.
Total nursing staff turnover (%)	46.6	44.1	45.8	bottom 42% in Michigan; bottom 46% in the U.S.
RN turnover (%)	23.1	39.2	42.9	top 20% in Michigan; top 18% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.38, RN 0.61, weekend 2.94. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Nexcare Holdings, LLC	Organization	5% or Greater Direct Ownership Interest	100%	11/01/2013
Nexcare Health Systems, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/06/2011
Perry, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2015
Sangster, Todd	Individual	Corporate Officer	NOT APPLICABLE	11/04/2013
Smith, Cheryl	Individual	W-2 Managing Employee	NOT APPLICABLE	07/07/2016

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
The Laurels of Bedford	2.7 mi	Battle Creek, MI	★★☆☆☆	2/5
Majestic Care of Battle Creek	4.3 mi	Battle Creek, MI	★★★☆☆	3/5
The Oaks at Battle Creek	4.5 mi	Battle Creek, MI	★★★★☆	3/5
Pinnacle Care of Battle Creek	5.7 mi	Battle Creek, MI	★★☆☆☆	1/5	abuseSFF
Calhoun County Medical Care Facility	7.1 mi	Battle Creek, MI	★☆☆☆☆	2/5	abuse
The Laurels of Galesburg	8.6 mi	Galesburg, MI	★☆☆☆☆	1/5
Villa at Borgess Place	14.2 mi	Kalamazoo, MI	★★☆☆☆	1/5
Plainwell Pines Nursing and Rehabilitation Communi	15.8 mi	Plainwell, MI	★★☆☆☆	1/5	abuse
Marshall Nursing and Rehabilitation Community	15.9 mi	Marshall, MI	★☆☆☆☆	1/5
Harold and Grace Upjohn Community Care Center	16.1 mi	Kalamazoo, MI	★☆☆☆☆	1/5
Medilodge of Marshall	16.7 mi	Marshall, MI	★☆☆☆☆	1/5	abuse
Medilodge of Portage	18.3 mi	Portage, MI	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Battle Creek →

Facility data as of CMS processing date 2026-08-01. CCN 235054.

The Care File

Visit checklist — Evergreen Manor Senior Care Center

111 Evergreen, Battle Creek, MI 49015 · 2699696110

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 235054 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)