Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Evergreen Healthcare Center during CMS and state inspections, most recent first.
A dependent resident with severe cognitive impairment, multiple chronic conditions, and documented fluid needs of approximately 1500–1700 ml/day received significantly less fluid than required over multiple days, with recorded intakes ranging from 600 to 1100 cc/day. On the observed day, the resident was only given about 240 cc of fluid at breakfast and 240 cc at lunch, plus a small amount of water with medications, and was not offered additional fluids while seated in a lounge or after being returned to bed. CNAs and an LPN confirmed they did not provide beverages outside of meals, despite a care plan for dehydration risk and a facility hydration policy requiring sufficient fluids, fresh water availability, and fluids with medication passes.
Failure to Provide Adequate Hydration to Dependent Resident
Penalty
Summary
The deficiency involves the facility’s failure to provide adequate fluids to maintain the health of a dependent resident who was at risk for dehydration. The resident had multiple diagnoses including congestive heart failure, COPD, type 2 diabetes, morbid obesity, chronic respiratory failure, anxiety disorder, hypertension, dementia, chronic peripheral venous insufficiency, osteoarthritis, transient ischemic attack, and dependence on supplemental oxygen. The most recent MDS documented severe cognitive impairment, dependence on staff for all ADLs including transfers and repositioning, incontinence of bowel and bladder, risk for pressure ulcer development, and admission with a stage 2 pressure ulcer. A dietary assessment identified estimated fluid needs of 1496–1700 ml/day and risk for malnutrition, with average meal intake between 26–100%. A nursing care plan was initiated to address risk for dehydration related to diuretic use, with interventions including providing diet as ordered and administering medications per orders. However, documented daily fluid intake from 04/01/26 to 04/07/26 ranged only from 600 to 1100 cc per day, below the resident’s estimated fluid needs. On the observed day, the resident was seated in a wheelchair in the lounge from early morning until mealtimes and was only observed to receive fluids during breakfast and lunch. At breakfast, the resident was provided 240 cc of fluid, and at lunch another 240 cc of fluid, with no additional fluids observed being offered between or outside of these meals while the resident remained in the lounge and then was later taken to bed. CNA staff interviewed confirmed they had not provided any beverages to the resident other than during breakfast and lunch, and each was unaware if the other had offered additional fluids. The LPN reported giving only a small amount of water with morning medications and no further fluids aside from those at meals. This pattern of limited fluid provision conflicted with the facility’s General Hydration Services policy, which states that residents are to be offered sufficient fluids consistent with their needs and preferences, including drinks at meals, fresh water at bedside when appropriate, and fluids with medication passes.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Montpelier
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Williams Co Hillside Country L | 7.3 mi | — | 0 | 0 |
| Majestic Care Of Bryan | 8.2 mi | — | 19 | 0 |
| Park View Care Center | 11.8 mi | — | 9 | 0 |
| Fairlawn Haven | 16 mi | — | 0 | 0 |
| Laurels Of Dekalb | 17.4 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.