Evergreen Hospice, LLC

Inspection history (134)

Records from December 2021 to May 2023.

• May 31, 2023 · Standard

  Citation L0543

  Federal surveyors cited this hospice in a survey that ended on 2023-05-31 under CMS tag L0543 (CFR 418.56(b)) for Plan of care. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Complaint. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-31.GOV

• May 31, 2023 · Standard

  Citation L0552

  Federal surveyors cited this hospice in a survey that ended on 2023-05-31 under CMS tag L0552 (CFR 418.56(d)) for Review of the plan of care. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Complaint. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-31.GOV

• May 26, 2022 · Standard

  Citation L0568

  Federal surveyors cited this hospice in a survey that ended on 2022-05-26 under CMS tag L0568 (CFR 418.58(c)(1)(iii)) for Program activities. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-26.GOV

• May 26, 2022 · Standard

  Citation E0029

  Federal surveyors cited this hospice in a survey that ended on 2022-05-26 under CMS tag E0029 (CFR 418.113(c)) for Development of Communication Plan. CMS recorded this at the standard level, which sits under a condition of participation. E tags cover the Medicare emergency preparedness requirements. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-26.GOV

• May 26, 2022 · Standard

  Citation L0651

  Federal surveyors cited this hospice in a survey that ended on 2022-05-26 under CMS tag L0651 (CFR 418.100(b)) for Governing body and administrator. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-26.GOV

• May 26, 2022 · Standard

  Citation L0561

  Federal surveyors cited this hospice in a survey that ended on 2022-05-26 under CMS tag L0561 (CFR 418.58(a)(1)) for Program scope. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-26.GOV

• May 26, 2022 · Standard

  Citation E0036

  Federal surveyors cited this hospice in a survey that ended on 2022-05-26 under CMS tag E0036 (CFR 418.113(d)) for EP Training and Testing. CMS recorded this at the standard level, which sits under a condition of participation. E tags cover the Medicare emergency preparedness requirements. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-26.GOV

• May 26, 2022 · Standard

  Citation E0004

  Federal surveyors cited this hospice in a survey that ended on 2022-05-26 under CMS tag E0004 (CFR 418.113(a)) for Develop EP Plan, Review and Update Annually. CMS recorded this at the standard level, which sits under a condition of participation. E tags cover the Medicare emergency preparedness requirements. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-26.GOV

• May 26, 2022 · Condition

  Citation L0648

  Federal surveyors cited this hospice in a survey that ended on 2022-05-26 under CMS tag L0648 (CFR 418.100) for Organizational environment. CMS recorded this at the condition level, which is the broader of the two levels used on a hospice survey. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-26.GOV

• May 26, 2022 · Condition

  Citation L0559

  Federal surveyors cited this hospice in a survey that ended on 2022-05-26 under CMS tag L0559 (CFR 418.58) for Quality assessment & performance improvement. CMS recorded this at the condition level, which is the broader of the two levels used on a hospice survey. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-26.GOV

• May 26, 2022 · Standard

  Citation L0564

  Federal surveyors cited this hospice in a survey that ended on 2022-05-26 under CMS tag L0564 (CFR 418.58(b)(2)) for Program data. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-26.GOV

• May 26, 2022 · Standard

  Citation L0580

  Federal surveyors cited this hospice in a survey that ended on 2022-05-26 under CMS tag L0580 (CFR 418.60(b)(1)) for Control. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-26.GOV

• May 26, 2022 · Standard

  Citation L0900

  Federal surveyors cited this hospice in a survey that ended on 2022-05-26 under CMS tag L0900 (CFR 418.60 (d)(1)-(3)(i)-(x)) for COVID-19 Vaccination of Facility Staff. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-26.GOV

• May 26, 2022 · Standard

  Citation L0562

  Federal surveyors cited this hospice in a survey that ended on 2022-05-26 under CMS tag L0562 (CFR 418.58(a)(2)) for Program scope. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-26.GOV

• May 26, 2022 · Standard

  Citation E0013

  Federal surveyors cited this hospice in a survey that ended on 2022-05-26 under CMS tag E0013 (CFR 418.113(b)) for Development of EP Policies and Procedures. CMS recorded this at the standard level, which sits under a condition of participation. E tags cover the Medicare emergency preparedness requirements. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-26.GOV

• May 26, 2022 · Standard

  Citation L0575

  Federal surveyors cited this hospice in a survey that ended on 2022-05-26 under CMS tag L0575 (CFR 418.58(e)(2)) for Executive responsibilities. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-26.GOV

• May 26, 2022 · Standard

  Citation L0560

  Federal surveyors cited this hospice in a survey that ended on 2022-05-26 under CMS tag L0560 (CFR 418.58) for Quality assessment & performance improvement. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-26.GOV

• May 26, 2022 · Standard

  Citation E0039

  Federal surveyors cited this hospice in a survey that ended on 2022-05-26 under CMS tag E0039 (CFR 418.113(d)(2)) for EP Testing Requirements. CMS recorded this at the standard level, which sits under a condition of participation. E tags cover the Medicare emergency preparedness requirements. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-26.GOV

• May 26, 2022 · Condition

  Citation E0001

  Federal surveyors cited this hospice in a survey that ended on 2022-05-26 under CMS tag E0001 (CFR 418.113) for Establishment of the Emergency Program (EP). CMS recorded this at the condition level, which is the broader of the two levels used on a hospice survey. E tags cover the Medicare emergency preparedness requirements. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-26.GOV

• May 26, 2022 · Standard

  Citation L0685

  Federal surveyors cited this hospice in a survey that ended on 2022-05-26 under CMS tag L0685 (CFR 418.104(f)) for Retrieval of clinical records. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-26.GOV

Penalties

CMS publishes its civil money penalty and payment denial file for certified nursing homes only. No hospice appears in it, including this one. Enforcement here runs through the state licensing agency instead.

Staffing

Staffing hours are published for nursing homes and for no other kind of provider. Federal law requires Medicare- and Medicaid-certified nursing homes to file payroll-based nurse hours with CMS every quarter, and no agency collects the same return from hospices.

Ownership

For-Profit

Recent changes to this listing

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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

1. Jul 23, 2026First appeared in our data

   This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.

   Reported by CMS home health hospice (hospice)