Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Evergreen Manor Senior Care Center

Battle Creek, MI · 91 certified beds · Last Life Safety survey April 2, 2026

CMS Certification Number 235054 · first certified January 1967

Ownership

Operated by NEXCARE HEALTH SYSTEMS · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

16
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within MI

16 citations — more than 60% of the 422 certified nursing homes in MI. Compared within MI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 13 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 2027 — about 6 months from now. This facility’s last Life Safety survey was April 2026. Facilities in MI are typically surveyed 12–14 months after the last one (median 13), measured over 723 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 16 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 16 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations on file over three years

Compared with the median facility in MI, and nationally. Surveyors differ markedly between states, so the MI figure is the meaningful one.

This facility16MI median14National median11
Citations on file over three years, compared
MeasureCitations
This facility16
Median facility in MI14
Median facility nationally11

Survey history

Citations at each Life Safety survey
32024-0302025-01132026-04
Citations at each Life Safety survey
Survey dateCitations
March 7, 20243
January 15, 20250
April 2, 202613

Most-cited tags

Most-cited tags at this facility
K-03532K-03211K-02711K-09151K-02111K-09181K-03721K-03431
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-04-02
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12026-04-02
K-0271Have exits that are accessible at all times.12026-04-02
K-0915Have proper power supply for life support equipment.12026-04-02
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12024-03-07
K-0918Have generator or other power source capable of supplying service within 10 seconds.12026-04-02
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12026-04-02
K-0343Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.12026-04-02

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Egress Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Miscellaneous Deficiencies 2
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Egress Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies2
Miscellaneous Deficiencies2
Emergency Preparedness Deficiencies2
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 2, 2026 — 13 citations

Citations issued on April 2, 2026
TagWhat the surveyor checksStatus
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (April 22, 2026)
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (April 22, 2026)
K-0222Add 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.Deficient, Provider has date of correction (April 22, 2026)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (April 22, 2026)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 22, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 22, 2026)
K-0343Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.Deficient, Provider has plan of correction
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 22, 2026)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (April 22, 2026)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (April 22, 2026)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (April 22, 2026)
K-0915Have proper power supply for life support equipment.Deficient, Provider has plan of correction
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 22, 2026)

March 7, 2024 — 3 citations

Citations issued on March 7, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (March 25, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 25, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (March 25, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.