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Indiana Department of Health


Indiana Department of Health

Division of Long Term Care

CONSUMER REPORT

Residential Care

Posted to the Web on: 7/30/2026

EVERGREEN VILLAGE AT BLOOMINGTON

NURSING HOME

RESIDENTIAL FACILITY

Basic Information

FACILITY CONTACT INFORMATION

Address: 3607 SOUTH HEIRLOOM DRIVE

City: BLOOMINGTON

Telephone: 8123362718

NAME CHANGES

Most recent name change: N/A

Date of most recent name change: N/A

LICENSE INFORMATION

License number: 25-014002-1

License name: EV Bloomington Limited Partnership

License id: 811321407

License effective date: 09/01/2025

License expiration date: 08/31/2026

Administration and Staff
Admin Type Name Start Date End Date
Administrator NICHOLE MCNALLY 07/17/2024
Director of Nursing KIMBERLY WILLIAMS 07/05/2024
Bed Counts

COMPREHENSIVE CARE BEDS:

RESIDENTIAL CARE BEDS:

Total number of beds in facility: 183

Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:

CLINICAL TRAINING SITES:

This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:

COMPLAINTS

SUBSTANTIATED COMPLAINT SURVEYS:

STATE LICENSURE SURVEYS

The ISDH conducts a state licensure survey at each licensed residential facility approximately once per year. If state findings are cited on a survey, the residential facility may be requested by the ISDH to complete a plan of correction on how and when they will correct each state finding and who will be responsible to ensure the corrections are made and will not reoccur in the future. The plan of correction is generally submitted by the residential facility and reviewed by the ISDH within fifteen (15) days of the survey.

To read an overview of the survey process, click here

NOTE: The residential consumer report survey information begins with surveys that have been completed on or after December 1, 2008. Any survey performed prior to that date will not have any information in the state findings count rows or columns or will show zero.

Most Recent 2nd Most Recent 3rd Most Recent
Number of State Findings N/A N/A N/A
Survey Report N/A N/A N/A
SURVEY HISTORY

The survey report is not posted until the report has been provided to the facility and their plan of correction submitted and approved.The survey report therefore will likely not be posted until four to six weeks after the exit date.
In the grid below click on an event ID that is underlined to see the survey report for that event.

Event ID Survey Type Exit Date
P7CG11 Complaint 06/24/2026
BQC011 Complaint 06/18/2026
Z7U411 Complaint, Re-Licensure 02/03/2026
QUFW11 Complaint 11/07/2025
T1WV11 Complaint, Re-Licensure 05/01/2025
BZCT11 Re-Licensure 07/25/2024
GMEC11 Complaint 05/21/2024
1URT11 Complaint 12/07/2023
6WQM11 Complaint 09/20/2023
CKMV11 Re-Licensure 08/16/2023
Y6WS11 Complaint 06/22/2023
G92N11 Complaint 05/10/2023
K2W111 Re-Licensure 11/10/2022
2C7S11 Complaint 09/28/2022
WXG111 Complaint 01/19/2022
EX4911 Re-Licensure 12/09/2021