Deficiency Records for Evergreen Living Center at Stagecoach
Updated as of March 01, 2024
A list of the most recent deficiencies for Evergreen Living Center at Stagecoach. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-12 | 2024-02-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-12 | 2024-02-12 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-12 | 2024-02-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-12 | 2024-02-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-12 | 2024-02-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-12 | 2024-02-12 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-01-12 | 2024-02-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-12 | 2024-02-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-12 | 2024-02-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-12 | 2024-02-12 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-01-10 | 2024-02-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-01-10 | 2024-02-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-28 | 2023-03-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-28 | 2023-03-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-21 | 2023-01-19 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-10-28 | 2022-11-27 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-10-28 | 2022-11-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-28 | 2022-11-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-28 | 2022-11-25 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-10-28 | 2022-11-25 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-10-28 | 2022-11-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-28 | 2022-11-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-28 | 2022-11-25 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-02-24 | 2022-03-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-24 | 2022-03-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-29 | 2022-01-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-29 | 2022-01-20 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-29 | 2022-01-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-03 | 2021-08-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-03 | 2021-08-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-08-03 | 2021-08-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-16 | 2021-08-15 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-07-16 | 2021-08-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-16 | 2021-08-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-16 | 2021-08-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-16 | 2021-08-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-16 | 2021-08-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-16 | 2021-08-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-16 | 2021-08-15 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-07-16 | 2021-08-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-16 | 2021-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-16 | 2021-08-15 | N |
| Keep all essential equipment working safely. | Health | 2021-07-16 | 2021-08-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-03 | 2021-08-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-01 | 2021-03-31 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-01 | 2021-03-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-01 | 2021-03-31 | Y |
