Deficiency Records for Evergreen Living Center at Stagecoach
Updated as of January 01, 2022
This is not the most recent data for Evergreen Living Center at Stagecoach. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-07 | 2020-05-11 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-02-14 | 2020-03-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-14 | 2020-03-13 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-02-14 | 2020-03-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-14 | 2020-03-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-14 | 2020-03-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-14 | 2020-03-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-14 | 2020-03-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-14 | 2020-03-13 | 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 | 2020-02-14 | 2020-03-13 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-02-14 | 2020-03-13 | 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 | 2020-02-14 | 2020-03-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-14 | 2020-03-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-14 | 2020-03-13 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-02-14 | 2020-02-14 | 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 | 2019-07-12 | 2019-07-30 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-07-12 | 2019-07-12 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-02-07 | 2019-03-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-07 | 2019-03-03 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-02-07 | 2019-03-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-07 | 2019-03-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-07 | 2019-03-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-07 | 2019-03-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-07 | 2019-03-03 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-02-07 | 2019-03-03 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-02-07 | 2019-03-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-07 | 2019-03-03 | 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 | 2019-02-07 | 2019-03-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-02-07 | 2019-03-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-07 | 2019-03-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-07 | 2019-03-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-16 | 2019-03-03 | N |
