A list of the most recent deficiencies for Life Care Center of Evergreen. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-16 | 2023-12-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-16 | 2023-12-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-16 | 2023-12-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-16 | 2023-12-06 | N |
| Add 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. | Fire Safety | 2023-11-16 | 2023-12-05 | 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 | 2023-10-26 | 2023-11-17 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-10-26 | 2023-11-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-26 | 2023-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-11-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-04 | 2022-08-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-04 | 2022-08-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-14 | 2022-08-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-14 | 2022-08-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-14 | 2022-08-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-04 | 2022-08-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-08-04 | 2022-08-10 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-08-04 | 2022-08-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-04 | 2022-08-10 | N |
| Have an externally vented heating system. | Fire Safety | 2022-08-04 | 2022-08-09 | N |
| Add 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. | Fire Safety | 2021-04-14 | 2021-05-04 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-04-14 | 2021-05-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-14 | 2021-05-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-04-14 | 2021-05-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-14 | 2021-04-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-04-14 | 2021-04-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-14 | 2021-04-30 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-04-14 | 2021-04-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-14 | 2021-04-28 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2021-04-14 | 2021-04-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-14 | 2021-04-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-04-14 | 2021-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-14 | 2021-04-27 | 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 | 2021-03-24 | 2021-04-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-14 | 2021-04-14 | N |
