Deficiency Records for Evergreen Woods
Updated as of March 01, 2020
This is not the most recent data for Evergreen Woods. For the most recent information, click here.
A list of the most recent deficiencies for Evergreen Woods. 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? |
---|---|---|---|---|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-13 | 2019-07-01 | 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 | 2019-06-13 | 2019-07-01 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-06-01 | 2018-07-09 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2018-06-01 | 2018-07-09 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-06-01 | 2018-07-09 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-01 | 2018-06-25 | 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 | 2018-06-01 | 2018-06-25 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-01 | 2018-06-25 | N |
Provide activities to meet all resident's needs. | Health | 2018-06-01 | 2018-06-25 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-01 | 2018-06-25 | 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 | 2018-06-01 | 2018-06-25 | N |
Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | Health | 2018-06-01 | 2018-06-25 | N |
Provide and implement an infection prevention and control program. | Health | 2018-06-01 | 2018-06-25 | N |
Ensure residents maintain acceptable nutritional status. | Health | 2017-06-15 | 2017-07-17 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-06-15 | 2017-07-17 | N |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2017-06-15 | 2017-07-17 | N |
Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-06-15 | 2017-07-17 | Y |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-15 | 2017-07-17 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-15 | 2017-07-17 | Y |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-15 | 2017-07-17 | Y |