Deficiency Records for Evergreen Woods
Updated as of November 01, 2021
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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-19 | 2021-08-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-07-19 | 2021-08-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-19 | 2021-08-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-19 | 2021-08-19 | Y |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-06-25 | 2019-09-11 | N |
| 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 |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-06-01 | 2018-07-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-06-01 | 2018-07-09 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | 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 |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-16 | 2017-08-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-06-16 | 2017-07-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-06-16 | 2017-07-21 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-06-15 | 2017-07-17 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-15 | 2017-07-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-15 | 2017-07-17 | 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 |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-15 | 2017-07-17 | N |
