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Deficiency Records for Evergreen Post Acute
View the most recent health deficiencies and inspection results for Evergreen Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Evergreen Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-04-17 | 2025-06-03 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-04-17 | 2025-06-03 | Y |
| Assess the resident when there is a significant change in condition | Health | 2025-04-17 | 2025-06-03 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-04-17 | 2025-06-03 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2025-04-17 | 2025-06-03 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-04-17 | 2025-06-03 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-04-17 | 2025-06-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-17 | 2025-06-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-17 | 2025-06-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-17 | 2025-06-03 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-04-17 | 2025-06-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-17 | 2025-06-03 | Y |
| Implement a program that monitors antibiotic use. | Health | 2025-04-17 | 2025-06-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-17 | 2025-06-03 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2025-04-17 | 2025-06-03 | 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 | 2025-04-17 | 2025-06-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-17 | 2025-06-03 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-04-17 | 2025-06-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-04-17 | 2025-06-03 | 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 | 2025-04-17 | 2025-06-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-04-17 | 2025-06-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-17 | 2025-06-03 | N |
| Respond appropriately to all alleged violations. | Health | 2025-01-14 | 2025-01-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-14 | 2025-01-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-04-17 | 2024-09-18 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-05-30 | 2024-07-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-30 | 2024-07-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-30 | 2024-07-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-30 | 2024-07-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-30 | 2024-07-24 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-05-30 | 2024-07-24 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-05-30 | 2024-07-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-30 | 2024-07-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-30 | 2024-07-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-30 | 2024-07-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-30 | 2024-07-24 | Y |
| 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 | 2024-05-30 | 2024-07-24 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-30 | 2024-07-24 | Y |
| 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 | 2024-05-30 | 2024-07-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-30 | 2024-07-24 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-05-30 | 2024-07-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-30 | 2024-07-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-30 | 2024-07-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-30 | 2024-07-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-30 | 2024-07-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-30 | 2024-07-24 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-30 | 2024-07-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-30 | 2024-07-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-30 | 2024-07-24 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-05-30 | 2024-07-24 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-05-30 | 2024-07-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-30 | 2024-07-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-30 | 2024-07-24 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-05-30 | 2024-07-24 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-04-11 | 2023-05-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-11 | 2023-05-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-11 | 2023-05-19 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-04-11 | 2023-05-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-11 | 2023-05-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-11 | 2023-05-19 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-04-11 | 2023-05-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-11 | 2023-05-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-11 | 2023-05-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-11 | 2023-05-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-11 | 2023-05-19 | 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 | 2023-04-11 | 2023-05-19 | N |