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? |
|---|---|---|---|---|
| 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 | 2022-09-26 | 2022-10-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-09-26 | 2022-10-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-26 | 2022-10-28 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-09-26 | 2022-10-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-27 | 2022-10-26 | N |
| Post nurse staffing information every day. | Health | 2022-09-27 | 2022-10-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-27 | 2022-10-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-29 | 2021-08-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-05 | 2021-06-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-05-05 | 2021-06-05 | 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 | 2021-05-05 | 2021-06-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-05 | 2021-06-05 | 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 | 2021-05-05 | 2021-06-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-05 | 2021-06-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-08 | 2021-04-22 | 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 | 2019-10-03 | 2019-11-01 | 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 | 2019-10-03 | 2019-11-01 | 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 | 2019-10-02 | 2019-11-01 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-10-02 | 2019-11-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-02 | 2019-11-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-10-02 | 2019-11-01 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-10-02 | 2019-11-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-02 | 2019-11-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-10-02 | 2019-11-01 | N |
