Deficiency Records for Evergreen Health and Rehabilitation Center
Updated as of February 01, 2021
This is not the most recent data for Evergreen Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Evergreen Health and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-11-10 | 2020-12-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-03 | 2019-10-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-03 | 2019-10-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-03 | 2019-10-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-09-06 | 2019-10-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-06 | 2019-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-06 | 2019-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-06 | 2019-10-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-12 | 2019-05-09 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-06-12 | 2018-07-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-06-12 | 2018-07-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-06-12 | 2018-07-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-06-12 | 2018-07-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-06-12 | 2018-07-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-14 | 2018-07-27 | N |
| 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 | 2018-06-14 | 2018-07-27 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-07-25 | 2017-09-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-25 | 2017-09-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-07-25 | 2017-09-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-07-25 | 2017-09-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-07-25 | 2017-09-03 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-20 | 2017-09-03 | N |
| Provide housekeeping and maintenance services. | Health | 2017-07-20 | 2017-09-03 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-20 | 2017-09-03 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2017-07-20 | 2017-09-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-20 | 2017-09-03 | N |
