Deficiency Records for Evergreen Health and Rehabilitation Center

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Updated as of May 01, 2024

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Deficiency Records for Evergreen Health and Rehabilitation Center

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.

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?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-06-21 2023-08-07 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-10-19 2022-11-11 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-10-19 2022-11-11 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
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
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
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

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