Deficiency Records for Evergreen Community of Johnson County
Updated as of April 01, 2022
This is not the most recent data for Evergreen Community of Johnson County. For the most recent information, click here.
A list of the most recent deficiencies for Evergreen Community of Johnson County. 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? |
---|---|---|---|---|
Ensure each resident receives an accurate assessment. | Health | 2021-04-29 | 2021-05-21 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-04-29 | 2021-05-21 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-29 | 2021-05-21 | 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 | 2021-04-29 | 2021-05-21 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-04-29 | 2021-05-21 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-04-29 | 2021-05-21 | N |
Provide and implement an infection prevention and control program. | Health | 2021-04-29 | 2021-05-21 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-26 | 2021-02-05 | Y |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-03-05 | 2020-03-20 | 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 | 2020-03-05 | 2020-03-20 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-03-05 | 2020-03-20 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-05 | 2020-03-20 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-03-05 | 2020-03-20 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-03-05 | 2020-03-20 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-05 | 2020-03-20 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-12-14 | 2019-01-07 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-14 | 2018-07-10 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-06-14 | 2018-07-10 | 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 | 2018-06-14 | 2018-07-10 | N |
Provide and implement an infection prevention and control program. | Health | 2018-06-14 | 2018-07-10 | 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 | 2017-08-21 | 2017-09-18 | N |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-08-21 | 2017-09-18 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-21 | 2017-09-18 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-08-21 | 2017-09-18 | N |