Deficiency Records for Evergreen Manor Senior Care Ce
Updated as of February 01, 2019
This is not the most recent data for Evergreen Manor Senior Care Ce. For the most recent information, click here.
A list of the most recent deficiencies for Evergreen Manor Senior Care Ce. 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? |
---|---|---|---|---|
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-10-11 | 2018-11-20 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-11 | 2018-11-20 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-10-11 | 2018-11-20 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-11 | 2018-11-20 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-10-11 | 2018-11-20 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-11 | 2018-11-20 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-11 | 2018-11-20 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-11 | 2018-11-20 | 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 | 2018-10-11 | 2018-11-20 | N |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-10-11 | 2018-11-20 | N |
Provide or obtain dental services for each resident. | Health | 2018-10-11 | 2018-11-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-11 | 2018-11-20 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-10-10 | 2018-11-06 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-10-10 | 2018-11-06 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-09-13 | 2017-10-20 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-09-13 | 2017-10-20 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-13 | 2017-10-20 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-09-13 | 2017-10-20 | N |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-09-13 | 2017-10-20 | N |
Ensure residents maintain acceptable nutritional status. | Health | 2017-09-13 | 2017-10-20 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-09-13 | 2017-10-20 | N |
Make sure that doctors visit residents regularly, as required. | Health | 2017-09-13 | 2017-10-20 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-09-13 | 2017-10-20 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-13 | 2017-10-20 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-13 | 2017-10-20 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-04 | 2017-06-06 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-04 | 2017-06-06 | Y |
Give residents a notice of rights, rules, services and charges. | Health | 2016-12-22 | 2017-01-23 | Y |
Properly installed electrical wiring and equipment. | Fire Safety | 2016-10-20 | 2016-11-28 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-10-20 | 2016-11-28 | N |
Provide housekeeping and maintenance services. | Health | 2016-10-20 | 2016-11-28 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-10-20 | 2016-11-28 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-20 | 2016-11-28 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-20 | 2016-11-28 | Y |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-07-22 | 2016-08-29 | Y |
Store, cook, and serve food in a safe and clean way. | Health | 2016-07-22 | 2016-08-29 | Y |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-07-22 | 2016-08-29 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-02-05 | 2016-03-04 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-05 | 2016-03-04 | Y |