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Deficiency Records for Evergreen Manor Senior Care Center

View the most recent health deficiencies and inspection results for Evergreen Manor Senior Care Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Evergreen Manor Senior Care Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2026-04-02 2026-04-22 N
Establish roles under a Waiver declared by secretary. Fire Safety 2026-04-02 2026-04-22 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2026-04-02 2026-04-22 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2026-04-02 2026-04-22 N
Respond appropriately to all alleged violations. Health 2026-04-02 2026-04-22 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2026-04-02 2026-04-22 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2026-04-02 2026-04-22 N
Provide a written emergency evacuation plan. Fire Safety 2026-04-02 2026-04-22 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2026-04-02 2026-04-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2026-04-02 2026-04-22 N
Provide and implement an infection prevention and control program. Health 2026-04-02 2026-04-22 N
Provide properly protected cooking facilities. Fire Safety 2026-04-02 2026-04-22 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2026-04-02 2026-04-22 N
Have exits that are accessible at all times. Fire Safety 2026-04-02 2026-04-22 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 2026-04-02 2026-04-22 N
Provide primary/alternate means for communication. Fire Safety 2026-04-02 2026-04-22 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2025-12-16 2025-12-31 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2025-01-15 2025-01-24 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 2025-01-15 2025-01-24 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2024-05-09 2024-05-20 Y
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-03-07 2024-03-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-03-07 2024-03-25 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-03-07 2024-03-25 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2024-03-07 2024-03-25 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-03-07 2024-03-25 N
Respond appropriately to all alleged violations. Health 2024-03-07 2024-03-25 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2024-03-07 2024-03-25 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-03-07 2024-03-25 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-03-07 2024-03-25 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-10-11 2023-10-24 Y
Have proper power supply for life support equipment. Fire Safety 2026-04-02 Not Fixed N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2026-04-02 Not Fixed N

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