Deficiency Records for Evergreen Commons Rehabilitation and Nursing Ctr
Updated as of February 01, 2017
This is not the most recent data for Evergreen Commons Rehabilitation and Nursing Ctr. For the most recent information, click here.
A list of the most recent deficiencies for Evergreen Commons Rehabilitation and Nursing Ctr. 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? |
---|---|---|---|---|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-07-29 | 2016-09-12 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-07-29 | 2016-09-12 | N |
Provide housekeeping and maintenance services. | Health | 2016-07-29 | 2016-09-12 | N |
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2016-07-29 | 2016-09-12 | N |
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-07-29 | 2016-09-12 | N |
Ensure residents maintain acceptable nutritional status. | Health | 2016-07-29 | 2016-09-12 | 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 | 2016-07-29 | 2016-09-12 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2016-07-29 | 2016-09-12 | N |
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-07-29 | 2016-09-12 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-06-04 | 2015-07-13 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-06-04 | 2015-07-13 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-06-04 | 2015-07-13 | Y |
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2015-06-04 | 2015-07-13 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-06-04 | 2015-07-13 | Y |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-06-04 | 2015-07-13 | N |
Provide housekeeping and maintenance services. | Health | 2015-06-04 | 2015-07-13 | 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 | 2015-06-04 | 2015-07-13 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2015-06-04 | 2015-07-13 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-06-04 | 2015-07-13 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-06-04 | 2015-07-13 | Y |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-06-04 | 2015-07-13 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-06-04 | 2015-07-13 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-10-16 | 2014-12-18 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-10-16 | 2014-12-02 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-06-23 | 2014-07-21 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-05-13 | 2014-06-20 | N |
Provide housekeeping and maintenance services. | Health | 2014-05-13 | 2014-06-20 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-05-13 | 2014-06-20 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-05-13 | 2014-06-20 | N |
Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2014-05-13 | 2014-06-20 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-05-13 | 2014-06-20 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2014-05-13 | 2014-06-20 | N |
Dispose of garbage and refuse properly. | Health | 2014-05-13 | 2014-06-20 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-05-13 | 2014-06-20 | N |
Ensure that residents are safe from serious medication errors. | Health | 2014-05-13 | 2014-06-20 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-04-04 | 2014-04-30 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-02-07 | 2014-03-12 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-02-07 | 2014-03-12 | Y |