CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Evergreen Commons Rehabilitation and Nursing Ctr
View the most recent health deficiencies and inspection results for Evergreen Commons Rehabilitation and Nursing Ctr. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Evergreen Commons Rehabilitation and Nursing Ctr. 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 | 2024-01-11 | 2024-03-05 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-01-11 | 2024-03-05 | Y |
| Keep all essential equipment working safely. | Health | 2024-01-11 | 2024-03-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-11 | 2024-03-05 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-01-11 | 2024-03-05 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-01-11 | 2024-02-15 | Y |
| 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 | 2024-01-11 | 2024-02-12 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-11 | 2024-02-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-11 | 2024-02-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-11 | 2024-01-11 | Y |
| Dispose of garbage and refuse properly. | Health | 2021-09-01 | 2021-10-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-01 | 2021-10-19 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-09-01 | 2021-10-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-01 | 2021-10-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-01 | 2021-10-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-09-01 | 2021-10-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-26 | 2019-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-26 | 2019-10-25 | N |
| Dispose of garbage and refuse properly. | Health | 2019-08-26 | 2019-10-25 | 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 | 2019-08-26 | 2019-10-25 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-08-26 | 2019-10-25 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-08-26 | 2019-10-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-26 | 2019-10-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-26 | 2019-10-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-26 | 2019-10-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-26 | 2019-10-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-26 | 2019-10-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-08-26 | 2019-10-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-03-19 | Not Fixed | Y |
| Respond appropriately to all alleged violations. | Health | 2026-03-19 | Not Fixed | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-19 | Not Fixed | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-19 | Not Fixed | Y |