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Deficiency Records for Evergreen Healthcare Center
View the most recent health deficiencies and inspection results for Evergreen Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Evergreen Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-04-09 | 2026-05-08 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-18 | 2023-02-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-01-18 | 2023-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-18 | 2023-02-14 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-01-18 | 2023-02-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-18 | 2023-02-14 | 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 | 2023-01-18 | 2023-02-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-18 | 2023-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-18 | 2023-02-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-18 | 2023-02-14 | N |
| Respond appropriately to all alleged violations. | Health | 2023-01-18 | 2023-02-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-18 | 2023-02-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-18 | 2023-02-14 | 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 | 2023-01-18 | 2023-02-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-18 | 2023-02-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-18 | 2023-02-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-18 | 2023-02-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-18 | 2023-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-21 | 2022-01-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-21 | 2022-01-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-21 | 2022-01-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-21 | 2022-01-21 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-12-21 | 2022-01-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-21 | 2022-01-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-21 | 2022-01-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-21 | 2022-01-21 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-12-21 | 2022-01-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-21 | 2022-01-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-21 | 2022-01-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-12-21 | 2022-01-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-21 | 2022-01-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-26 | 2019-07-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-26 | 2019-07-26 | 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 | 2019-06-26 | 2019-07-26 | N |