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Deficiency Records for Evergreen Post Acute
View the most recent health deficiencies and inspection results for Evergreen Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Evergreen Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-11-17 | 2025-12-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-17 | 2025-12-08 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-02-18 | 2025-04-02 | N |
| Provide activities to meet all resident's needs. | Health | 2025-02-18 | 2025-03-21 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-02-18 | 2025-03-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-18 | 2025-03-21 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-02-18 | 2025-03-21 | 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 | 2025-02-18 | 2025-03-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-02-18 | 2025-03-21 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-02-18 | 2025-03-21 | N |
| Post nurse staffing information every day. | Health | 2025-02-18 | 2025-03-21 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-02-18 | 2025-03-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-02-18 | 2025-03-21 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-02-18 | 2025-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-18 | 2025-03-21 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-02-18 | 2025-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-18 | 2025-03-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-18 | 2025-03-21 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-02-18 | 2025-03-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-18 | 2025-03-21 | 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 | 2025-02-18 | 2025-03-21 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-02-18 | 2025-03-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-02-18 | 2025-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-18 | 2025-03-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-02-18 | 2025-03-21 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-02-18 | 2025-03-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-02-18 | 2025-03-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-02-18 | 2025-03-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-02-18 | 2025-03-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-19 | 2024-10-03 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-10-23 | 2023-11-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-23 | 2023-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-23 | 2023-11-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-23 | 2023-11-29 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-23 | 2023-11-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-23 | 2023-11-29 | 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 | 2023-10-23 | 2023-11-29 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-23 | 2023-11-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-23 | 2023-11-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-23 | 2023-11-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-15 | 2022-09-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-08-15 | 2022-09-22 | 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 | 2022-08-15 | 2022-09-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-15 | 2022-09-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-15 | 2022-09-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-15 | 2022-09-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-08-15 | 2022-09-22 | N |
| Post nurse staffing information every day. | Health | 2022-08-15 | 2022-09-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-15 | 2022-09-22 | 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 | 2022-08-15 | 2022-09-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-15 | 2022-09-22 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-08-15 | 2022-09-22 | N |