A list of the most recent deficiencies for Evergreen Health Services. 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 | 2024-01-29 | 2024-02-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-29 | 2024-02-29 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-10 | 2023-06-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-10 | 2023-06-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-10 | 2023-06-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-10 | 2023-06-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-10 | 2023-06-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-10 | 2023-05-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-10 | 2023-05-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-10 | 2023-05-25 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-05-10 | 2022-09-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-10 | 2022-06-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-06 | 2021-05-20 | N |
