A list of the most recent deficiencies for Evergreen Health Center. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-11 | 2024-02-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-01-11 | 2024-02-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-01-11 | 2024-02-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-11 | 2024-02-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-11 | 2024-02-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-01-11 | 2024-02-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-11 | 2024-02-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-11 | 2024-02-01 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-01-11 | 2024-02-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-01-11 | 2024-02-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-11 | 2024-02-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-11 | 2024-02-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-11 | 2024-02-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-11 | 2024-01-31 | 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 | 2024-01-11 | 2024-01-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-21 | 2023-02-13 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-11-21 | 2023-02-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-21 | 2022-12-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-23 | 2022-12-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-23 | 2022-12-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-11-21 | 2022-12-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-21 | 2022-12-13 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2022-11-23 | 2022-12-12 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-11-21 | 2022-12-12 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-11-21 | 2022-12-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-21 | 2022-12-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-29 | 2021-10-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-29 | 2021-10-21 | 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 | 2021-09-30 | 2021-10-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-30 | 2021-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-30 | 2021-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-11 | Not Fixed | N |
