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Deficiency Records for Evergreen Woods
A list of the most recent deficiencies for Evergreen Woods. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Evergreen Woods. 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? |
|---|---|---|---|---|
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-22 | 2024-03-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-22 | 2024-03-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-20 | 2024-03-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-20 | 2024-03-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-20 | 2024-03-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-20 | 2024-03-19 | 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 | 2022-09-26 | 2022-10-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-09-26 | 2022-10-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-26 | 2022-10-28 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-09-26 | 2022-10-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-27 | 2022-10-26 | N |
| Post nurse staffing information every day. | Health | 2022-09-27 | 2022-10-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-27 | 2022-10-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-05 | 2021-06-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-05-05 | 2021-06-05 | 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 | 2021-05-05 | 2021-06-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-05 | 2021-06-05 | 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 | 2021-05-05 | 2021-06-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-05 | 2021-06-05 | N |
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