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Deficiency Records for Evergreen Crossing and The Lofts
A list of the most recent deficiencies for Evergreen Crossing and The Lofts. 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 Crossing and The Lofts. 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? |
|---|---|---|---|---|
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-03-06 | 2024-03-11 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-02-07 | 2024-02-28 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-11 | 2024-01-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-15 | 2024-01-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-15 | 2024-01-16 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-12-15 | 2024-01-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-15 | 2024-01-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-15 | 2024-01-16 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-21 | 2023-09-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-21 | 2023-09-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-21 | 2023-09-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-31 | 2023-09-05 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-31 | 2023-09-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-31 | 2023-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-31 | 2023-09-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-31 | 2023-09-05 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-07-31 | 2023-09-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-31 | 2023-09-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-27 | 2023-05-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-27 | 2023-05-15 | 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 | 2023-02-27 | 2023-04-24 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-02-27 | 2023-04-24 | 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 | 2023-02-27 | 2023-04-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-27 | 2023-04-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-27 | 2023-04-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-27 | 2023-04-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-27 | 2023-04-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-27 | 2023-04-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-02-27 | 2023-04-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-27 | 2023-04-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-27 | 2023-04-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-03 | 2023-03-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-03 | 2023-03-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-03 | 2023-03-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-03 | 2023-03-07 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-02-03 | 2023-03-07 | 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 | 2023-02-03 | 2023-03-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-03 | 2023-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-03 | 2023-03-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-03 | 2023-03-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-14 | 2022-08-10 | Y |
| 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 | 2022-07-14 | 2022-08-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-03 | 2022-03-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-25 | 2021-11-20 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-10-25 | 2021-11-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-25 | 2021-11-20 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-10-25 | 2021-11-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-25 | 2021-11-20 | Y |
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