CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Evergreen Health and Rehabilitation Center
A list of the most recent deficiencies for Evergreen Health and Rehabilitation Center. 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 Health and Rehabilitation 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-07 | 2024-09-17 | N |
| Honor the resident's right to choose his or her attending physician. | Health | 2024-08-07 | 2024-09-17 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-08-07 | 2024-09-17 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2024-08-07 | 2024-09-17 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-08-07 | 2024-09-17 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-08-07 | 2024-09-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-07 | 2024-09-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-07 | 2024-09-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-07 | 2024-09-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-07 | 2024-09-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-07 | 2024-09-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-07 | 2024-09-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-07 | 2024-09-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-06 | 2024-09-16 | 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 | 2024-05-28 | 2024-06-14 | Y |
| 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 | 2024-05-28 | 2024-06-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-08 | 2024-06-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-14 | 2024-04-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-14 | 2024-04-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-14 | 2024-04-02 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-14 | 2024-04-02 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-03-14 | 2024-04-02 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-03-14 | 2024-04-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-14 | 2024-02-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-30 | 2024-02-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-30 | 2024-02-15 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-11-15 | 2023-12-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-15 | 2023-12-08 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-11-15 | 2023-12-08 | Y |
| 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 | 2023-06-29 | 2023-07-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-29 | 2023-07-28 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-06-29 | 2023-07-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-29 | 2023-07-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-29 | 2023-07-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-29 | 2023-07-28 | Y |
| 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 | 2023-06-29 | 2023-07-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-29 | 2023-07-28 | 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 | 2023-06-29 | 2023-07-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-29 | 2023-07-28 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-29 | 2023-07-28 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-06-29 | 2023-07-28 | Y |
| 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 | 2023-06-29 | 2023-07-28 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-06-29 | 2023-07-28 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-06-29 | 2023-07-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-29 | 2023-07-28 | Y |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-06-29 | 2023-07-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-29 | 2023-07-28 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-02-02 | 2023-02-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-02 | 2023-02-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-02 | 2023-02-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-02 | 2023-02-28 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-02 | 2023-02-28 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-02-02 | 2023-02-28 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-05-26 | 2022-07-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-26 | 2022-07-06 | N |
| Provide activities to meet all resident's needs. | Health | 2022-05-26 | 2022-07-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-26 | 2022-07-06 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-05-26 | 2022-07-06 | 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 | 2022-05-26 | 2022-07-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-26 | 2022-07-06 | 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 | 2022-05-26 | 2022-07-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-26 | 2022-07-06 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-05-26 | 2022-07-06 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-05-26 | 2022-07-06 | 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 | 2022-05-26 | 2022-07-06 | 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 | 2022-05-26 | 2022-07-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-26 | 2022-07-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-26 | 2022-07-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-26 | 2022-07-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-26 | 2022-07-06 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-25 | 2022-07-06 | N |
| 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 | 2022-03-09 | 2022-03-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-09 | 2022-03-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-09 | 2022-03-30 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-09 | 2022-03-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-23 | 2021-12-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-23 | 2021-12-20 | Y |
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