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Deficiency Records for Evergreen Health Services
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.
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? |
|---|---|---|---|---|
| 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 | 2024-08-07 | 2024-08-19 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-05-22 | 2024-06-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-22 | 2024-06-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-22 | 2024-06-20 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-05-22 | 2024-06-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-22 | 2024-06-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-23 | 2024-06-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-23 | 2024-06-10 | N |
| 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 |
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