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Deficiency Records for Evergreen Healthcare Center

A list of the most recent deficiencies for Evergreen Healthcare 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 Healthcare 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-04-11 2024-04-12 Y
Assess the resident when there is a significant change in condition Health 2024-04-11 2024-04-12 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 2024-04-11 2024-04-12 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-04-11 2024-04-12 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-04-11 2024-04-12 Y
Provide and implement an infection prevention and control program. Health 2024-02-21 2024-04-05 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 2023-10-27 2023-11-30 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-10-27 2023-11-30 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-10-27 2023-11-30 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-10-27 2023-11-30 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-10-27 2023-11-30 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-10-27 2023-11-30 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-10-27 2023-11-30 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-10-27 2023-11-30 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 2023-10-27 2023-11-30 N
Provide and implement an infection prevention and control program. Health 2023-10-27 2023-11-30 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2023-10-27 2023-11-30 N
Provide properly protected cooking facilities. Fire Safety 2023-10-12 2023-11-30 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-10-12 2023-11-30 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-10-12 2023-11-30 N
Meet requirements for the use and maintenance of medical gas equipment. Fire Safety 2023-10-12 2023-11-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-27 2023-10-27 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-08-18 2022-09-14 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-08-17 2022-09-07 N
Post nurse staffing information every day. Health 2022-08-17 2022-09-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-17 2022-09-07 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2022-08-17 2022-09-07 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2021-06-03 2021-06-16 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-06-02 Not Fixed N

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