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Facility profile · CCN 145734

Avantara Evergreen Park

62 federal citations on record , and 8 federal enforcement actions totaling $351,352.

Record summary

Federal record · Q1 2026
62
Total citations
50
Last 3 years
12
Actual harm+
8
Federal penalties
$351,352
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

62 on record
SurveyF-TagViolationSeveritySource
Jan 4, 2026F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
Sep 7, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Jun 24, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Jun 24, 2025F584Honor 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.EComplaint
May 23, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 23, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 23, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
May 23, 2025F881Implement a program that monitors antibiotic use.DStandard
May 23, 2025F880Provide and implement an infection prevention and control program.EStandard
May 23, 2025F761Ensure 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.EStandard
May 23, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard
May 23, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 23, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
May 23, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
May 23, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
May 23, 2025F641Ensure each resident receives an accurate assessment.DStandard
May 23, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
May 23, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Mar 30, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 6, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Nov 15, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 16, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Oct 16, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Sep 27, 2024F692Provide enough food/fluids to maintain a resident's health.GComplaint
Sep 27, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Sep 27, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Sep 27, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 27, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jul 29, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
May 17, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
May 17, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
May 17, 2024F880Provide and implement an infection prevention and control program.DStandard
May 17, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 17, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
May 17, 2024F688Provide 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.DStandard
May 17, 2024F551Give the resident's representative the ability to exercise the resident's rights.DComplaint
Mar 21, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Mar 21, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Feb 9, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Feb 9, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Nov 30, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 28, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Sep 21, 2023F641Ensure each resident receives an accurate assessment.DComplaint
Jul 15, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jun 6, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jun 6, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 6, 2023F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DComplaint
Jun 6, 2023F610Respond appropriately to all alleged violations.DComplaint
Jun 6, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jun 6, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint
Apr 6, 2023F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Apr 6, 2023F880Provide and implement an infection prevention and control program.EStandard
Apr 6, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Apr 6, 2023F761Ensure 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.DStandard
Apr 6, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Apr 6, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Apr 6, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Apr 6, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 6, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
Apr 6, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Apr 6, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Apr 6, 2023F584Honor 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.DStandard

Federal enforcement history

Federal regulators have imposed 8 enforcement actions against this facility, including 7 civil money penalties totaling $351,352 and 1 payment-denial actions spanning 142 days.

DateTypeFinePayment denial
May 23, 2025Fine$49,350
Sep 27, 2024Fine$90,060
May 17, 2024Fine$30,056
Sep 28, 2023Fine$13,258
Sep 5, 2023Fine$4,545
Aug 14, 2023Fine$12,587
Apr 6, 2023Fine$151,496
Apr 6, 2023Payment DenialMay 4, 2023 · 142 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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