Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 495142

Evergreen Health And Rehabilitation Center

63 federal citations on record , and 1 federal enforcement actions totaling $8,190.

Record summary

Federal record · Q1 2026
63
Total citations
30
Last 3 years
1
Actual harm+
1
Federal penalties
$8,190
Total fines
2
Overall ★ rating

Most common violation categories here

Resident Rights14 Care Planning13 Quality of Care10 Nursing & Physician Services8 Medication & Pharmacy7

Most common F-tags at this facility

F6233 F6413 F6563 F6953 F7303

Citation history

63 on record
SurveyF-TagViolationSeveritySource
Jan 10, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EStandard
Jan 10, 2024F880Provide and implement an infection prevention and control program.FStandard
Jan 10, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
Jan 10, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jan 10, 2024F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.EStandard
Jan 10, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jan 10, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Jan 10, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jan 10, 2024F732Post nurse staffing information every day.CStandard
Jan 10, 2024F730Observe each nurse aide's job performance and give regular training.DStandard
Jan 10, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Jan 10, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jan 10, 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
Jan 10, 2024F687Provide appropriate foot care.DStandard
Jan 10, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Jan 10, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jan 10, 2024F641Ensure each resident receives an accurate assessment.DStandard
Jan 10, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Jan 10, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Jan 10, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Jan 10, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jan 10, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Apr 25, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
Apr 25, 2023F760Ensure that residents are free from significant medication errors.EComplaint
Apr 25, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Apr 25, 2023F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DComplaint
Apr 25, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Apr 25, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Apr 25, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 25, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Apr 14, 2022F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
Apr 14, 2022F880Provide and implement an infection prevention and control program.DStandard
Apr 14, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Apr 14, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Apr 14, 2022F732Post nurse staffing information every day.CStandard
Apr 14, 2022F730Observe each nurse aide's job performance and give regular training.EStandard
Apr 14, 2022F700Try 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.DStandard
Apr 14, 2022F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 14, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 14, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Apr 14, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 14, 2022F641Ensure each resident receives an accurate assessment.DStandard
Apr 14, 2022F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.EStandard
Apr 14, 2022F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Apr 14, 2022F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.EStandard
Apr 14, 2022F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Apr 14, 2022F578Honor 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.EStandard
Apr 25, 2019F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Apr 25, 2019F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Apr 25, 2019F761Ensure 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
Apr 25, 2019F759Ensure medication error rates are not 5 percent or greater.EStandard
Apr 25, 2019F758Implement 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.DStandard
Apr 25, 2019F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Apr 25, 2019F730Observe each nurse aide's job performance and give regular training.EStandard
Apr 25, 2019F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Apr 25, 2019F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Apr 25, 2019F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 25, 2019F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 25, 2019F641Ensure each resident receives an accurate assessment.DStandard
Apr 25, 2019F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Apr 25, 2019F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Apr 25, 2019F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Apr 25, 2019F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $8,190 .

DateTypeFinePayment denial
Apr 25, 2023Fine$8,190—
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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