Independent · Federal inspection records, searchable
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Facility profile · CCN 085020

Evergreen Post Acute

64 federal citations on record , and 2 federal enforcement actions totaling $94,156.

Record summary

Federal record · Q1 2026
64
Total citations
52
Last 3 years
5
Actual harm+
2
Federal penalties
$94,156
Total fines
3
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

64 on record
SurveyF-TagViolationSeveritySource
Apr 17, 2025F880Provide and implement an infection prevention and control program.EComplaint
Apr 17, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 17, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Apr 17, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
Apr 17, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 17, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Apr 17, 2025F881Implement a program that monitors antibiotic use.DStandard
Apr 17, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 17, 2025F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DStandard
Apr 17, 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.BStandard
Apr 17, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Apr 17, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Apr 17, 2025F641Ensure each resident receives an accurate assessment.DStandard
Apr 17, 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.EStandard
Apr 17, 2025F583Keep residents' personal and medical records private and confidential.DStandard
Apr 17, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Apr 17, 2025F760Ensure that residents are free from significant medication errors.GComplaint
Apr 17, 2025F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Apr 17, 2025F637Assess the resident when there is a significant change in conditionDComplaint
Apr 17, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Apr 17, 2025F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).DComplaint
Apr 17, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint
Apr 17, 2025F578Honor 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.DComplaint
Jan 14, 2025F610Respond appropriately to all alleged violations.DComplaint
Jan 14, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 30, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 30, 2024F761Ensure 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.DComplaint
May 30, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
May 30, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GComplaint
May 30, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 30, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 30, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 30, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint
May 30, 2024F641Ensure each resident receives an accurate assessment.DComplaint
May 30, 2024F880Provide and implement an infection prevention and control program.EStandard
May 30, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 30, 2024F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard
May 30, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
May 30, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
May 30, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
May 30, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
May 30, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
May 30, 2024F585Honor 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.DStandard
May 30, 2024F578Honor 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.DStandard
May 30, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
May 30, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
May 30, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint
May 30, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
May 30, 2024F692Provide enough food/fluids to maintain a resident's health.GComplaint
May 30, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
May 30, 2024F610Respond appropriately to all alleged violations.DComplaint
May 30, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 11, 2023F887Educate 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.DStandard
Apr 11, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Apr 11, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 11, 2023F790Provide routine and 24-hour emergency dental care for each resident.DStandard
Apr 11, 2023F760Ensure that residents are free from significant medication errors.DStandard
Apr 11, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Apr 11, 2023F730Observe each nurse aide's job performance and give regular training.DStandard
Apr 11, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Apr 11, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 11, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Apr 11, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Apr 11, 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 2 enforcement actions against this facility, including 2 civil money penalties totaling $94,156 .

DateTypeFinePayment denial
Apr 17, 2025Fine$17,345
May 30, 2024Fine$76,811
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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