Facility profile · CCN 105397
Evergreen Woods
18 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $16,153.
Record summary
Federal record · Q1 202618
Total citations
15
Last 3 years
1
Actual harm+
1
Federal penalties
$16,153
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
18 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jul 22, 2025 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | J | Complaint |
| May 21, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| May 21, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| May 21, 2025 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | Standard |
| May 21, 2025 | F761 | 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. | E | Standard |
| May 21, 2025 | F732 | Post nurse staffing information every day. | D | Standard |
| May 21, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| May 21, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| May 21, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| May 21, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| May 21, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| May 21, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| May 21, 2025 | F578 | Honor 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. | D | Standard |
| Feb 22, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Feb 22, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Sep 27, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Sep 27, 2022 | F732 | Post nurse staffing information every day. | C | Standard |
| Sep 27, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $16,153 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jul 22, 2025 | Fine | $16,153 | — |
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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