Evercare of Calhoun

In the surveyor’s words

From the most serious findings on record at Evercare of Calhoun, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 16, 2025

  Based on interview and record review, the facility failed to maintain resident safety for 1 of 4 residents (R2) reviewed for resident safety in the sample of 4. This failure resulted in R2 being left unattended, suffering a fall, and sustaining a hematoma to the left side of R2's head and severe pain to left hip. R2 required a transfer to the local hospital and found to have sustained a subcapital femoral neck fracture with at least 2.2 CM (centimeter) superior and 1.5 CM lateral displacement of the fracture. After family and medical considerations, R2 was then transferred to the Regional Hospital Trauma Service for evaluation of surgery where R2 underwent a Left Hip Hemiarthroplasty. […]

• Actual harm, isolatedF689Jul 19, 2024

  Based on observation, interview and record review, the facility failed to implement care plan interventions to prevent falls for 1 of 5 residents (R44) reviewed for falls in the sample of 46. R44 sustained multiple falls while at the facility, including a fall that resulted in a fracture of the left hip. Findings include: R44's Face Sheet, printed 7/19/24, documents she has a diagnosis of Other fracture of lower end of left femur, subsequent encounter for closed fracture with routine healing, Encounter for other orthopedic aftercare, and Fracture of unspecified part of neck of left femur, initial encounter for closed fracture. […]

• Actual harm, isolatedF697Jun 5, 2023

  Based on interview, observation and record review, the facility failed to provide pain relief for 1 of 16 residents (R51) reviewed for pain in the sample of 36. This failure caused R51 to holler out and moan in pain and show physical signs of pain from 10:48 AM until 3:10 PM on 5/30/23. Findings include: R51's Face Sheet, print date of 5/31/23, documents that R51 was admitted on [DATE] and has diagnoses of Dementia, Type 2 Diabetes and Urgency of urination. R51's Minimum Data Set, dated dated [DATE], documents that R51 is severely cognitively impaired. R51's Nursing Note, dated 5/30/23 at 2:41 AM, documents, Resident returned to facility about 2:25 AM per (local hospital) ambulance by 2 EMT's (Emergency Medical Technicians). Resident has a left pubic fx (fracture). […]

• Actual harm, isolatedF755Jun 5, 2023

  Based on interview, observation, and record review, the facility failed to obtain pain medication in a timely manner and have a system in place to obtain pain medication for a resident in a timely manner for 1 of 16 residents (R51) reviewed for pharmacy services in the sample of 36. This failure caused R51 to holler out and moan in pain and show physical signs of pain from 10:48 AM until 3:10 PM on 5/30/23. Findings include: R51's Face Sheet, print date of 5/31/23, documents that R51 was admitted on [DATE] and has diagnoses of Dementia, Type 2 Diabetes and Urgency of urination. R51's Minimum Data Set (MDS), dated [DATE], documents that R51 is severely cognitively impaired. […]

• Actual harm, isolatedF689Jun 21, 2022

  Based on observation, interview and record review, the facility failed to provide adequate supervision to 2 of 6 residents (R2, R11) reviewed for falls in the sample of 11. This failure resulted in R2 having falls on two separate dates, both times requiring her to be sent to the emergency room and receiving 8 sutures to her head and a cervical fracture (C6) after the first fall on 2/17/22 and 12 sutures to her forehead on 6/11/22. Findings include: 1. On 6/15/22 at 5:33 AM R2 was lying in her bed and was noted to have a gauze dressing covering her forehead. V14, Certified Nursing Assistant (CNA), and V15, CNA, were boosting R2 up in bed. […]