Evergreen Health Center

In the surveyor’s words

From the most serious findings on record at Evergreen Health Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 12, 2025

  Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a safe and sanitary manner. This practice had the potential to affect all 57 residents residing in the facility. Staff did not document food cooling temperatures. Staff did not follow safe reheating protocols for food meant for resident consumption. Food in freezers, coolers, and the dry storage area was not appropriately labeled and/or dated. Staff did not follow safe holding temperatures protocols for food meant for resident consumption. Staff did not consistently monitor and document dishwasher surface temperatures. […]

• No harm, potential for more than minimal, widespreadF812Sep 29, 2021

  Based on observation, staff interview and record review, the facility did not ensure safe food handling practices were implemented. This had the potential to affect 42 residents. Food cooling logs were not completed in their entirety. Appropriate haircovering was not worn by dietary staff (DS)-F. Sanitizing solution utilized to clean kitchen surfaces was not tested for parts per million (ppm)/effectiveness. Household unit kitchen refrigerator temperature logs were incomplete. Household kitchens contained undated and expired food items. […]

• No harm, potential for more than minimal, patternF623Mar 12, 2025

  Based on staff interview and record review, the facility did not ensure a written transfer notice was provided for 4 residents (R) (R7, R45, R49, and R4) of 4 sampled residents reviewed for hospitalizations. R7 was transferred to the hospital on [DATE] and 12/18/24. Neither R7 or R7's Power of Attorney for Healthcare (POAHC) were provided with written transfer notices. In addition, the facility did not notify the Ombudsman of R7's hospital transfers. R45 was transferred to the hospital on 9/26/24. Neither R45 or R45's representative were provided with a written transfer notice. In addition, the facility did not notify the Ombudsman of R45's hospital transfer. R49 was transferred to the hospital on 1/23/25. Neither R49 or R49's representative were provided with a written transfer notice. […]

• No harm, potential for more than minimal, patternF812Nov 23, 2022

  Based on observation, interview, and record review the facility did not ensure food was stored and prepared in a safe and sanitary manner, which had the potential to affect all 48 Residents (R) at the facility. Staff attempted to serve R3's breakfast tray to R3 after it was left sitting uncovered on the counter for over 1 hour and 45 minutes. 1 Staff did not wash hands prior to putting clean dishes away. 4 of 6 household refrigerator units did not have freezer temperatures being monitored and did not contain thermometers. 3 of 6 Household refrigerator units reviewed had undated and/or expired food items. 3 of 6 household refrigerator units reviewed were not in a sanitary condition. […]

• No harm, potential for more than minimal, patternF880Sep 29, 2021

  Based on observation, staff and resident interview and record review, the facility did not maintain an infection prevention and control program to prevent the transmission of infections for 3 of 13 sampled R (Residents) (R27, R46 and R13) reviewed for infection. Additionally, the facility did not ensure hand hygiene was performed at mealtime for 6 (R19, R49, R12, R13, R251, and R47) of 42 residents reviewed for hand hygiene. R27 was not placed on TBP (Transmission Based Precautions) or placed on the infection control line list with the onset of new symptoms of infection. R46 was not placed on transmission based precautions or placed on the infection control line list with the onset of new symptoms of infection. […]