Evergreen House Health Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Jun 28, 2023

  Based on record review and staff interview if has been determined that the facility failed to promptly identify and intervene for an acute change in a resident's condition related to a blood sugar and insulin administration for 2 of 3 residents reviewed for diabetes mellitus, Resident ID #s 5 and 7. The facility also failed to document the resident's condition in the medical record for Resident ID #5. 1. Review of the facility policy dated [DATE] titled Nursing Documentation revealed staff must document the resident's medical and non-medical status when any positive or negative condition change occurs, at a periodic reassessment. According to the facility's procedure, charting will be completed every shift for a minimum of 72 hours following an identified change in condition. […]

• Immediate jeopardy, isolatedF726Jun 28, 2023

  Based on record review and staff interview, it has been determined that the facility failed to ensure that licensed nurses have the specific skill sets necessary to care for residents' needs for 2 of 3 resident reviewed relative to diabetes mellitus and changes in condition, Resident ID#s 5 and 7. Findings are as follows: 1.Review of the facility's policy dated [DATE] titled Nursing Documentation revealed staff must document the resident's medical and non-medical status when any positive or negative condition change occurs, at a periodic reassessment. According to the facility's procedure, charting will be completed every shift for a minimum of 72 hours following an identified change in condition. […]

• No harm, potential for more than minimal, widespreadF812Jun 24, 2024

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that food is stored, prepared, distributed, and served in accordance with professional standards for food service safety, relative to the main kitchen. Findings are as follows: 1. Record review of a product label, Vital Cuisine Mightyshakes reads in part, .store frozen. Use thawed product within 14 days . During a surveyor observation on 6/18/2024 at approximately 8:30 AM, of the walk-in refrigerator unit of the main kitchen, 3 cases of Mightyshakes were observed without a date indicating when they were placed in the refrigerator unit for thawing. […]

• No harm, potential for more than minimal, widespreadF812Jun 5, 2023

  Based on surveyor observation and staff interview, it has been determined that the facility failed to ensure that the facility stores, prepares, distributes, and serves food in accordance with professional standards for food service safety relative to the main kitchen. Findings are as follows: 1. During the initial tour of the main kitchen on 5/31/2023 at 9:02 AM, the following items were observed: -Ice machine in the main kitchen with black matter built up on the inside near the door hinge. Immediately following the above observation, the Food Service Director (FSD) acknowledged the build up and indicated she would have it cleaned. 2. According to the 2022 U.S. […]

• No harm, potential for more than minimal, widespreadF812Apr 14, 2022

  Based on surveyor observation and staff interview, it has been determined that the facility failed to ensure that the facility stores, prepares, distributes, and serves food in accordance with professional standards for food service safety relative to the main kitchen and 3 of 3 unit kitchenettes. Findings are as follows: 1. During the initial tour of the main kitchen on 4/10/2022 at 8:22 AM, the following items were observed: - In the walk-in refrigerator, the condenser fans had a significant amount of dust build-up. […]