Evergreen Living Center at Stagecoach

In the surveyor’s words

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

• Actual harm, isolatedF689Feb 24, 2022

  Based on observation, record review, and interview, the facility failed to ensure there were two staff members present to assist with bed mobility for 1 (Resident #4) of 1 resident who required 2-person assistance with care to prevent potential accidents and or injuries. This failed practice resulted in actual harm for Resident #4 who fell out of bed and sustained a fractured left tibia and fibula and had the potential to cause more than minimal harm to 5 residents who required 2 people for bed mobility according to a list provided by the Administrator on 2/24/22 at 11:30 AM. The findings are: Resident #4 diagnoses of [CONDITION(S)] of Right and Left Lower Legs, Morbid (Severe) Obesity, Body Mass Index (BMI) 70 or Greater, Need for Assistance with Personal Care, and Muscle Wasting Atrophy. […]

• No harm, potential for more than minimal, widespreadF814Jun 4, 2026

  Number of residents sampled: Number of residents cited: Based on observation, interview and facility document review, the facility failed to ensure that the waste was properly contained in the dumpsters, and the area was free from debris. During a concurrent observation and interview on 06/03/2026 at 10:32 AM of the dumpster area with Dietary Manager (DM) the following was observed:-The dumpster lid was open-A clear bag of trash was lying on the ground in front of the dumpster-The fencing around the dumpster was open- Approximately fourteen pallets were stacked and leaning on the fencing. The DM indicated the lid and gates to the dumpster area were to be closed and the trash needed to be in the dumpster. […]

• No harm, potential for more than minimal, widespreadF812Jan 12, 2024

  Based on observation and interview, the facility failed to ensure clean dishes and glasses were stored in a manner to prevent cross contamination; thickened liquids were dated when opened to prevent the potential for food borne illness; refrigerator temperature was maintained at 41 degrees Fahrenheit or below to prevent the potential for food borne illness; foods stored in the refrigerator and freezer were covered or sealed prevent the potential for food borne illness and employees washed their hands and changed gloves when contaminated to decrease the potential for food borne illness for residents receiving food from 1 of 1kitchen. […]

• No harm, potential for more than minimal, widespreadF921Oct 28, 2022

  Based on observation and interview, the facility failed to ensure the environment was maintained in a safe condition for residents on the Secured Unit. This affected all 27 residents on the unit according to the Daily Census provided by the Administrator on 10/24/22. The findings are: 1. On 10/24/22 from 10:43 AM until 11:30 AM, during rounds on the unit, numerous chemicals were left in every resident's bathroom including but not limited to: (Germicidal Disposable) wipes, Perineal wash, skin lotion, and hair conditioner. 2. On 10/24/22 at 10:45 AM, the Surveyor asked the Social Director, Should these be in out in the bathrooms for the resident's to possibly get into? She stated, No, I'll take care of it. 3. […]

• No harm, potential for more than minimal, widespreadF570Jul 16, 2021

  Based on record review and interview, the facility failed to ensure a current Surety Bond was in place that was of a sufficient amount to guarantee/cover the balance in the Resident Trust funds to prevent potential financial loss for 21 (Residents #12, 14, 21, 22, 23, 31, 37, 38, 44, 46, 47, 49, 53, 56, 66, 71, 76, 79, 81, 83, and 84) of 21 sampled residents who had a trust fund account managed by the facility. The failed practice had the potential to affect 71 residents who have a trust account managed by the facility, as documented on a list provided by the Business Office Manager (BOM) on 7/15/2021. The findings are: 1. On 07/15/2021 at 9:28 am, the BOM provided a Trust Fund Balance report that documented the Resident Trust-Current Account Balance as of 7/15/2021 was $72,799.18. 2. […]