Life Care Center of Evergreen

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812May 15, 2025

  Based on observations, record review and interviews, the facility failed to store, prepare and distribute food in a sanitary manner in the main kitchen. Specifically, the facility failed to: -Ensure employees performed hand hygiene appropriately during meal service; and, -Ensure food was labeled, dated and disposed of timely. Findings include: I. Ensure employees performed hand hygiene appropriately during meal service A. Professional reference The Colorado Retail Food Regulations, (3/16/24) and retrieved on 5/20/25 read in pertinent part, Food employees shall clean their hands and exposed portions of their arms immediately before engaging in food preparation, including working with exposed food, clean equipment and utensils, and unwrapped single-service and single-use articles and: after… […]

• No harm, potential for more than minimal, patternF803Oct 26, 2023

  Based on observations, record review and interviews, the facility failed to ensure menus met the needs of residents and were followed for mechanically altered diets. Specifically, meal portion sizes were served incorrectly for resident with puree diet orders. Findings include: I. Facility policy and procedure The Therapeutic Diets policy and procedure, revised 4/25/23, was provided by the nursing home administrator (NHA) on 10/26/23 at 12:00 p.m. It revealed in pertinent part, Therapeutic diets will be provided as prescribed by the attending physician or per state guidelines. […]

• No harm, potential for more than minimal, patternF804Oct 26, 2023

  Based on interviews, observations and record review, the facility failed to consistently serve food that was palatable and at a safe and appetizing temperature. Specifically, the facility failed to ensure resident food was palatable in taste and texture. Findings include: I. Facility policy and procedure The Resident Satisfaction with Food and Dining policy and procedure, revised 4/25/23, was provided by the nursing home administrator (NHA) on 10/26/23 at 12:00 p.m. It revealed in pertinent part, The facility will have a process in place to monitor the quality of food and beverages delivered to the residents. […]

• No harm, potential for more than minimal, patternF880Oct 26, 2023

  Based on observations and interviews the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of disease and infection. Specifically the facility failed to: -Ensure resident rooms were cleaned and disinfected properly; and, -Ensure staff administered medications in a hygienic manner. Findings include: I. Failure to clean residents room appropriately A. Facility policy and procedure The Daily Room Cleaning policy, revised 7/19/23, received from the nursing home administrator (NHA) on 10/26/23 at 1:22 p.m. […]

• No harm, potential for more than minimal, patternF759Jul 14, 2022

  Based on observations, record review and staff interviews, the facility failed to ensure it was free of medication error rates of five percent or greater. Specifically, the medication pass observation error rate was 10.71%, or three errors out of 28 opportunities for error and affected three of four residents reviewed. Findings include: I. Facility policy The Administration of Medications policy and procedure, revised on 5/6/22, was provided by the nursing home administrator (NHA) on 7/13/22 at 1:40 p.m. […]