All citations for Evergreen Care Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

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Last standard health inspection on record

May 17, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 21 of 21 citations

  1. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of May 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2024).

  2. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2024).

  3. No harm, with potential for more than minimal harm

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of May 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2024).

  4. No harm, with potential for more than minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of May 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2024).

  5. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2024).

  6. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2024).

  7. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of May 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2019).

  8. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of May 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2019).

  9. No harm, with potential for more than minimal harm

    Establish roles under a Waiver declared by secretary.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of May 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2019).

  10. No harm, with potential for more than minimal harm

    Establish staff and initial training requirements.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of May 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2019).

  11. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of May 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2019).

  12. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of May 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2019).

  13. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of May 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2019).

  14. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of May 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2019).

  15. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2019).

  16. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2019).

  17. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2019).

  18. No harm, with potential for more than minimal harm

    Meet requirements for the installation and maintenance of electrical systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2019).

  19. No harm, with potential for more than minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2019).

  20. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2019).

  21. No harm, with potential for minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of May 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2019).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.