All citations for Evergreen Center for Health & Rehabilitation

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.

Back to Evergreen Center for Health & Rehabilitation

Last standard health inspection on record

November 22, 2024

Showing 1 to 25 of 44 citations

  1. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 6, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (July 31, 2025).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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

    Health citation F-0921, Environmental Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of October 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2019).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of May 14, 2025. Found during a complaint inspection.

    The home has a plan to correct it (July 15, 2025).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 14, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection.

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    Hire a qualified full-time social worker in a facility with more than 120 beds.

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

    Health citation F-0850, Administration Deficiencies. Inspection of November 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of July 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 11, 2024).

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

    Honor the resident's right to organize and participate in resident/family groups in the facility.

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

    Health citation F-0565, Resident Rights Deficiencies. Inspection of June 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of June 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of June 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of June 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

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.