All citations for Evergreen Commons Rehabilitation and Nursing Ctr

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 Commons Rehabilitation and Nursing Ctr

Last standard health inspection on record

January 11, 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 12 of 12 citations

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2019).

  2. 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.

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

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2019).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of August 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2019).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of August 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2019).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of August 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2019).

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

    Dispose of garbage and refuse properly.

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

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of August 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2019).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2019).

  8. 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 August 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2019).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of August 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2019).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2019).

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

    Ensure that testing and maintenance of electrical equipment is performed.

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

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2019).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2019).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.