All citations for Evergreen Nursing & Rehab 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.

Back to Evergreen Nursing & Rehab Center

Last standard health inspection on record

August 28, 2025

Showing 1 to 12 of 12 citations

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of September 1, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 21, 2023).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2023).

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

    Establish policies and procedures for volunteers.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

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

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of September 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2022).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of September 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

  8. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2023).

  11. 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 September 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2023).

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

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2023).

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.