All citations for Evergreen Post Acute

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 Post Acute

Last standard health inspection on record

February 18, 2025

Showing 1 to 25 of 29 citations

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

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2025).

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

    Establish policies and procedures including evacuation.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

  3. 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 February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

  6. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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

    Provide or get specialized rehabilitative services as required for a resident.

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

    Health citation F-0825, Quality of Life and Care Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

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

    Health citation F-0740, Quality of Life and Care Deficiencies. Inspection of May 14, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 1, 2026).

  9. 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 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 8, 2025).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of November 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 8, 2025).

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

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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

    Health citation F-0561, Resident Rights Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

  15. 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 February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

  16. 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 February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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

    Provide care or services that was trauma informed and/or culturally competent.

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

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

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

    Health citation F-0740, Quality of Life and Care Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

  22. 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 February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

  23. 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 February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

  25. 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 February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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.