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Inspection visit

complaint

EVERGREEN RETIREMENTLicense 1976090221 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Michael Cava conducted a subsequent visit to the facility to amend the 9099D page that was issued on 03/09/24. The above allegation was investigated by Investigations Branch (IB) Investigator Spindola. IB’s investigation consisted of interviews with the facility administrator, staff, and residents. IB’s investigation also included a review of R1’s medical records from the hospital and the skilled nursing facility (SNF) that R1 was discharged to. Based on the information that IB obtained, the allegation was Substantiated, which remains the same. The purpose of amending this report is to delete the continued citation, that was entered in the Plan of Correction (POC) box, and fit into the citations box. POC has since been corrected, therefore no further corrections will be needed. Office Manager advised and a copy of this report issued.

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87463(a)(3)Type A

    Reappraisals- In Part: (a) Pre-admission appraisal shall be updated as necessary…to note significant changes & keep appraisal accurate. Significant changes include: (3) Any illness or change in health care needs of the resident. This requirement was not met as evidenced by: Based on LPA’s review of R1’s medical records which document since 10/22/22 staff had knowledge of R1’s cognitive/physical decline & increased needs for service. This deficiency posed an immediate health and safety risk to the resident in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 4, 2024 inspection of EVERGREEN RETIREMENT?

This was a complaint inspection of EVERGREEN RETIREMENT on September 4, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to EVERGREEN RETIREMENT on September 4, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Reappraisals- In Part: (a) Pre-admission appraisal shall be updated as necessary…to note significant changes & keep appr..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Next steps

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.