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Inspection visit

complaint

EVERGREEN RETIREMENTLicense 1976090221 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Interviews with (3) residents revealed them to be aware of R1’s behavioral issues. Two (2) of the residents stated R1 had disruptive behavior towards them or other residents. LPA interviewed R1 who stated to have been given an eviction notice. However, R1 does not know the reason for the eviction as the notice does not state it. On 12/29/2025, R1 was provided with a 30-day eviction notice with another resident’s name, listed in error. On 01/14/2026, a revised 30-day eviction notice was provided to R1, with correct resident’s name. Based on review of the eviction notice dated 01/14/2026, the reason of the eviction is listed as not following the “Good Neighbor Policy”: To turn down sounds on radios and television after 9:00pm. In addition, residents must treat other residents and staff with respect and must not be disruptive. The 30-day eviction notice does not include details with dates and incidents of R1’s disruptive behavior. Per R1’s Resident Assessment dated 09/15/2025 and Service Plan dated 10/01/2025, no recent behavioral expressions/health status were observed. On five (5) separate occasions, dated 09/26/2024, 08/27/2025, 09/22/2025, 11/05/2025 and 12/18/2025, LIC 624 - Unusual Incident/Injury Reports (UIR)s, were provided to LPA, which list R1's aggressive or disruptive behaviors towards residents and staff. Although R1 had disruptive behaviors, the 30-day eviction notice failed to provide specific information regarding the incidents and facility staff did not ensure to properly re-assess R1 to prevent such behaviors. Administrator stated that a reassessment was requested for R1 and a new eviction notice may be provided to R1 in the future. Based on interviews with facility personnel and record review, there is sufficient evidence to prove the alleged allegation did occur, therefore the allegation is SUBSTANTIATED . LIC9099-D with citation and Appeal Rights were provided. Exit interview conducted and a copy of this report was provided.

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.

  • 03Type B

    Eviction Procedures: 87224 (d) - The licensee shall set forth in the notice to quit the reasons relied upon for the eviction with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons. Based on interviews and record review, facility did not comply with providing R1 with an lawful eviction notice with specific reasons/dates, which poses/posed an immediate health, safety to persons in care

FAQ · About this visit

Common questions about this visit

What happened during the March 23, 2026 inspection of EVERGREEN RETIREMENT?

This was a complaint inspection of EVERGREEN RETIREMENT on March 23, 2026. 1 citation were issued: 1 Type B.

Were any citations issued to EVERGREEN RETIREMENT on March 23, 2026?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Eviction Procedures: 87224 (d) - The licensee shall set forth in the notice to quit the reasons relied upon for the evic..."

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