EVERGREEN NURSING HOME

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Behavioral Symptoms and Cognitive Performance". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Evergreen Nursing Home. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Very High Rehabilitation

High Rehabilitation

Special Care Low

Behavioral Symptoms and Cognitive Performance

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Colorado are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 06/04/2010.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/04/2010 Correction Date: 07/09/2010

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Inspection Date: 06/04/2010 Correction Date: 07/09/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 06/04/2010 Correction Date: 06/24/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/04/2010 Correction Date: 06/24/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 08/27/2009 Correction Date: 09/30/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 08/27/2009 Correction Date: 09/30/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 08/27/2009 Correction Date: 09/30/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 08/27/2009 Correction Date: 12/04/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/27/2009 Correction Date: 09/30/2009

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 07/10/2008 Correction Date: 08/14/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 07/10/2008 Correction Date: 08/09/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/27/2009 Correction Date: 12/04/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/27/2009 Correction Date: 09/30/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 08/27/2009 Correction Date: 09/30/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 06/04/2010 Correction Date: 07/09/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 06/04/2010 Correction Date: 07/09/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 06/04/2010 Correction Date: 07/09/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 06/04/2010 Correction Date: 07/09/2010

Resident Assessment

Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
Do an Assessment of the Resident Every Year. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/27/2009 Correction Date: 09/30/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 06/04/2010 Correction Date: 07/09/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 06/04/2010 Correction Date: 07/09/2010

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 07/10/2008 Correction Date: 07/28/2008
Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home. Inspection Date: 07/10/2008 Correction Date: 07/15/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 07/10/2008 Correction Date: 08/08/2008
Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 08/27/2009 Correction Date: 09/30/2009
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 08/27/2009 Correction Date: 12/04/2009
Provide Written Records when a Resident is Transferred or Discharged. Inspection Date: 08/27/2009 Correction Date: 09/30/2009
Provide Enough Notice Before Discharging or Transferring a Resident. Inspection Date: 08/27/2009 Correction Date: 09/30/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 06/04/2010 Correction Date: 07/09/2010

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Evergreen Nursing Home had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 06/25/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/08/2008 Correction Date: 09/03/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 06/25/2010 Correction Date: 08/04/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 06/25/2010 Correction Date: 07/23/2010
Properly Protected Cooking Facilities. Inspection Date: 06/25/2010 Correction Date: 07/23/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/17/2009 Correction Date: 10/13/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 06/25/2010 Correction Date: 07/23/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 06/25/2010 Correction Date: 07/23/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 06/25/2010 Correction Date: 07/23/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 08/08/2008 Correction Date: 09/05/2008
Exits That Are Accessible at All Times. Inspection Date: 06/25/2010 Correction Date: 07/23/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 08/08/2008 Correction Date: 09/03/2008

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 08/08/2008 Correction Date: 09/03/2008
Restrictions on the Use of Flammable Curtains. Inspection Date: 06/25/2010 Correction Date: 07/23/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 06/25/2010 Correction Date: 07/23/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 08/08/2008 Correction Date: 09/03/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 06/25/2010 Correction Date: 07/23/2010
Properly Located and Lighted "Exit" Signs. Inspection Date: 06/25/2010 Correction Date: 07/23/2010

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen. Inspection Date: 09/17/2009 Correction Date: 10/16/2009
Proper Medical Gas Storage and Administration Areas. Inspection Date: 06/25/2010 Correction Date: 07/23/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 06/25/2010 Correction Date: 08/04/2010