Evergreen Cottages Provincial Magnolia Cottage

The facility failed to ensure that all employees providing services were screened for tuberculosis within two weeks of employment and annually.

The facility failed to ensure that the service plan was approved and signed by the resident or a person responsible for the resident's health care decisions, or that it was updated annually and upon a significant change in condition, based upon an assessment of the resident, or that care was provided to the resident based upon that assessment.

The facility failed to ensure effective hair restraints were worn to prevent food contamination.

The facility failed to procure food from acceptable sources, or failed to handle food, subject to spoilage, as required.

The facility failed to conduct criminal history checks of employees and applicants.

The facility policies and procedures did not address the prevention of the diversion of controlled drugs.

The facility failed to ensure fire drills were conducted and documented to be in compliance with licensing standards for assisted living facilities.

The facility failed to implement procedures that assure safe and sanitary use and storage of oxygen.

The facility failed to ensure the required sprinkler system was inspected, tested, and maintained in compliance with NFPA 25.

The facility failed to provide a written contract with a fire alarm firm to perform inspections, testing, and system maintenance at least every six months.

The facility failed to provide and/or maintain portable fire extinguishers in compliance with licensing standards for assisted living facilities and NFPA 10.