Evergreen Estates Retirement & Assisted Living Community

Appliances plugged into multiplug adapters in Resident Room 109, Second Floor Nurses Station by Room 231, Director of Nursing Office, and Resident Room 208.

Annual service of the fire extinguisher in the Serving Kitchen had not been performed.

Tamper switches removed during backflow repair and not replaced.

Instructions for exiting were not posted within six feet of coded exit doors.

Combustible materials stored in main riser room, elevator room by dining, and maintenance electrical room.

Cross corridor doors by Salon and by 3rd floor elevator did not close and latch.

Facility failed to update Negotiated Service Agreements for sampled residents with fall histories, using the same ineffective interventions instead of individualizing plans.