Evergreen Fountains Senior Living Community

Combustible storage found in 1st floor mechanical room across from room 107 (removed at inspection).

Dining room doors were blocked from closing by staff and wheelchairs.

Commercial appliances are not secured.

Annual report shows failed CAT #2 block heater and coolant leak at radiator.

Facility unable to provide documentation for the annual 90-minute power test for emergency lights.

Facility missing documentation for fire drills in 2nd, 3rd, and 4th quarters across various shifts.

Multiple deficiencies in annual inspection reports including faulty BFV tamper switch, inoperable outside bells, particulates on sprinklers, illegible riser plates, unlocatable A/C circuit breakers, communication line trouble, and improper use of rope tampers.

The licensee failed to administer medications as prescribed for two residents, resulting in the residents not receiving medications as prescribed and being placed at risk of health complications.

Failed to develop a plan to include interventions for Resident 3 (falls) and Resident 4 (anxiety/shortness of breath) in their negotiated service agreements.

Failed to investigate and document actions taken when bruises of unknown origin were discovered for Resident 1.

Failed to ensure medications were available for Resident 3, resulting in missed doses of Parkinson's medication.

Facility failed to ensure staff completed required training, including facility orientation and continuing education for medication technicians (Staff A, B, C, D, and E).

Dietary staff lacked current food handler cards; kitchen cleanliness issues (sticky floors, debris, grease, broken bulbs); improper food preparation (bare-hand contact with ready-to-eat foods); incorrect food temperatures; lack of dating on opened food; improper storage (unlabeled, uncovered, or incorrectly stored items).

Failed to ensure medication was administered as prescribed for Resident 1, leading to symptom development.

Trouble indication on fire alarm control panel regarding smoke detectors.

Sensitivity testing scheduled; need to maintain nuisance log to extend calibration interval.

Failed to complete 12 planned/unannounced fire drills; multiple quarterly shifts missing.

Appliances plugged into powerstrips, powerstrips hanging from outlets/unsecured, daisy chaining, and unapproved multi-plug adapters in use.

Failure to provide documentation for annual fire wall inspection; ceiling penetrations observed in nursing station and 1st floor laundry.

Sprinkler heads in refrigerator/freezer need building/installation; documentation for semi-annual kitchen suppression service missing.

Facility failed to provide sufficient staffing levels to safely meet the needs of 2 sampled residents who required 2-person assistance for transfers, specifically during night shifts.

Facility failed to ensure service agreements accurately reflected the care needs (specifically transfer assistance and hospice notification) for 2 of 4 sampled residents.

Facility failed to conduct national fingerprint background checks for 2 of 3 sampled staff members.