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Adult Family Home

Evergreen Living Home #12

352 Family Ridge Road, Leicester, NC 287486 bedsLicensed & Active
Source: NC DHSR — view official record

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State Inspection History

State Inspections

Source: NC Division of Health Service Regulation

5total
6deficiencies
Jan 8, 2026Other
Medication Administration10A NCAC 13G .1004(d)

The facility failed to ensure the accuracy of the medication administration record (MAR) for one resident. Specifically, documentation showed medications being recorded as administered before the scheduled time, and several doses of prescribed medications were not documented as administered.

Jan 6, 2026Other
Medication AdministrationC 342

The facility failed to ensure the accuracy of the medication administration record (MAR) for one resident. Specifically, documentation errors were noted regarding the timing of acetaminophen administration and incomplete documentation for scheduled doses of citalopram and trazodone.

Apr 18, 2017Follow-up
Housekeeping and FurnishingsC 078

The facility failed to maintain a clean and orderly environment, specifically regarding dirty common bathrooms, dusty ceiling fans in the dining and living rooms, and burnt-out light bulbs in multiple locations. Additionally, a safety hazard was identified due to the use of an extension cord in a resident room.

Apr 18, 2017Follow-up
Maintenance and CleanlinessNot explicitly provided

The facility failed to maintain a clean and orderly environment, evidenced by thick dust on ceiling fan blades, soap scum and debris in a bathtub, and black debris in light fixtures. Additionally, several burnt-out light bulbs were noted in resident rooms and common areas.

Electrical SafetyNot explicitly provided

An extension cord was being used to plug an electric razor into a receptacle in resident room #3, which is a violation of safety standards regarding the use of extension cords in the facility.

Jul 28, 2015Other
Storage AreasC 059

The facility failed to maintain separate locked storage areas for hazardous substances. Specifically, two cans of pesticide (Wasp and Hornet spray and Ant and Roach spray) were found unsecured in a resident's room.

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