Evergreen Living Home #3

The facility failed to provide separate locked areas for storing hazardous cleaning agents and bleach. During the survey, the laundry room door was found unlocked, exposing chemicals such as all-purpose cleaner, glass cleaner, and bleach to residents.

The facility failed to ensure that the resident's medication administration record (MAR) was accurate and included all required elements, such as medication name, strength, dosage, and instructions.

The facility failed to ensure that 2 out of 3 sampled staff members had a criminal background check on file in accordance with state requirements. Specifically, the personnel record for a Medication Aide showed a signed consent for a background check but no completed check was present in the record.

The facility failed to comply with requirements regarding the examination and screening for the presence of controlled substances for applicants for employment. The regulation requires that employment offers be conditioned on the applicant's consent to such screening.

The facility failed to ensure that 2 out of 3 sampled staff members had a criminal background check on file in accordance with state requirements. Specifically, for one staff member, the record contained a consent form but no actual criminal background check results.

The facility failed to ensure that 2 out of 2 sampled staff members underwent screening for controlled substances as required by law. The drug screens performed only tested for THC (marijuana) and did not include other controlled substances.

The facility failed to ensure that three live-in non-residents and one employee were properly tested for tuberculosis disease upon employment or residency. Specifically, the administrator had not reviewed or documented the TB screening results for an employee who provided direct resident care.

The facility failed to ensure that one of two staff members had a completed criminal background check upon hire. A review of the personnel record for Staff B showed no record of a background check despite the employee being hired as a supervisor-in-charge in September 2014.

The facility failed to ensure that two non-licensed staff members (Staff A and B) were competency validated for the personal care task of ambulation using an assistive device (Hoyer lift).

The facility failed to ensure that one of two staff members (Staff B) had a criminal background check completed upon hire. A review of the personnel record showed no record of the required background check for this employee.

The facility failed to ensure that two non-licensed staff members (Staff A and B) were competency validated for the personal care task of ambulation using a Hoyer lift. While a physician had ordered a physical therapy consult for training, the facility's LHPS review did not assess the use of the Hoyer lift, and staff records lacked documentation of required training.