Personal Care at Evergreen

The home failed to report an incident involving a resident being left on the toilet for over an hour to the Department within the required 24-hour timeframe.

Residents were found in bed covered in urine and feces, indicating a failure to prevent neglect and maintain proper personal hygiene.

The home failed to report an incident to the Department within 24 hours regarding a resident leaving the home unattended.

A staff member posted a photograph of a resident on a personal Facebook account without permission, violating the resident's right to dignity and respect.

The home failed to provide required supervision and assistance with ADLs, resulting in a resident leaving the facility grounds unattended.

A bottle of Lactulose Solution in the medication cart had its pharmacy label removed.

Freezer temperatures were found to be above the required 0°F, with readings as high as 20°F.

Direct care staff persons A and B did not receive training in Medication Self-Administration during the 2024-2025 training year.

The front panel of a drawer in a cabinet under the sink in the second floor dining room was missing.

Violation related to resident abuse reporting requirements.

Violation related to resident abuse reporting requirements.

Failure to immediately report suspected abuse of a resident served in the home.

A staff person involved in an allegation of verbal abuse was not immediately suspended or placed on an approved plan of supervision.

An incident of resident-to-resident abuse was not reported to the Department's personal care home regional office within 24 hours.

Incidents of resident-to-resident abuse and suspected verbal abuse were not immediately reported to Adult Protective Services.

A resident's incontinence brief was saturated and urine was found on the floor and bedding, failing to provide required ADL assistance.

The contract for resident #1 was not signed by the resident, only indicating a refusal to sign.