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Evergreen Manor Nursing Home

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 73
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 09/08/2011

Date of last standard health inspection: 09/08/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in OH: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in OH: 0 - 12

Inspection, 00/05/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/05/2008 00/06/2009 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/05/2008 00/06/2009 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/05/2008 00/06/2009 4 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/05/2008 00/06/2009 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/05/2008 00/06/2009 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/05/2008 00/06/2009 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/05/2008 00/06/2009 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/05/2008 00/06/2009 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/05/2008 00/06/2009 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/05/2008 00/06/2009 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 00/05/2008 00/06/2009 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/05/2008 00/06/2009 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 00/05/2008 00/06/2009 2 Few
Allow residents to easily view the results of the nursing home's most recent inspection. 00/05/2008 02/07/2008 1 Many
Allow residents to self-administer drugs if determined safe. 00/05/2008 00/06/2009 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in OH Golden Living Center, Asheville
RN Staff Only1 N/A N/A 3 out of 5 stars
Total Number of Residents 86 80 68
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 10 hours 49 minutes 1 hour 26 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 9 hours 56 minutes 40 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 10 hours 10 minutes 46 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 11 hours 33 minutes 2 hours 13 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 09/06/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 09/06/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in OH: 5
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in OH: 0 - 7

Inspection, 00/06/2009

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 00/06/2009 02/08/2010 2 Some
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 00/06/2009 02/08/2010 2 Some

Inspection, 02/09/2007

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 02/09/2007 00/06/2009 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly maintained smoke detectors. 02/09/2007 00/06/2009 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 02/09/2007 00/06/2009 2 Some
Emergency lighting that can last at least 1 1/2 hours. 02/09/2007 00/06/2009 2 Some

Inspection, 00/08/2001

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/08/2001 01/04/2001 2 Some
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 00/08/2001 01/04/2001 2 Many
 

924 Charlie's Way
Montpelier, OH 43543

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