Evergreen Manor Senior Care Ce

111 Evergreen
Battle Creek, MI 49015
Calhoun County
Phone: 269-969-6110
Provider Number: 235054
Last Inspection: 10/08/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
91
Number of Residents
Number of
Residents
82
Number of Beds Available
Beds Available
9
Percent Occupancy
Percent Occupancy
90%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Both
Type of Ownership
Type of Ownership
For profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • MI
  • USA
  • 13
  • 20
  • 22
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2014
  • 13
  • 35
  • 23
Lower Numbers are Better

Details by Inspection Date

 

10/8/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 11/9/2015
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 11/9/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 11/9/2015
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 11/9/2015
 

10/24/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 11/24/2014
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 11/24/2014
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 11/24/2014
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 11/24/2014
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 11/24/2014
Failed To: 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. Isolated : Minimal 3 11/24/2014
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 11/24/2014
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Widespread : Potential 4 11/24/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 11/24/2014
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 11/24/2014
 

1/17/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 2/7/2014
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 2/7/2014
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 2/7/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 2/7/2014
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 2/7/2014
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 2/7/2014
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 2/7/2014


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

9/25/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 10/26/2015
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 10/26/2015
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 10/26/2015
 

12/18/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 1/9/2015
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 1/9/2015
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 1/9/2015
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 1/9/2015
 

12/5/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 1/10/2014
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 1/10/2014
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 1/10/2014
 

8/30/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 9/26/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MI State Avg
Number of Residents 82 76.88 88.42
Registered Nurses 0.79 0.77 0.92
Licensed Practical / Vocational Nurses 0.68 0.73 0.78
Certified Nursing Assistants 2.50 2.32 2.45
Total Staff Hours 3.97 3.82 4.16

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MI State Avg%
High Risk Long Stay Residents With Pressure Ulcers 3 4 5
Long Stay Residents Experiencing One or More Falls with Major Injury 4 2 3
Long Stay Residents Who Have Depressive Symptoms 11 2 3
Long Stay Residents Who Lose Too Much Weight 8 6 7
Long Stay Residents Who Received an Antipsychotic Medication 16 12 13
Long Stay Residents Who Self Report Moderate to Severe Pain 5 6 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 0 2 6
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 0 3 7
Long Stay Residents Who Were Physically Restrained 1 0 1
Long Stay Residents Whose Need for Help with ADLs has Increased 9 12 14
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 2 2 3
Long Stay Residents With a Urinary Tract Infection 2 4 4
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 61 53 48
Short Stay Residents Who Newly Received an Antipsychotic Medication 2 1 1
Short Stay Residents Who Self Report Moderate to Severe Pain 11 12 18
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 2 9 18
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 2 10 19
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 0 1