EVERGREEN HEALTH & REHABILITATION CENTER

Nursing Home Inspector

139 MORAN LAKE ROAD, NE
ROME, GA 30161
Floyd County
Phone: 706-378-3383
Provider Number: 115720
Last Inspection: 07/20/2017

About the Nursing Home

Number of Beds: 100
Number of Residents: 89
Beds Available: 11
Percent Occupancy: 89%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: 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.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

18

Facility
13

County
12

GA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

18

2017
0

2015
9

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

7/20/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 9/3/2017
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 9/3/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 9/3/2017
 
Failed To: Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. Isolated : Minimal 3 9/3/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 9/3/2017
 

5/1/2014 Inspection

 
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 6/9/2014
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 6/9/2014
 
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 6/9/2014
 

Complaint Investigation Deficiencies

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

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg GA State Avg
Number of Residents 89 92.43 91.97
Registered Nurses 0.55 0.49 0.54
Licensed Practical / Vocational Nurses 1.05 1.01 1.01
Certified Nursing Assistants 2.30 2.10 2.04
Total Staff Hours 3.90 3.59 3.58

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% GA State Avg%
of high risk long-stay residents with pressure ulcers 5 5 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 96 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97 94 94
of long-stay residents experiencing one or more falls with major injury 2 2 3
of long-stay residents who have depressive symptoms 7 4 5
of long-stay residents who lose too much weight 14 9 7
of long-stay residents who received an antianxiety or hypnotic medication 34 22 25
of long-stay residents who received an antipsychotic medication 35 21 18
of long-stay residents who self-report moderate to severe pain 12 9 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 8 17 17
of long-stay residents whose need for help with daily activities has increased 10 14 15
of long-stay residents with a catheter inserted and left in their bladder 1 2 1
of long-stay residents with a urinary tract infection 1 2 4
of short-stay residents assessed and appropriately given the pneumococcal vaccine 100 61 47
of short-stay residents who had an outpatient emergency department visit 19 81 81
of short-stay residents who self-report moderate to severe pain 20 14 14
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 92 62 65
of short-stay residents who were rehospitalized after a nursing home admission 20 3 2
of short-stay residents who were successfully discharged to the community 9 14 14
of short-stay residents with pressure ulcers that are new or worsened 0 76 78