Inspection Reports for
Evergreen Place Senior Living – Orland Park

A2040 (295.2040 Disaster Preparedness) - The establishment failed to conduct an annual tornado drill on each shift including residents, conduct fire drills every two months on each shift with resident participation, document residents requiring physical assistance during evacuation, ensure fire drills include actual evacuation, and maintain evacuation times of 13 minutes or less.

A2060 (295.2060 Quality Improvement Program) - The quality assessment and assurance committee failed to use data analysis to identify root causes of resident falls and implement measures to reduce incidents, and failed to record and retain quarterly resident council meetings.

A4010 (295.4010 Service Plan) - Resident service plans lacked accurate and complete information regarding assistance needed for activities of daily living, specific staff tasks, and interventions to prevent falls for 4 of 7 residents reviewed, creating a substantial probability of severe harm.

A4060 (295.4060 Alzheimer's and Dementia Programs) - The establishment failed to ensure residents continued to meet residency requirements, including failure to confer with power of attorney regarding residents with progressive decline and multiple falls, creating a substantial probability of severe harm or death.

A7000 (295.7000 Resident Records) - The establishment failed to document reassessment and follow-up actions for a resident with diabetes mellitus after elevated blood sugar readings, including failure to recheck blood sugar and notify the physician as needed.

A4010 (295.4010 Service Plan) - The establishment failed to revise service plans with interventions to address unwitnessed falls for five residents, application and removal of medical assistive devices for three residents, and care coordination with home health services.

A4060 (295.4060 Alzheimer's and Dementia Programs) - The establishment failed to provide documented course work or at least two years of management experience in dementia care for the memory care unit manager.