Inspection Reports for Evergreen Fountains

The Department of Social and Health Services completed a follow-up visit to Evergreen Fountains Senior Living Community to verify correction of previously cited deficiencies.

The licensee failed to administer medications as prescribed for two residents, resulting in both residents not receiving medications as prescribed and placing them at risk of health complications. This deficiency was uncorrected from a prior citation dated July 11, 2025.

The department conducted an unannounced on-site follow-up inspection of Evergreen Fountains Senior Living Community to verify correction of previously cited deficiencies.

The follow-up inspection found that the facility met Assisted Living Facility licensing requirements and no deficiencies were found on 10/07/2025. However, the prior inspection dated 09/03/2025 identified medication administration deficiencies for two residents, which placed them at risk of health complications.

The Office of the State Fire Marshal conducted a fire safety inspection at Evergreen Fountains Senior Living Community to assess compliance with fire protection and safety codes.

The inspection identified several violations related to power taps, extension cords, fire extinguisher maintenance, sprinkler system testing, smoke detector sensitivity, fire drills, and extinguishing system servicing. Some issues were corrected on site, while others require follow-up actions and documentation.

The inspection was conducted as an unannounced complaint investigation regarding monitoring wellbeing of residents, coordination of care, neglect, and residents' needs not being met.

The investigation found failed provider practices related to insufficient staffing levels during night shifts and incomplete fingerprint background checks for some staff. Additionally, service plans did not reflect the higher level of care needed for some residents, and the facility failed to ensure service agreement contents aligned with residents' needs. No failed practice was identified regarding staff response to residents feeling ill or hospice coordination.

The complaint allegations included monitoring wellbeing of residents, coordination of care, neglect, and residents' needs not met. The investigation substantiated failed practices related to staffing, background checks, and service plan contents. No neglect was substantiated.

The Office of the State Fire Marshal conducted an inspection at Evergreen Fountains Senior Living Community to evaluate compliance with fire safety codes and regulations.

Multiple violations were found including unapproved multiplug adapters, use of electrical cords as permanent wiring, blocked fire doors, missing eschutcheon in the kitchen freezer, misaligned kitchen hood suppression system nozzles, and lack of documentation for emergency lighting tests and kitchen suppression system servicing. Some issues were corrected on site, while others were pending correction or documentation.

The inspection was conducted due to a complaint alleging overcharging for care and services at the Evergreen Fountains Senior Living Community.

The investigation found no failed provider practice or citation. The facility was actively working with the resident's representative to mitigate service charge issues. However, multiple deficiencies were identified related to food sanitation, investigation documentation, maintenance, housekeeping, and infection control practices, placing all 46 residents at risk.

Complaint involved allegation of overcharging for care and services. The facility was found not to have failed provider practice and no citation was written.