Inspection Reports for Evergreen Life Care Homes – Visalia

An unannounced visit was conducted to investigate a complaint alleging that staff hit a resident.

The investigation found that Resident 1 was involved in an altercation with Resident 2, who hit Resident 1 on the head. There was no evidence that facility staff hit the resident, and the allegation was unsubstantiated. No deficiencies were cited.

The allegation that staff hit a resident was investigated and found unsubstantiated due to lack of preponderance of evidence.

The visit was an unannounced annual inspection conducted by Licensing Program Analyst J. Leffall to evaluate compliance with licensing requirements at Evergreen Residence Facility.

The inspection found the facility generally in good condition with clear pathways, clean kitchen, and operational safety equipment. However, deficiencies were cited including a missing Admission Agreement for one resident, a missing fire drill record, and incomplete staff health documentation.

The inspection was an unannounced annual inspection conducted to evaluate compliance with licensing requirements at Evergreen Residence Facility.

The inspection identified multiple deficiencies including unlocked and unlabeled medications, black mold in the ice machine, outdated medical assessments for residents with dementia, and improper medication storage practices. Plans of correction were agreed upon with due dates.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-08-25 regarding allegations including questionable death, resident injuries due to staff neglect, and delayed emergency response.

The investigation found that a resident had a fall and was found by staff who noticed shallow breathing and called 911. Based on interviews and records, the allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint involved allegations of questionable death, severe injuries due to staff neglect, staff not checking on residents timely, and delayed emergency services. The findings concluded the allegations were unsubstantiated.

Unannounced visit/investigation of a complaint received on 2023-10-30 regarding allegations about resident call light operability, placement, medication administration, and medication safeguarding.

The investigation found that the resident's call light was operable and within reach, medication was administered as per doctor's orders, and the allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations occurred.

The inspection was an unannounced Continuation Annual Inspection conducted to evaluate the facility's compliance with regulatory requirements.

The inspection identified multiple deficiencies including unsecured disinfectants accessible to residents, broken/chipped tile in the memory care shower, water temperatures exceeding regulatory limits without warning signs, expired food, and an ice machine with brown buildup. Plans of correction were requested with due dates.

The visit was an unannounced annual inspection conducted by Licensing Program Analyst K. Kaur to evaluate the facility's compliance with licensing requirements.

The Licensing Program Analyst conducted a tour of the facility and met with the Administrator. Due to time constraints, the inspection will continue at a later date. The analyst requested submission of several documents by 11/15/2023.

The visit occurred due to a complaint inspection combined with case management to investigate alleged deficiencies.

The Licensing Program Analyst observed unlocked bleach and laundry detergent in the laundry room of Building A (Assisted Living) and unlocked chemicals and cleaning supplies in the dining room cabinet of Building B (Memory Care), resulting in a cited deficiency.

The visit was complaint-related and included case management. The deficiency was substantiated and cited with a Plan of Correction due by 09/08/2023.

The visit was an unannounced annual inspection focused on infection control conducted by the Licensing Program Analyst to evaluate compliance with applicable regulations.

The facility was generally clean with appropriate infection control measures observed, including facial coverings, hand sanitizer availability, and social distancing. However, five out of six fire extinguishers had expired service dates, posing an immediate health and safety risk.

The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 2022-02-15 regarding an allegation that a resident assaulted another resident due to lack of care and supervision.

The Licensing Program Analyst conducted interviews and record reviews and found that the preponderance of evidence standard was not met; therefore, the allegation was found to be unsubstantiated.

The complaint alleged that a resident assaulted another resident while in care as a result of lack of care and supervision. The investigation found the allegation to be unsubstantiated.

Unannounced visit/investigation of a complaint received on 2021-11-18 regarding neglect and lack of care resulting in a resident sustaining a pressure injury and hospitalization for malnutrition.

The Department investigated the allegations and found that although the allegations may have happened or are valid, there was not a preponderance of evidence to prove they did or did not occur; therefore, the allegations are unsubstantiated. No deficiencies were issued.

The complaint was unsubstantiated as there was insufficient evidence to prove the allegations of neglect resulting in pressure injury and hospitalization for malnutrition.

The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2021-04-21 regarding allegations including resident injury and untimely changing of residents.

The investigation found no preponderance of evidence to substantiate the allegations. The reported incident of a resident injury was not confirmed, and documentation for resident care was incomplete. Additional allegations regarding special diet and hygiene needs were found to be unfounded. No deficiencies were cited.

The complaint investigation was unsubstantiated. Allegations included a resident pushing another causing injury and residents not being changed timely. Additional allegations about staff not following special diets and residents' hygiene needs not being met were also investigated and found unfounded.

The visit was an unannounced Plan of Correction (POC) inspection conducted to follow up on a deficiency cited on 09/21/21.

The Licensing Program Analyst toured the facility with the Administrator and observed signal systems in each resident room. No deficiencies were issued during this visit.

The visit was an unannounced Annual Inspection focused on Infection Control conducted by Licensing Program Analysts to evaluate compliance with regulatory requirements.

The facility was generally clean with no fire clearance issues, social distancing was maintained, and infection control training was verified. However, a deficiency was cited for not having a signal system available for each resident's living unit, posing a potential health and safety risk.