EVERGREEN POST ACUTE
SMYRNA, DE · 151 beds · For profit - Limited Liability company
Red Flags
- ⚠ 5 citation(s) where residents suffered actual harm
- ⚠ $94,156 in fines
- ⚠ RN hours significantly below state average
Green Flags
No positive signals identified yet.
Quick Facts
Violation Timeline
April 16, 2025
20 deficiencyiesResident Rights Deficiencies
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Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Resident Rights Deficiencies
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning Deficiencies
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Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
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Plan the resident's discharge to meet the resident's goals and needs.
Pharmacy Service Deficiencies
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Ensure that residents are free from significant medication errors.
Resident Rights Deficiencies
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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
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Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
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Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning Deficiencies
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Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nutrition and Dietary Deficiencies
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Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary Deficiencies
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
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Implement a program that monitors antibiotic use.
Infection Control Deficiencies
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Assessment and Care Planning Deficiencies
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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Staffing
A nurse checks on each resident roughly every 6.0 hours on average.
Fines & Penalties
- Fine Apr 16, 2025$17,345
- Fine May 29, 2024$76,811
Ownership
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EVPA HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
Since since 02/01/2025
100% Organization -
COPPER DE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 02/01/2025
NO PERCENTAGE PROVIDED Organization -
GOLD DE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 02/01/2025
NO PERCENTAGE PROVIDED Organization -
SILVER DE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 02/01/2025
NO PERCENTAGE PROVIDED Organization -
STAR DE I HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 02/01/2025
NO PERCENTAGE PROVIDED Organization -
STAR DE I TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 02/01/2025
NO PERCENTAGE PROVIDED Organization -
ELLENBOGEN, MOSS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 02/01/2025
NO PERCENTAGE PROVIDED Individual -
RASTOGI, RITU
OPERATIONAL/MANAGERIAL CONTROL
Since since 01/01/2025
Individual -
ROCHESTER, JESSICA
OPERATIONAL/MANAGERIAL CONTROL
Since since 01/01/2025
Individual