C+
68/100

EVERGREEN NURSING HOME Inspection Report, Violations & Safety Grade (ALAMOSA, Colorado)

1991 CARROLL ST, ALAMOSA, Colorado 81101

Phone: 7195894951

CMS Overall:2/5

Overview & Bed Count

Certified Beds
60
Avg Residents/Day
46.4
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Alamosa
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
Yes

CMS Star Ratings

Overall2/5
Health2/5
Staffing4/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityColorado AvgDifference
RN Hours per Resident per Day0.680.81-0.13
Total Nurse Hours per Resident per Day3.473.69-0.23
CMS Staffing Rating4/53.1/5-
Nursing Staff Turnover40.5%47%-

Health Citation History

13 health citations on record

DateCategoryDescriptionSeverity
2026-02-05Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2026-02-05Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2024-08-29Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2024-08-29Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-08-29Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2024-08-29Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2024-08-29Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-08-29Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential
2023-02-02Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.F – Moderate Harm Potential
2023-02-02Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2023-02-02Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2023-02-02Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D – Moderate Harm Potential
2021-10-21Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.D – Moderate Harm Potential

Fire Safety Citation History

8 fire safety citations on record

DateCategoryDescriptionSeverity
2023-02-02Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2023-02-02Emergency Preparedness DeficienciesEstablish policies and procedures for medical documentation.F – Moderate Harm Potential
2023-02-02Emergency Preparedness DeficienciesEstablish methods for sharing information.F – Moderate Harm Potential
2023-02-02Emergency Preparedness DeficienciesEstablish emergency prep training and testing.F – Moderate Harm Potential
2021-10-21Emergency Preparedness DeficienciesList the names and contact information of those in the facility.F – Moderate Harm Potential
2021-10-21Emergency Preparedness DeficienciesProvide primary/alternate means for communication.F – Moderate Harm Potential
2021-10-21Emergency Preparedness DeficienciesProvide a means of sharing information on occupancy/needs.F – Moderate Harm Potential
2021-10-21Emergency Preparedness DeficienciesEstablish staff and initial training requirements.F – Moderate Harm Potential

Total Penalties & Fines

$13,098
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2026-02-05Fine$13,098-

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