Inspection Reports for Evergreen Post Acute

8643 NE Beech Street, OR, 97220

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 13.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

104% worse than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

24 18 12 6 0
2023
2024
2025

Inspection Report

Complaint Investigation
Capacity: 55 Deficiencies: 5 Date: Nov 17, 2025

Visit Reason
Two deficiencies found including failure to prevent accidents and ensure drug regimen free from unnecessary drugs. Multiple findings showed lack of updated care plans and medication errors. None of the deficiencies were corrected at the time of visit.

Findings
Two deficiencies found including failure to prevent accidents and ensure drug regimen free from unnecessary drugs. Multiple findings showed lack of updated care plans and medication errors. None of the deficiencies were corrected at the time of visit.

Deficiencies (5)
F0000 - INITIAL COMMENTS
F0689 - Free of Accident Hazards/Supervision/Devices
F0757 - Drug Regimen is Free from Unnecessary Drugs
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES

Inspection Report

Complaint Investigation
Capacity: 55 Deficiencies: 2 Date: Oct 30, 2025

Visit Reason
No deficiencies found but citations for initial comments noted. Deficiencies were not corrected at time of visit.

Findings
No deficiencies found but citations for initial comments noted. Deficiencies were not corrected at time of visit.

Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments

Inspection Report

Complaint Investigation
Capacity: 55 Deficiencies: 2 Date: Jul 11, 2025

Visit Reason
No deficiencies found but citations for initial comments noted. Deficiencies were not corrected at time of visit.

Findings
No deficiencies found but citations for initial comments noted. Deficiencies were not corrected at time of visit.

Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments

Inspection Report

Complaint Investigation
Capacity: 55 Deficiencies: 21 Date: Feb 18, 2025

Visit Reason
Eighteen deficiencies found including failures in resident rights, abuse prevention, care planning, ADL assistance, quality of care, rehabilitation services, infection control, and staffing information. Some deficiencies were corrected at follow-up visit but many remained uncorrected.

Findings
Eighteen deficiencies found including failures in resident rights, abuse prevention, care planning, ADL assistance, quality of care, rehabilitation services, infection control, and staffing information. Some deficiencies were corrected at follow-up visit but many remained uncorrected.

Deficiencies (21)
F0000 - INITIAL COMMENTS
F0561 - Self-Determination
F0600 - Free from Abuse and Neglect
F0655 - Baseline Care Plan
F0676 - Activities Daily Living (ADLs)/Mntn Abilities
F0677 - ADL Care Provided for Dependent Residents
F0679 - Activities Meet Interest/Needs Each Resident
F0684 - Quality of Care
F0688 - Increase/Prevent Decrease in ROM/Mobility
F0690 - Bowel/Bladder Incontinence, Catheter, UTI
F0698 - Dialysis
F0699 - Trauma Informed Care
F0732 - Posted Nurse Staffing Information
F0740 - Behavioral Health Services
F0804 - Nutritive Value/Appear, Palatable/Prefer Temp
F0806 - Resident Allergies, Preferences, Substitutes
F0812 - Food Procurement,Store/Prepare/Serve-Sanitary
F0825 - Provide/Obtain Specialized Rehab Services
F0880 - Infection Prevention & Control
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES

Inspection Report

Complaint Investigation
Capacity: 55 Deficiencies: 2 Date: Dec 6, 2024

Visit Reason
No deficiencies found but citations for initial comments noted. Deficiencies were not corrected at time of visit.

Findings
No deficiencies found but citations for initial comments noted. Deficiencies were not corrected at time of visit.

Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments

Inspection Report

Complaint Investigation
Capacity: 55 Deficiencies: 4 Date: Sep 19, 2024

Visit Reason
One deficiency found related to resident dignity and respect. Some deficiencies corrected at follow-up but others remained uncorrected.

Findings
One deficiency found related to resident dignity and respect. Some deficiencies corrected at follow-up but others remained uncorrected.

Deficiencies (4)
F0000 - INITIAL COMMENTS
F0550 - Resident Rights/Exercise of Rights
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES

Inspection Report

Complaint Investigation
Capacity: 55 Deficiencies: 2 Date: Mar 15, 2024

Visit Reason
No deficiencies found but citations for initial comments noted. Deficiencies were not corrected at time of visit.

Findings
No deficiencies found but citations for initial comments noted. Deficiencies were not corrected at time of visit.

Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments

Inspection Report

Capacity: 55 Deficiencies: 1 Date: Dec 26, 2023

Visit Reason
One deficiency found related to failure to report complete COVID-19 information to NHSN. Deficiency was not corrected at time of visit.

Findings
One deficiency found related to failure to report complete COVID-19 information to NHSN. Deficiency was not corrected at time of visit.

Deficiencies (1)
F0884 - Reporting - National Health Safety Network

Inspection Report

Capacity: 55 Deficiencies: 1 Date: Dec 18, 2023

Visit Reason
One deficiency found related to failure to report complete COVID-19 information to NHSN. Deficiency was not corrected at time of visit.

Findings
One deficiency found related to failure to report complete COVID-19 information to NHSN. Deficiency was not corrected at time of visit.

Deficiencies (1)
F0884 - Reporting - National Health Safety Network

Inspection Report

Capacity: 55 Deficiencies: 1 Date: Dec 11, 2023

Visit Reason
One deficiency found related to failure to report complete COVID-19 information to NHSN. Deficiency was not corrected at time of visit.

Findings
One deficiency found related to failure to report complete COVID-19 information to NHSN. Deficiency was not corrected at time of visit.

Deficiencies (1)
F0884 - Reporting - National Health Safety Network

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