Immediate jeopardy means inspectors determined that the facility's failures had placed residents in a situation likely to cause serious injury, harm, or death.
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Inspectors found them on August 13.
The inspection, triggered by a complaint, was completed August 19, 2025.
Some people use foul language on a regular basis, it's just how they talk." The inspector had asked a straightforward question.
The inspection at Evergreen Health Services, conducted August 20, 2025, was triggered by a complaint.
Federal inspectors arrived at the facility on a complaint inspection and turned their attention to the lunch service.
The facility, located at 1 Myrtle Lane in Hardin, had cleared a resident for transport in its van before the family knew the move was happening.
It took a visitor asking questions on August 15 to prompt the director of nursing to open an investigation.
Then the walls came into view — an unknown black substance running along the entire length of the side walls and across the back.
That happened at Santa Anita Convalescent Hospital at noon on August 15, 2025.
What they found, on the afternoon of August 15, 2025, was a system running badly out of control in both directions at once.
The incident happened on August 10, 2025, during what should have been a routine shower.