Deficiency Records for Douglas Manor
Updated as of May 01, 2021
This is not the most recent data for Douglas Manor. For the most recent information, click here.
A list of the most recent deficiencies for Douglas Manor. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2021-01-14 | 2021-02-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-06 | 2019-01-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-12-06 | 2019-01-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-06 | 2019-01-17 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-12-06 | 2019-01-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-06 | 2019-01-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-12-06 | 2019-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-06 | 2019-01-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-12-06 | 2019-01-17 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2018-08-22 | 2018-10-03 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-01-11 | 2018-04-05 | N |
| 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. | Health | 2018-01-11 | 2018-02-22 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-01-11 | 2018-02-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-01-11 | 2018-02-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-01-11 | 2018-02-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-11 | 2018-02-22 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-01-11 | 2018-02-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-01-11 | 2018-02-22 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-01-11 | 2018-02-22 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-01-11 | 2018-02-22 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-01-11 | 2018-02-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-01-23 | 2017-03-06 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-01-23 | 2017-03-06 | N |
| Provide adequate and comfortable lighting levels in all areas. | Health | 2017-01-23 | 2017-03-06 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-23 | 2017-03-06 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-01-23 | 2017-03-06 | N |
