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Deficiency Records for Douglas County Health Center
View the most recent health deficiencies and inspection results for Douglas County Health Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Douglas County Health Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-10-30 | 2025-12-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-10-30 | 2025-12-12 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-05-13 | 2025-06-27 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-05-13 | 2025-06-27 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-05-13 | 2025-06-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-13 | 2025-06-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-13 | 2025-06-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-13 | 2025-06-27 | 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 | 2025-05-13 | 2025-06-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-05-13 | 2025-06-27 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-05-13 | 2025-06-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-13 | 2025-06-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-13 | 2025-06-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-13 | 2025-06-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-05-13 | 2025-06-27 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-05-13 | 2025-06-27 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-05-13 | 2025-06-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-05-13 | 2025-06-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-05-13 | 2025-06-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-05-13 | 2025-06-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-05-13 | 2025-06-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-05-13 | 2025-06-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-13 | 2025-06-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-05-13 | 2025-06-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-18 | 2024-07-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-16 | 2024-06-14 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-04-26 | 2024-06-13 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-04-26 | 2024-06-13 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-04-26 | 2024-06-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-04-26 | 2024-06-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-26 | 2024-06-13 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-04-26 | 2024-06-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-26 | 2024-06-13 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2024-04-26 | 2024-06-13 | 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 | 2024-04-26 | 2024-06-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-04-26 | 2024-06-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-26 | 2024-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-26 | 2024-06-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-26 | 2024-06-09 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-04-26 | 2024-06-09 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-04-26 | 2024-06-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-26 | 2024-06-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-05 | 2024-03-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-16 | 2023-06-29 | N |
| 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. | Health | 2023-05-16 | 2023-06-29 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-05-16 | 2023-06-29 | N |
| Provide or obtain dental services for each resident. | Health | 2023-05-16 | 2023-06-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-16 | 2023-06-29 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-05-16 | 2023-06-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-16 | 2023-06-29 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-05-16 | 2023-06-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-16 | 2023-06-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-16 | 2023-06-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-16 | 2023-06-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-16 | 2023-06-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-16 | 2023-06-29 | N |