Deficiency Records for Douglas County Health Center
Updated as of April 01, 2022
This is not the most recent data for Douglas County Health Center. For the most recent information, click here.
A list of the most recent deficiencies for Douglas County Health Center. 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? |
---|---|---|---|---|
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-07-28 | 2020-10-12 | 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 | 2020-07-28 | 2020-09-28 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-07-28 | 2020-09-28 | 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 | 2020-07-28 | 2020-09-28 | N |
Ensure gas cylinders are properly stored. | Fire Safety | 2020-07-28 | 2020-09-28 | N |
Meet other general requirements that are deficient. | Fire Safety | 2020-07-28 | 2020-09-28 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-07-30 | 2020-09-12 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-07-30 | 2020-09-12 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-07-30 | 2020-09-12 | N |
Provide and implement an infection prevention and control program. | Health | 2020-07-30 | 2020-09-12 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-12 | 2019-11-23 | Y |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-08-12 | 2019-11-23 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-01 | 2019-09-30 | Y |
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 | 2019-01-22 | 2019-04-16 | 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 | 2019-01-22 | 2019-04-16 | N |
Construct fire resistant interior walls. | Fire Safety | 2019-01-22 | 2019-04-16 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-01-22 | 2019-03-01 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-01-22 | 2019-03-01 | 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 | 2019-01-23 | 2019-02-27 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-01-23 | 2019-02-27 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-01-23 | 2019-02-27 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-01-23 | 2019-02-27 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-22 | 2019-02-26 | N |
Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2019-01-22 | 2019-02-26 | N |
Have exits that are accessible at all times. | Fire Safety | 2019-01-22 | 2019-02-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-22 | 2019-02-26 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-22 | 2019-02-26 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-22 | 2019-02-26 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-01-22 | 2019-02-26 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-22 | 2019-02-26 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2019-01-22 | 2019-02-26 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-01-22 | 2019-02-26 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-22 | 2019-02-26 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-22 | 2019-02-26 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-01-22 | 2019-02-22 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-01-22 | 2019-02-21 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-11-14 | 2017-12-14 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-11-14 | 2017-12-12 | N |
Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2017-11-14 | 2017-12-12 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2017-11-14 | 2017-12-12 | 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 | 2017-11-14 | 2017-12-12 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-14 | 2017-12-12 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-11-14 | 2017-12-12 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-11-14 | 2017-12-12 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2017-11-14 | 2017-12-12 | N |
Meet other general requirements that are deficient. | Fire Safety | 2017-11-14 | 2017-12-12 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-11-14 | 2017-12-12 | N |