Deficiency Records for Douglas County Health Center
Updated as of October 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? |
---|---|---|---|---|
Ensure that residents are free from significant medication errors. | Health | 2022-04-06 | 2022-05-20 | Y |
Ensure that residents are free from significant medication errors. | Health | 2022-02-01 | 2022-05-20 | 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 | 2022-02-01 | 2022-04-27 | 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 | 2022-02-01 | 2022-04-27 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-01 | 2022-04-27 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-01 | 2022-04-27 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-02-01 | 2022-04-27 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-01 | 2022-04-27 | N |
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-02-01 | 2022-03-28 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-01 | 2022-03-17 | N |
Keep residents' personal and medical records private and confidential. | Health | 2022-02-01 | 2022-03-17 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-01 | 2022-03-17 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-02-01 | 2022-03-17 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-02-01 | 2022-03-17 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-01 | 2022-03-17 | N |
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 | 2022-02-01 | 2022-03-17 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-01 | 2022-03-17 | N |
Provide and implement an infection prevention and control program. | Health | 2022-02-01 | 2022-03-17 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-01 | 2022-02-15 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-02-01 | 2022-02-15 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-01 | 2022-02-15 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-01 | 2022-02-15 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-01 | 2022-02-15 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-01 | 2022-02-14 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-02-01 | 2022-02-13 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-01 | 2022-02-13 | N |
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 requirements for the use and maintenance of medical gas equipment. | 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 |
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 requirements for the use and maintenance of medical gas equipment. | 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 requirements for the use of electrical equipment. | 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 |