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Douglas Care Center Llc

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 60
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 06/30/2011

Date of last standard health inspection: 06/30/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in WY: 6
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in WY: 0 - 12

Inspection, 02/06/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep complete, dated laboratory records in the resident's file. 02/06/2008 02/05/2009 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 02/06/2008 02/05/2009 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/06/2008 00/08/2011 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 02/06/2008 00/08/2011 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/06/2008 00/08/2011 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/06/2008 02/05/2009 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 02/06/2008 01/02/2010 2 Some
Review or revise the resident's care plan after any major change in physical or mental health. 02/06/2008 00/05/2010 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 02/06/2008 00/01/2010 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 02/06/2008 00/01/2010 2 Few

Inspection, 01/02/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure laboratory services, blood blanks and transfusion services provided on site meet requirements for certified laboratories; or have an agreement to obtain services from an offsite laboratory, that meets the same requirements. 01/02/2007 00/01/2009 2 Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 01/02/2007 00/01/2009 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/02/2007 00/01/2009 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/02/2007 00/01/2009 2 Few
Keep all essential equipment working safely. 01/02/2007 00/01/2009 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/02/2007 00/01/2009 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/02/2007 00/01/2009 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/02/2007 00/01/2009 2 Some
Keep the rate of medication errors (wrong drug 01/02/2007 00/01/2009 wrong time) to less than 5%. wrong dose
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/02/2007 00/01/2009 2 Some
Provide care by qualified persons according to each resident's written plan of care. 01/02/2007 00/01/2009 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/02/2007 00/01/2009 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/02/2007 00/01/2009 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 01/02/2007 00/01/2009 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 01/02/2007 00/01/2009 2 Some
Ensure services provided by the nursing facility meet professional standards of quality. 01/02/2007 00/01/2009 2 Some
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 01/02/2007 00/01/2009 and that incontinent patients receive proper servi unless medically necessary
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 01/02/2007 00/01/2009 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/02/2007 00/01/2009 2 Some
Review or revise the resident's care plan after any major change in physical or mental health. 01/02/2007 00/01/2009 2 Few
Completely assess the resident at least every twelve months. 01/02/2007 00/01/2009 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 01/02/2007 00/01/2009 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/02/2007 00/01/2009 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 01/02/2007 00/01/2009 2 Few
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. 01/02/2007 00/01/2009 2 Some
Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. 01/02/2007 00/01/2009 2 Some
Conduct initial and periodic assessments of each resident's functional capacity. 01/02/2007 00/01/2009 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/02/2007 00/01/2009 2 Some

Inspection, 03/00/2006

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 03/00/2006 01/05/2008 2 Few
Keep complete, dated laboratory records in the resident's file. 03/00/2006 01/05/2008 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 03/00/2006 01/05/2008 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 03/00/2006 01/05/2008 2 Some
Have a program that investigates, controls and keeps infection from spreading. 03/00/2006 01/05/2008 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 03/00/2006 01/05/2008 2 Some
Store, cook, and serve food in a safe and clean way. 03/00/2006 01/05/2008 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 03/00/2006 01/05/2008 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 03/00/2006 01/05/2008 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 03/00/2006 01/05/2008 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 03/00/2006 01/05/2008 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 03/00/2006 01/05/2008 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 03/00/2006 01/05/2008 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 03/00/2006 01/05/2008 2 Few
Assess in a timely manner the resident when the resident enters the nursing home. 03/00/2006 01/05/2008 2 Few
Review or revise the resident's care plan after any major change in physical or mental health. 03/00/2006 01/05/2008 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 03/00/2006 01/05/2008 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 03/00/2006 01/05/2008 2 Few
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. 03/00/2006 01/05/2008 2 Few
Make sure that doctors visit residents regularly, as required. 03/00/2006 01/05/2008 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to self-administer drugs if determined safe. 03/00/2006 01/05/2008 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 03/00/2006 01/05/2008 2 Few
Reasonably accommodate the needs and preferences of each resident. 03/00/2006 01/05/2008 2 Few

Inspection, 01/08/2001

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/08/2001 02/05/2002 4 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 01/08/2001 02/05/2002 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in WY Golden Living Center, Asheville
RN Staff Only1 N/A N/A 4 out of 5 stars
Total Number of Residents 86 59 53
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 8 hours 52 minutes 47 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 8 hours 25 minutes 37 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 7 hours 55 minutes 10 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 9 hours 43 minutes 2 hours 3 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 06/30/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 06/30/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in WY: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in WY: 0 - 0

Inspection, 02/04/2008

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/04/2008 00/08/2010 2 Many
Portable fire extinguishers. 02/04/2008 00/03/2009 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/04/2008 03/00/2008 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/04/2008 02/04/2008 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 02/04/2008 03/00/2009 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 02/04/2008 03/00/2009 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
No-smoking signs where oxygen is used. 02/04/2008 03/00/2009 2 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper stairway enclosures and vertical shafts. 02/04/2008 02/06/2008 2 Some

Inspection, 01/09/2007

Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/09/2007 02/01/2007 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation 01/09/2007 02/03/2007 Many maintenance and testing program for fire alarm sys

Inspection, 01/02/2007

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/02/2007 02/06/2008 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/02/2007 02/06/2008 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/02/2007 02/06/2008 2 Few

Inspection, 03/00/2006

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 03/00/2006 01/05/2008 2 Few
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 03/00/2006 01/05/2008 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 03/00/2006 01/05/2008 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 03/00/2006 01/05/2008 2 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 03/00/2006 01/05/2008 2 Few
 

1108 Birch Street
Douglas, WY 82633

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