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Douglas County Health Center
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Ratings Deep Dive
5 Deficiencies found in last inspections
1 Penalties in last 3 years
0 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Oct 30, 2025 | Ensure that residents are free from significant medication errors. | G |
| — | Oct 30, 2025 | Provide safe, appropriate pain management for a resident who requires such services. | D |
| — | May 13, 2025 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D |
| — | May 13, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| — | May 13, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D |
0.9 RN Hours / Resident / Day
5.0 Total Nurse Hours / Resident / Day
18.0% RN Turnover Rate
4.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
229.6 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
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Ownership Info CMS
OPERATIONAL/MANAGERIAL CONTROL BORGESON, MARY ANN
OPERATIONAL/MANAGERIAL CONTROL BOYLE-MANGANARO, MAUREEN
OPERATIONAL/MANAGERIAL CONTROL CAVANAUGH, JAMES
OPERATIONAL/MANAGERIAL CONTROL FRIEND, MIKE
OPERATIONAL/MANAGERIAL CONTROL GARCIA, ROGER
OPERATIONAL/MANAGERIAL CONTROL MORGAN, PJ
OPERATIONAL/MANAGERIAL CONTROL NELSON, ERIN
OPERATIONAL/MANAGERIAL CONTROL ROGERS, CHRIS
CORPORATE DIRECTOR NELSON, ERIN
W-2 MANAGING EMPLOYEE NELSON, ERIN
Recent Penalties
| Date | Type | Fine |
|---|---|---|
| Oct 30, 2025 | Payment Denial | $0 |
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