DOUGLAS CARE CENTER LLC

The information listed below provides an in-depth look into the type and quality of care offered at Douglas Care Center LLC. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

DOUGLAS CARE CENTER LLC
1108 BIRCH STREET
DOUGLAS, WY 82633
(307) 358-3397

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

70%

Number of Residents and Certified Beds

  • Residents: 42
  • Certified Beds: 60

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Casper | Wheatland | Newcastle

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Clinically Complex". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Douglas Care Center LLC. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-1010.7%
ADL Index Range: 0-523.6%
Total Percent:34.2%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10
- No Signs of depression
6.2%
Total Percent:6.2%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 2-5
- Signs of depression
4.0%
ADL Index Range: 0-1
- No Signs of depression
30.2%
Total Percent:34.2%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
6.2%
ADL Index Range: 0-1
- Less restorative nursing
8.9%
Total Percent:15.1%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 0-1
- Less restorative nursing
10.2%
Total Percent:10.2%
 

Rating Details For Douglas Care Center LLC

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours59 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours36 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 7 Minutes
Total Licensed Nurse Hours1 Hour and 35 Minutes
Total Nurse Hours3 Hours and 42 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Wyoming are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityWyoming Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination86%89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse13%11%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Were Physically Restrained-3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain10%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased17%15%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%7%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder19%43%
Percent of Long-Stay Residents Who Are More Depressed or Anxious24%18%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-2%
Percent of Long-Stay Residents Who Lose Too Much Weight11%9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season85%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination68%79%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain22%24%
Percent of Short-Stay Residents Who Have Pressure Sores18%12%
Percent of Short-Stay Residents Who Have Delirium7%3%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 08/26/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 04/24/2008
  • Correction Date: 06/24/2008
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 04/24/2008
  • Correction Date: 06/24/2008
Post Nurse Staffing Information.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/12/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/13/2009
Keep Complete, Dated Lab Records in the Resident's File.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/13/2009
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/12/2009
Keep Complete, Dated Lab Records in the Resident's File.
  • Inspection Date: 08/26/2010
  • Correction Date: 09/25/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/24/2008
  • Correction Date: 06/24/2008
Keep Adequate and Comfortable Lighting in All Areas.
  • Inspection Date: 04/24/2008
  • Correction Date: 06/24/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/24/2008
  • Correction Date: 06/24/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 04/24/2008
  • Correction Date: 06/24/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/18/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 08/26/2010
  • Correction Date: 09/25/2010

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 04/24/2008
  • Correction Date: 06/24/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/24/2008
  • Correction Date: 06/24/2008
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/18/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/19/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/26/2010
  • Correction Date: 11/08/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 04/24/2008
  • Correction Date: 06/24/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 04/24/2008
  • Correction Date: 06/24/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/24/2008
  • Correction Date: 06/24/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/17/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/17/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 08/26/2010
  • Correction Date: 11/08/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 08/26/2010
  • Correction Date: 11/08/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/24/2008
  • Correction Date: 06/24/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/24/2008
  • Correction Date: 06/24/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 04/24/2008
  • Correction Date: 06/24/2008
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 04/24/2008
  • Correction Date: 06/24/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/01/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/21/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/12/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/12/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 08/26/2010
  • Correction Date: 09/25/2010

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 04/24/2008
  • Correction Date: 06/24/2008
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 04/24/2008
  • Correction Date: 06/24/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/21/2009
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/14/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/19/2009
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/12/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 08/26/2010
  • Correction Date: 10/12/2010
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 08/26/2010
  • Correction Date: 10/05/2010
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 08/26/2010
  • Correction Date: 10/01/2010
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 08/26/2010
  • Correction Date: 10/01/2010

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/14/2009
Have a Private Telephone Available for Use.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/12/2009
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/12/2009

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Douglas Care Center LLC, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 06/25/2009
  • Correction Date: 08/12/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 06/25/2009
  • Correction Date: 08/19/2009

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Douglas Care Center LLC had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 08/24/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/24/2009
  • Correction Date: 08/08/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 08/24/2010
  • Correction Date: 10/08/2010
Portable Fire Extinguishers.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/03/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 06/24/2009
  • Correction Date: 08/02/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/24/2009
  • Correction Date: 08/08/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/24/2010
  • Correction Date: 08/30/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/23/2008
  • Correction Date: 06/09/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/24/2010
  • Correction Date: 08/24/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 04/23/2008
  • Correction Date: 06/09/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 06/24/2009
  • Correction Date: 07/24/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/30/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 06/24/2009
  • Correction Date: 08/08/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/30/2010

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 04/23/2008
  • Correction Date: 06/09/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/23/2008
  • Correction Date: 06/09/2008
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 06/24/2009
  • Correction Date: 07/20/2009

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 04/23/2008
  • Correction Date: 06/09/2008

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/30/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 04/23/2008
  • Correction Date: 06/09/2008

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 08/24/2010
  • Correction Date: 08/26/2010
Source: Medicare Nursing Home Compare; Office of Health Quality of Wyoming - Retrieved 2011