DOUGLAS COUNTY HEALTH CENTER

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 County Health Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Clinically Complex

Reduced Physical Function

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.

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 Nebraska are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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 04/28/2010.

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 04/28/2010 Correction Date: 06/03/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 02/11/2008 Correction Date: 03/17/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/11/2008 Correction Date: 03/17/2008
Provide Special Eating Equipment and Utensils for Each Resident Who Needs Them. Inspection Date: 02/26/2009 Correction Date: 04/03/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/11/2008 Correction Date: 03/17/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 02/26/2009 Correction Date: 04/03/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/28/2010 Correction Date: 06/03/2010

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

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

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. Complaint Filed: 02/26/2009 Correction Date: 04/03/2009

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 County Health Center 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 05/17/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/28/2008 Correction Date: 04/15/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 03/19/2009 Correction Date: 05/04/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/19/2009 Correction Date: 07/17/2009
Portable Fire Extinguishers. Inspection Date: 03/19/2009 Correction Date: 06/01/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 05/17/2010 Correction Date: 07/08/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 05/17/2010 Correction Date: 06/30/2010
Portable Fire Extinguishers. Inspection Date: 05/17/2010 Correction Date: 06/30/2010

Building Construction

A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 05/17/2010 Correction Date: 07/08/2010
Approved Construction Type or Materials. Inspection Date: 05/17/2010 Correction Date: 06/30/2010

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 03/28/2008 Correction Date: 04/18/2008
Restrictions on the Use of Portable Space Heaters. Inspection Date: 03/19/2009 Correction Date: 04/30/2009
Properly Protected Cooking Facilities. Inspection Date: 05/17/2010 Correction Date: 06/15/2010
Restrictions on the Use of Portable Space Heaters. Inspection Date: 05/17/2010 Correction Date: 06/11/2010
Properly Constructed Linen or Trash Chutes. Inspection Date: 05/17/2010 Correction Date: 07/08/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 03/28/2008 Correction Date: 04/25/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/19/2009 Correction Date: 07/17/2009
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 03/19/2009 Correction Date: 03/24/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 05/17/2010 Correction Date: 06/04/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/17/2010 Correction Date: 07/08/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/28/2008 Correction Date: 04/25/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/19/2009 Correction Date: 07/17/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/17/2010 Correction Date: 07/30/2010

Exit and Exit Access

At Least Two Remote Exits on Each Floor or Fire Section of the Building. Inspection Date: 03/28/2008 Correction Date: 03/28/2008

Exits and Egress

Exit Stairways and Towers That Are Smoke Proof. Inspection Date: 03/28/2008 Correction Date: 04/16/2008
Exits That Are Accessible at All Times. Inspection Date: 03/28/2008 Correction Date: 04/25/2008
Exits That Are Accessible at All Times. Inspection Date: 03/19/2009 Correction Date: 04/12/2009
Exits That Are Accessible at All Times. Inspection Date: 05/17/2010 Correction Date: 07/30/2010
Rooms That Can Be Unlocked from Inside Without a Key. Inspection Date: 05/17/2010 Correction Date: 07/01/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 05/17/2010 Correction Date: 06/30/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 03/28/2008 Correction Date: 04/16/2008
Properly Sized and Located Linen or Trash Receptacles. Inspection Date: 03/28/2008 Correction Date: 03/28/2008
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 03/19/2009 Correction Date: 07/17/2009
Restrictions on the Use of Highly Flammable Materials. Inspection Date: 03/19/2009 Correction Date: 04/21/2009
Properly Sized and Located Linen or Trash Receptacles. Inspection Date: 05/17/2010 Correction Date: 07/30/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/28/2008 Correction Date: 04/25/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/19/2009 Correction Date: 07/17/2009
Gift Shops Separated and Protected As Hazardous Areas. Inspection Date: 03/19/2009 Correction Date: 03/19/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/17/2010 Correction Date: 07/30/2010
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 05/17/2010 Correction Date: 07/30/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 03/28/2008 Correction Date: 04/25/2008
Proper Backup Exit Lighting. Inspection Date: 03/19/2009 Correction Date: 04/17/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 03/19/2009 Correction Date: 04/24/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 03/19/2009 Correction Date: 05/31/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 05/17/2010 Correction Date: 06/30/2010
Properly Located and Lighted "Exit" Signs. Inspection Date: 05/17/2010 Correction Date: 07/08/2010

Interior Finish

Fire-Resistant Interior Walls. Inspection Date: 05/17/2010 Correction Date: 06/01/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 03/19/2009 Correction Date: 04/24/2009
Proper Medical Gas Storage and Administration Areas. Inspection Date: 05/17/2010 Correction Date: 06/09/2010
No-Smoking Signs Where Oxygen is Used. Inspection Date: 05/17/2010 Correction Date: 06/30/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 05/17/2010 Correction Date: 07/08/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 05/17/2010 Correction Date: 06/30/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 05/17/2010 Correction Date: 06/30/2010

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 03/28/2008 Correction Date: 04/25/2008
Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 03/19/2009 Correction Date: 07/17/2009
Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 05/17/2010 Correction Date: 06/30/2010