DOUGLAS COUNTY HEALTH CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Douglas County Health Center. 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 COUNTY HEALTH CENTER
4102 WOOLWORTH AVENUE
OMAHA, NE 68105
(402) 444-7314

Nursing Home Ratings

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

Percent of Beds Occupied

91%

Number of Residents and Certified Beds

  • Residents: 232
  • Certified Beds: 254

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - County
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Papillion | Bellevue | Elkhorn

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 County Health Center. 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

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: 0-1
- Signs of depression
10.2%
ADL Index Range: 0-1
- No Signs of depression
57.1%
Total Percent:67.3%
 

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: 11-14
- Less restorative nursing
10.2%
ADL Index Range: 6-10
- Less restorative nursing
12.2%
ADL Index Range: 2-5
- Less restorative nursing
10.2%
Total Percent:32.7%
 

Rating Details For Douglas County Health Center

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) Hours52 Minutes51 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours47 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 56 Minutes2 Hours and 12 Minutes
Total Licensed Nurse Hours1 Hour and 40 Minutes1 Hour and 29 Minutes
Total Nurse Hours4 Hours and 36 Minutes3 Hours and 41 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 Nebraska are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityNebraska Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%93%
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 Worse8%12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder29%47%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%8%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious11%19%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores9%7%
Percent of Long-Stay Residents Who Lose Too Much Weight6%7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%14%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%90%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90%89%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-4%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain17%23%
Percent of Short-Stay Residents Who Have Pressure Sores21%9%

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 04/28/2010.

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

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

Enforcement

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.

Action TakenDateAmount
Denial of Payment for New Admission (DPNA)03/19/2009-
Denial of Payment for New Admission (DPNA)05/17/2010-

Deficiencies from Complaints and Incidents

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.

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

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

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 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.

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: 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
Source: Medicare Nursing Home Compare; Health and Human Services of Nebraska - Regulation and Licensure Credentialing Division - Retrieved 2011