DOUGLAS MANOR

πŸ“ 103 NORTH ROAD, windham, CT 06280 πŸ“ž 8604234636 πŸ›οΈ 90 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

67
Total Violations
7 years of data
$72,280
Total Fines
3 penalties
6
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 2 violations

Tag 0609 D Apr 7, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: May 19, 2025
Tag 0656 D Apr 7, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: May 19, 2025

2023 21 violations

Tag 0550 D Mar 13, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Apr 24, 2023
Tag 0553 D Mar 13, 2023

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

βœ“ Corrected: Apr 24, 2023
Tag 0580 D Mar 13, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Apr 24, 2023
Tag 0585 E Mar 13, 2023

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Apr 24, 2023
Tag 0600 D Mar 13, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Apr 24, 2023
Tag 0609 D Mar 13, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Apr 24, 2023
Tag 0641 B Mar 13, 2023

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Apr 24, 2023
Tag 0644 D Mar 13, 2023

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

βœ“ Corrected: Apr 24, 2023
Tag 0657 D Mar 13, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Apr 24, 2023
Tag 0658 D Mar 13, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Apr 24, 2023
Tag 0677 D Mar 13, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Apr 24, 2023
Tag 0684 D Mar 13, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Apr 24, 2023
Tag 0686 D Mar 13, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Apr 24, 2023
Tag 0692 D Mar 13, 2023

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Apr 24, 2023
Tag 0697 D Mar 13, 2023

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Apr 24, 2023
Tag 0726 E Mar 13, 2023

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

βœ“ Corrected: Apr 24, 2023
Tag 0810 E Mar 13, 2023

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

βœ“ Corrected: Apr 24, 2023
Tag 0812 E Mar 13, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Apr 24, 2023
Tag 0880 E Mar 13, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 24, 2023
Tag 0883 D Mar 13, 2023

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Apr 24, 2023

2022 2 violations

Tag 0657 D Jan 19, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Mar 2, 2022
Tag 0686 E Jan 19, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Mar 2, 2022

2021 2 violations

Tag 0689 G Mar 5, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Apr 15, 2021
Tag 0880 E Jan 14, 2021

Provide and implement an infection prevention and control program.

2020 6 violations

Tag 0600 D Feb 5, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Mar 18, 2020
Tag 0609 D Feb 5, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Mar 18, 2020
Tag 0610 D Feb 5, 2020

Respond appropriately to all alleged violations.

βœ“ Corrected: Mar 18, 2020
Tag 0730 B Feb 5, 2020

Observe each nurse aide's job performance and give regular training.

βœ“ Corrected: Mar 18, 2020
Tag 0812 E Feb 5, 2020

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Mar 18, 2020
Tag 0883 E Feb 5, 2020

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Mar 18, 2020

2018 26 violations

Tag 0550 D Dec 6, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jan 17, 2019
Tag 0580 D Dec 6, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jan 17, 2019
Tag 0600 D Dec 6, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jan 17, 2019
Tag 0677 D Dec 6, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jan 17, 2019
Tag 0686 G Dec 6, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jan 17, 2019
Tag 0688 D Dec 6, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Jan 17, 2019
Tag 0689 D Dec 6, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jan 17, 2019
Tag 0695 E Dec 6, 2018

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Jan 17, 2019
Tag 0880 D Dec 6, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jan 17, 2019
Tag 0583 D Aug 22, 2018

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Oct 3, 2018
Tag 0600 D Apr 19, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: May 31, 2018
Tag 0609 D Apr 19, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: May 31, 2018
Tag 0610 D Apr 19, 2018

Respond appropriately to all alleged violations.

βœ“ Corrected: May 31, 2018
Tag 0690 D Apr 19, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: May 31, 2018
Tag 0697 D Apr 19, 2018

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: May 31, 2018
Tag 0744 D Apr 19, 2018

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: May 31, 2018
Tag 0578 D Jan 11, 2018

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Feb 22, 2018
Tag 0585 E Jan 11, 2018

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Feb 22, 2018
Tag 0600 G Jan 11, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Feb 22, 2018
Tag 0609 D Jan 11, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Feb 22, 2018

2017 8 violations

Tag 0281 D Jul 18, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Aug 7, 2017
Tag 0323 G Jul 18, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Aug 7, 2017
Tag 0328 D Jul 18, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

βœ“ Corrected: Aug 7, 2017
Tag 0164 D Jan 23, 2017

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Mar 6, 2017
Tag 0241 D Jan 23, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

βœ“ Corrected: Mar 6, 2017
Tag 0256 D Jan 23, 2017

Provide adequate and comfortable lighting levels in all areas.

βœ“ Corrected: Mar 6, 2017
Tag 0323 D Jan 23, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Mar 6, 2017
Tag 0334 D Jan 23, 2017

Develop policies and procedures for influenza and pneumococcal immunizations.

βœ“ Corrected: Mar 6, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 1 penalties totaling $37,577

$37,577
Fine
March 5, 2021
Average: $37,577 | Range: $37,577 - $37,577

2018 2 penalties totaling $34,703

$19,793
Fine
December 6, 2018
$14,910
Fine
January 11, 2018
Average: $17,352 | Range: $14,910 - $19,793

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

March 13, 2023
0.00

Health

January 19, 2022
0.00

Health

March 5, 2021
0.00

Health

January 14, 2021
0.00

Health

February 5, 2020
0.00

Health

December 6, 2018
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
075258
075258
8604234636
Windham

Historical Ownership Records

August 25, 2025
Individual
August 25, 2025
Individual
August 25, 2025
Individual