DOUGLAS HEALTH AND REHABILITATION

📍 2084 W MAIN STREET, milan, TN 38358 📞 7316868321 🛏️ 72 beds

Overall Rating

1/5

Health Inspection

⭐⭐
2/5

Staffing

1/5

Quality Measures

1/5

Inspection History Overview

69
Total Violations
5 years of data
$1,147,188
Total Fines
17 penalties
0
Inspections
No data available
21
Quality Metrics
Tracked measures

Health Violations by Year

2022 47 violations

Tag 0553 D Oct 12, 2022

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

Tag 0578 E Oct 12, 2022

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.

Tag 0600 J Oct 12, 2022

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

Tag 0606 E Oct 12, 2022

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Tag 0609 J Oct 12, 2022

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

Tag 0610 J Oct 12, 2022

Respond appropriately to all alleged violations.

Tag 0661 D Oct 12, 2022

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Tag 0689 J Oct 12, 2022

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

Tag 0725 D Oct 12, 2022

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Tag 0726 K Oct 12, 2022

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.

Tag 0732 E Oct 12, 2022

Post nurse staffing information every day.

Tag 0759 D Oct 12, 2022

Ensure medication error rates are not 5 percent or greater.

Tag 0760 D Oct 12, 2022

Ensure that residents are free from significant medication errors.

Tag 0761 D Oct 12, 2022

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Tag 0812 F Oct 12, 2022

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

Tag 0835 K Oct 12, 2022

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Tag 0837 K Oct 12, 2022

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Tag 0842 D Oct 12, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Tag 0867 K Oct 12, 2022

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Tag 0880 K Oct 12, 2022

Provide and implement an infection prevention and control program.

2021 10 violations

Tag 0600 K Apr 11, 2021

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

Tag 0609 K Apr 11, 2021

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

✓ Corrected: May 3, 2021
Tag 0610 K Apr 11, 2021

Respond appropriately to all alleged violations.

✓ Corrected: May 3, 2021
Tag 0657 K Apr 11, 2021

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

✓ Corrected: May 3, 2021
Tag 0689 K Apr 11, 2021

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

Tag 0726 K Apr 11, 2021

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.

✓ Corrected: May 3, 2021
Tag 0835 K Apr 11, 2021

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Tag 0841 K Apr 11, 2021

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

✓ Corrected: May 3, 2021
Tag 0867 K Apr 11, 2021

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Tag 0880 E Apr 11, 2021

Provide and implement an infection prevention and control program.

2019 6 violations

Tag 0584 E Jun 19, 2019

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Aug 3, 2019
Tag 0761 E Jun 19, 2019

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Aug 3, 2019
Tag 0812 F Jun 19, 2019

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

✓ Corrected: Aug 3, 2019
Tag 0880 E Jun 19, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 3, 2019
Tag 0921 E Jun 19, 2019

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Aug 3, 2019
Tag 0925 E Jun 19, 2019

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Aug 3, 2019

2018 2 violations

Tag 0550 E Aug 29, 2018

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

✓ Corrected: Sep 20, 2018
Tag 0880 E Aug 29, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 20, 2018

2017 4 violations

Tag 0164 D Aug 23, 2017

Keep residents' personal and medical records private and confidential.

✓ Corrected: Sep 23, 2017
Tag 0280 D Aug 23, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

✓ Corrected: Sep 23, 2017
Tag 0311 D Aug 23, 2017

Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.

✓ Corrected: Sep 23, 2017
Tag 0441 E Aug 23, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Sep 23, 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

2023 1 penalties totaling $11,538

$11,538
Fine
January 17, 2023
Average: $11,538 | Range: $11,538 - $11,538

2022 6 penalties totaling $904,858

$355,225
Fine
October 4, 2022
$352,170
Fine
October 4, 2022
$6,110
Fine
October 4, 2022
$0
Payment Denial
October 4, 2022
$191,353
Fine
February 27, 2022
$0
Payment Denial
February 27, 2022
Average: $180,972 | Range: $0 - $355,225

2021 10 penalties totaling $230,792

$2,925
Fine
September 27, 2021
$2,600
Fine
September 20, 2021
$2,293
Fine
June 7, 2021
$1,965
Fine
May 17, 2021
$1,638
Fine
May 10, 2021
$1,310
Fine
May 3, 2021
$983
Fine
April 19, 2021
$655
Fine
April 12, 2021
$216,423
Fine
April 11, 2021
$0
Payment Denial
April 11, 2021
Average: $23,079 | Range: $0 - $216,423

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

No survey data available for this facility.

Quality Measures

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Ownership Information

For profit - Limited Liability company
Independent (Not part of a chain)
445434
445434
7316868321
Gibson