DOUGLAS CARE CENTER LLC

πŸ“ 1108 BIRCH STREET, douglas, WY 82633 πŸ“ž 3073583397 πŸ›οΈ 60 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

53
Total Violations
8 years of data
$3,250
Total Fines
1 penalties
5
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 3 violations

Tag 0567 D Jan 3, 2025

Honor the resident's right to manage his or her financial affairs.

βœ“ Corrected: Feb 14, 2025
Tag 0600 D Jan 3, 2025

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

βœ“ Corrected: Dec 20, 2024
Tag 0609 D Jan 3, 2025

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

βœ“ Corrected: Feb 14, 2025

2023 8 violations

Tag 0582 D Aug 30, 2023

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Oct 16, 2023
Tag 0604 D Aug 30, 2023

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Oct 16, 2023
Tag 0656 D Aug 30, 2023

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

βœ“ Corrected: Oct 16, 2023
Tag 0661 D Aug 30, 2023

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

βœ“ Corrected: Oct 16, 2023
Tag 0686 D Aug 30, 2023

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

βœ“ Corrected: Oct 16, 2023
Tag 0812 E Aug 30, 2023

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

βœ“ Corrected: Oct 16, 2023
Tag 0880 D Aug 30, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 16, 2023
Tag 0883 D Aug 30, 2023

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

βœ“ Corrected: Oct 16, 2023

2022 8 violations

Tag 0636 D Nov 17, 2022

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

βœ“ Corrected: Jan 1, 2023
Tag 0637 D Nov 17, 2022

Assess the resident when there is a significant change in condition

βœ“ Corrected: Jan 1, 2023
Tag 0690 D Nov 17, 2022

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: Jan 1, 2023
Tag 0580 D Aug 10, 2022

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

βœ“ Corrected: Sep 15, 2022
Tag 0606 D Aug 10, 2022

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

βœ“ Corrected: Sep 15, 2022
Tag 0656 D Aug 10, 2022

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

βœ“ Corrected: Sep 15, 2022
Tag 0689 D Aug 10, 2022

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

βœ“ Corrected: Sep 15, 2022
Tag 0886 F Aug 10, 2022

Perform COVID19 testing on residents and staff.

βœ“ Corrected: Sep 15, 2022

2021 2 violations

Tag 0656 D Jun 30, 2021

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

βœ“ Corrected: Jul 30, 2021
Tag 0880 E Apr 29, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 27, 2021

2020 1 violations

Tag 0880 D Oct 13, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 20, 2020

2019 11 violations

Tag 0578 D Sep 12, 2019

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: Oct 27, 2019
Tag 0582 B Sep 12, 2019

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Oct 27, 2019
Tag 0641 D Sep 12, 2019

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Oct 27, 2019
Tag 0645 D Sep 12, 2019

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Oct 27, 2019
Tag 0656 D Sep 12, 2019

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

βœ“ Corrected: Oct 27, 2019
Tag 0657 D Sep 12, 2019

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: Oct 27, 2019
Tag 0692 D Sep 12, 2019

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

βœ“ Corrected: Oct 27, 2019
Tag 0756 D Sep 12, 2019

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Oct 27, 2019
Tag 0757 D Sep 12, 2019

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Oct 27, 2019
Tag 0758 E Sep 12, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Nov 30, 2019
Tag 0791 D Sep 12, 2019

Provide or obtain dental services for each resident.

βœ“ Corrected: Oct 27, 2019

2018 12 violations

Tag 0760 D Oct 11, 2018

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Nov 11, 2018
Tag 0550 D Aug 2, 2018

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

βœ“ Corrected: Sep 2, 2018
Tag 0567 E Aug 2, 2018

Honor the resident's right to manage his or her financial affairs.

βœ“ Corrected: Sep 2, 2018
Tag 0623 D Aug 2, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Sep 2, 2018
Tag 0636 D Aug 2, 2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

βœ“ Corrected: Sep 2, 2018
Tag 0637 D Aug 2, 2018

Assess the resident when there is a significant change in condition

βœ“ Corrected: Sep 2, 2018
Tag 0686 G Aug 2, 2018

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

βœ“ Corrected: Sep 2, 2018
Tag 0755 E Aug 2, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Sep 2, 2018
Tag 0758 D Aug 2, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Sep 2, 2018
Tag 0908 D Aug 2, 2018

Keep all essential equipment working safely.

βœ“ Corrected: Sep 2, 2018
Tag 0610 E Mar 20, 2018

Respond appropriately to all alleged violations.

βœ“ Corrected: May 13, 2018
Tag 0740 D Mar 20, 2018

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

βœ“ Corrected: May 13, 2018

2017 8 violations

Tag 0166 B Jul 20, 2017

Try to resolve each resident's complaints quickly.

βœ“ Corrected: Aug 20, 2017
Tag 0241 D Jul 20, 2017

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

βœ“ Corrected: Aug 20, 2017
Tag 0242 B Jul 20, 2017

Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

βœ“ Corrected: Aug 20, 2017
Tag 0279 D Jul 20, 2017

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

βœ“ Corrected: Aug 20, 2017
Tag 0323 G Jul 20, 2017

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

βœ“ Corrected: Aug 20, 2017
Tag 0356 B Jul 20, 2017

Post nurse staffing information/data on a daily basis.

βœ“ Corrected: Aug 20, 2017
Tag 0367 E Jul 20, 2017

Make sure that special or therapeutic diets are ordered by the attending doctor.

βœ“ Corrected: Aug 20, 2017
Tag 0371 F Jul 20, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Aug 20, 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 $3,250

$3,250
Fine
April 29, 2021
Average: $3,250 | Range: $3,250 - $3,250

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

August 30, 2023
0.00

Health

November 17, 2022
0.00

Health

August 10, 2022
0.00

Health

June 30, 2021
0.00

Health

April 29, 2021
0.00

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Ownership Information

For profit - Limited Liability company
Independent (Not part of a chain)
535040
535040
3073583397
Converse

Historical Ownership Records

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