All citations for Douglas County Health Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Douglas County Health Center

Last standard health inspection on record

May 13, 2025

Showing 1 to 23 of 23 citations

  1. No harm, with potential for more than minimal harm

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2025).

  2. No harm, with potential for more than minimal harm

    Have an enclosure around a vertical opening shaft.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2025).

  3. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2025).

  4. No harm, with potential for more than minimal harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2024).

  5. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2023).

  6. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2023).

  7. No harm, with potential for more than minimal harm

    Install a fire alarm system that can be heard throughout the facility.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2025).

  8. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2025).

  9. No harm, with potential for more than minimal harm

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2025).

  10. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2025).

  11. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2025).

  12. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2024).

  13. No harm, with potential for more than minimal harm

    Have an enclosure around a vertical opening shaft.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2024).

  14. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2024).

  15. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2024).

  16. No harm, with potential for more than minimal harm

    Have restrictions on the use of portable space heaters.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2024).

  17. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2024).

  18. No harm, with potential for more than minimal harm

    Meet requirements for the use and maintenance of medical gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0922, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2024).

  19. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2023).

  20. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    A waiver was granted (June 29, 2023).

  21. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2023).

  22. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2023).

  23. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.