All citations for Douglas Manor

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 Manor

Last standard health inspection on record

April 22, 2025

Showing 1 to 22 of 22 citations

  1. Harm to a resident

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

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 21, 2025).

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

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

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

    Health citation F-0553, Resident Rights Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2025).

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

    Honor the resident's right to organize and participate in resident/family groups in the facility.

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

    Health citation F-0565, Resident Rights Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2025).

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

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

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

    Health citation F-0567, Resident Rights Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2025).

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

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

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2025).

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

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

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

    Health citation F-0745, Quality of Life and Care Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2025).

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2025).

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

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

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

    Health citation F-0940, Administration Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2025).

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

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

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of April 8, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 20, 2026).

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

    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.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of April 8, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 20, 2026).

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

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

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of October 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 21, 2025).

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

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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

    Health citation F-0561, Resident Rights Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2025).

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

    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.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2025).

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

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

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 22, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 28, 2025).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 22, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 28, 2025).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2025).

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

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

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2025).

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

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

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2025).

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

    Provide or obtain dental services for each resident.

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

    Health citation F-0791, Quality of Life and Care Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2025).

  21. No harm, with potential for minimal harm

    Assure the security of all personal funds of residents deposited with the facility.

    Widespread (many residents). CMS level C.

    Health citation F-0570, Resident Rights Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2025).

  22. No harm, with potential for minimal harm

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

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

    Health citation F-0568, Resident Rights Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2025).

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.