Douglas Care Center
1108 Birch Street, Douglas WY 82633 · (307) 358-3397 · 89.5% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
Douglas Care Center is a facility located in Douglas, Wyoming, which has a population of 9,592 people. Featuring an overall rating of D, this is a subpar facility. This facility seems to have very little going for it. If you aren't deterred by this nursing home's report card, feel free to continue reading to learn more about its category grades. We discuss inspections in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 60 Beds
CCRC :
For profit - Limited Liability company
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
While we were not high on this facility's overall grade, it actually received a very impressive inspection report this year. In fact, it received an excellent inspection report this year. As a result, it earned one of our best grades in that category with an A-. We take several aspects of a facility's inspection report into consideration in determining our inspection scores. One key factor is deficiencies. It should be noted that the severity of deficiencies is arguably more important than the quantity of deficiencies, as some deficiencies can be relatively minor. This particular nursing home received 5 deficiencies on its inspection report. Overall, this is still a solid inspection report, but we'd always recommend looking into any deficiencies you find troubling.
Short-term Care Quality
The next most favorable category we awarded this nursing home in any area came in the category of short-term care, where we gave it a grade of C. Our short-term care grade is often used to assess a nursing home's performance with rehabilitation. To have high-end rehabilitation services, facilities generally need to feature better levels of highly skilled nursing. These types of services include registered nurses, physical therapists, speech therapists and other licensed professionals. Unfortunately, this facility was below average in terms of its level of physical therapy and registered nurse hours provided to its patients based on the metrics we assessed. Finally, we assessed the number of patients who were able to return to the community from this facility. We found that 27.6 percent of this facility's patients returned home. At most facilities, closer to half of their patients are able to return home so this figure is below average.
Nurse Quality
This nursing home actually received a decent grade in the area of nursing as well. We awarded it a grade of C for that category, which is not a bad score. Our nursing rating is mostly associated with a nursing home's level of nurse staffing. This facility provided just 2.4 hours of nursing care per patient per day. This is a relatively low total compared with most other nursing homes. Lastly, we also baked some quality-based metrics into our nursing ratings. This place was subpar in a few of the major metrics we focus on, with below average scores for minimizing its residents' major falls and pressure ulcers. These areas are typically good measures of the quality of nursing care provided.
Long-term Care Quality
The last category we assessed was long-term care. This nursing home received a poor grade of F in that category. For residents looking for a permanent residence rather than skilled nursing, long-term care grades are very important. On top of considering the volume of care provided by nurses aids and other staff, we looked at the number of residents vaccinated against pneumonia. This facility administered the vaccine to 96.601944 percent of its patients, which is higher than the average nursing home. To our surprise, this nursing home was able to limit hospitalizations. While it had 1.99 hospitalizations per 1,000 long-term resident days, its risk adjusted statistic was not bad since it had some more complex patients.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Douglas Care Center Quality Metrics
Minimizes Pressure Ulcers
This indicates the percentage of patients who suffered from a pressure ulcer. Pressure ulcers, which are also called bed sores, are often caused by residents not being moved frequently enough. Better nursing care can reduce the percentage of residents in a nursing home who sustain pressure ulcers.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This datapoint tells you the percentage of long-term care residents which sustained falls leading to major injury. This is one of the statistics we use in calculating our nursing scores.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percentage of residents who suffered from a urinary tract infection. These infections may be linked to poorer hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This tells you the percentage of patients who were given antipsychotic drugs. While antipsychotic medications may be vital to many patients, it is important to confirm these medications are being used appropriately. In some cases, excessive reliance on these medications may suggest that a facility is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percent of residents who were prescribed antianxiety medications. Antianxiety medications are given to patients experiencing anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is a measure of the percentage of long-term stay patients who are demonstrating signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is the percentage of patients who received the pneumonia and flu vaccines. High vaccination rates should be demanded by residents.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This metric is a measure of the percentage of long-term stay residents who required more assistance with activities of daily living over time. ADL's include activities such as getting dressed and eating. Some experts argue this is a reliable measure of a patient's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric is a measure of the percent of long-term residents who retained mobility levels.
Percentage of Residents
Higher is Better
Hospitalizations
This metric measures the number of hospitalizations per 1,000 days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is the number of times residents are rehospitalized per thousand days of short-term patient care. There is typically a correlation between having fewer hospitalizations and a nursing home's quality of short-term rehabilitation.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric is a measure of the number of emergency room visits per 1,000 days of short-term patient care. Staying out of the emergency room is one way to gauge short-term care.
Percentage of Patients
Lower is Better