Douglas Health and Rehabilitation
2084 W Main Street, Milan TN 38358 · (731) 686-8321 · 89.86% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Douglas Health and Rehabilitation is a facility located in Milan, Tennessee, which has a population of 12,121 people. Featuring an overall rating of C, this is likely a middle of the pack facility. Based on our ratings, there are definitely far worse nursing homes out there. The best part of this nursing home's report card is its remarkable inspection score. We discuss inspections in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 72 Beds
CCRC :
For profit - Limited Liability company
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
In addition to being a respectable facility overall, this facility really excelled in the area of inspections, where it earned a grade of A. Few nursing homes performed better in this category. Arguably the most critical factor we consider in computing our inspection scores is deficiencies. Deficiencies are found on a facility's recent inspection reports. Facilities with better scores in this category most likely dodged the more severe deficiencies involving health risks or even death. This place was assessed 2 deficiencies on its inspection report, but we were relieved to see that none of the deficiencies were considered to be severe deficiencies. This tells you that the inspectors did not deem any of the deficiencies to create an immediate threat to patient safety or health. Finally, this facility had no substantiated complaints this year from residents, which is always a good sign.
Long-term Care Quality
Turning to the category of long-term care, we gave this nursing home a score of A- in that area. If you are seeking services other than rehabilitation, you should take a close look at each facility's long-term care grades. On top of assessing the amount of care provided by aids and other staff, we also looked at the percentage of residents vaccinated for pneumonia. This facility gave the vaccine to 85.258965 percent of its patients, which is a few points below what we were hoping for. Finally, we looked at the nursing home's number of hospitalizations. We found that this place had 2.13 hospitalizations per 1,000 long-term resident days.
Nurse Quality
The next area we looked at was nursing, where we gave this facility an F. This was definitely one of this facility's major weaknesses. In computing a facility's nursing grade, we look at the amount of time nurses commit to residents as well as the levels of training of the nurses. This facility provided just 3 hours of nursing care per resident per day. This is a very low total compared to most nursing homes. This place also had terrible marks in some of the quality-based measures to go along with its weak nursing hour totals. We looked at the percent of patients suffering pressure ulcers and we were disappointed. This nursing home was at approximately 150 percent of the national average in this measure. This is likely a bad sign when you consider that many pressure ulcers could be avoided with better nursing care. This statistic helped pull down this nursing home's nursing grade significantly.
Short-term Care Quality
The last category we looked at was short-term care, which was this facility's least impressive category. We gave it a lowly F for this area, which is obviously a major concern. With our short-term care score, we attempt to create a meaningful measure for rehabilitation. In this process, we assess the facility's levels of skilled nursing services, including both registered nurses and physical therapy, as well as occupational therapy. With its poor rating in this area, we were not surprised to learn that this facility offers far fewer physical therapist and registered nurse hours per resident than most other facilities. Finally, we assessed the percentage of patients who returned home from this facility. This facility didn't fare well here either. In fact, we found that just 18.8 percent of this facility's patients were able to return home. This figure was well off the national average.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Douglas Health and Rehabilitation 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