Douglas Jacobson State Veterans Nursing Home

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Tag F0557 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Sep 21, 2025

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

Tag F0600 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Aug 16, 2025

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

Tag F0600 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Aug 16, 2025

Protect each resident from the wrongful use of the resident's belongings or money.

Tag F0602 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · from a complaint inspection · Deficient, Provider has date of correction Aug 16, 2025

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

Tag F0600 · CMS scope and severity G (actual harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Mar 11, 2025

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

Tag F0600 · CMS scope and severity G (actual harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Nov 25, 2024

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

Tag F0689 · CMS scope and severity G (actual harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Nov 25, 2024

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

Tag F0580 · CMS scope and severity G (actual harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Nov 6, 2024

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

Tag F0582 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 6, 2024

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

Tag F0657 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Nov 6, 2024

Provide activities to meet all resident's needs.

Tag F0679 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Nov 6, 2024

Ensure the activities program is directed by a qualified professional.

Tag F0680 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Nov 6, 2024

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

Tag F0689 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · from a complaint inspection · Deficient, Provider has date of correction Nov 6, 2024

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Tag F0726 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Nov 6, 2024

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

Tag F0565 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 2, 2023

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

Tag F0689 · CMS scope and severity G (actual harm; isolated) · Deficient, Provider has date of correction Jul 2, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Tag F0725 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 2, 2023

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

Tag F0740 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 2, 2023

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Tag F0700 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 7, 2021

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Tag F0744 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 7, 2021

Install emergency lighting that can last at least 1 1/2 hours.

Tag K0291 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Oct 6, 2024

Provide properly protected cooking facilities.

Tag K0324 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Oct 6, 2024

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Tag K0761 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Oct 6, 2024

Develop and maintain an Emergency Preparedness Program (EP).

Tag E0004 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Aug 30, 2023

List the names and contact information of those in the facility.

Tag E0030 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 2, 2023

Provide emergency officials' contact information.

Tag E0031 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 2, 2023

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

Tag K0345 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Jul 2, 2023

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Tag K0761 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Aug 30, 2023

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

Tag K0918 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Jul 2, 2023

Ensure proper usage of power strips and extension cords.

Tag K0920 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Jul 2, 2023

Inspect, test, and maintain automatic sprinkler systems.

Tag K0353 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 7, 2021

Install corridor and hallway doors that block smoke.

Tag K0363 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 7, 2021

Have proper medical gas storage and administration areas.

Tag K0923 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Nov 7, 2021