Facility profile · CCN 106059
Douglas Jacobson State Veterans Nursing Home
20 federal citations on record , and 10 federal enforcement actions totaling $135,938.
Record summary
Federal record · Q1 202620
Total citations
18
Last 3 years
5
Actual harm+
10
Federal penalties
$135,938
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
20 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 21, 2025 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
| Jul 16, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jun 25, 2025 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint |
| Jun 25, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Feb 11, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Oct 29, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Oct 29, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Sep 6, 2024 | F726 | 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. | D | Complaint |
| Sep 6, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Sep 6, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Complaint |
| Sep 6, 2024 | F680 | Ensure the activities program is directed by a qualified professional. | E | Standard |
| Sep 6, 2024 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Sep 6, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Sep 6, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Jun 2, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jun 2, 2023 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Jun 2, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard |
| Jun 2, 2023 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard |
| Oct 7, 2021 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard |
| Oct 7, 2021 | F700 | 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. | D | Standard |
Federal enforcement history
Federal regulators have imposed 10 enforcement actions against this facility, including 8 civil money penalties totaling $135,938 and 2 payment-denial actions spanning 38 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jun 25, 2025 | Fine | $8,490 | — |
| Jun 25, 2025 | Fine | $7,660 | — |
| Feb 11, 2025 | Fine | $72,210 | — |
| Sep 6, 2024 | Fine | $5,346 | — |
| Sep 6, 2024 | Fine | $11,333 | — |
| Sep 6, 2024 | Fine | $15,971 | — |
| Sep 6, 2024 | Payment Denial | — | Oct 22, 2024 · 34 days |
| Jun 2, 2023 | Fine | $7,901 | — |
| Jun 2, 2023 | Fine | $7,027 | — |
| Jun 2, 2023 | Payment Denial | — | Aug 26, 2023 · 4 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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