Buffalo Prairie Center for Rehab and Healthcare

In the surveyor’s words

From the most serious findings on record at Buffalo Prairie Center for Rehab and Healthcare, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Feb 6, 2026

  Based on observation, interview, and record review, the facility failed to care plan and monitor a brain shunt (flexible tube surgically implanted to drain built-up fluid from the brain to another part of the body, helping relieve pressure in the brain), failed to ensure staff were aware of and trained in care of the shunt placement, failed to effectively address increased pain related to the resident's head, neck, and shoulder areas, and failed to notify the physician of increased head pain for one resident (Resident #1). The resident was sent to the hospital where the resident was taken to the operating room for shunt removal/replacement. The resident received a diagnosis of hydrocephalus (an abnormal buildup of cerebrospinal fluid (CSF) deep within the brain. […]

• Immediate jeopardy, isolatedF603Feb 1, 2023

  Based on observation, record review, and interview, the facility failed to protect the resident's right to be free from involuntary seclusion by staff when one staff member Registered Nurse (RN) A held one resident's (Resident #1) door shut while he/she was in their room and attempting to exit the room, in response to his/her behaviors and combativeness with staff. Multiple staff were present during the time RN A held the door closed and witnessed the resident attempting to exit their room and did not intervene. The facility census was 43. The Administrator was notified on 1/26/23, at 1:39 P.M., of an Immediate Jeopardy which began on 1/19/2023. The Immediate Jeopardy was removed on 01/26/23, as confirmed by surveyor onsite verification. […]

• Actual harm, isolatedF686Feb 6, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents with pressure ulcers (localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device) received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection, and prevent new ulcers from developing when the facility failed to timely assess and monitor, failed to obtain and document treatment orders, and failed to update the care plan regarding a facility acquired pressure ulcer that required surgical intervention for one resident (Resident #1). The facility census was 40. […]

• No harm, potential for more than minimal, widespreadF835Jan 22, 2026

  Based on observation, interview, and record review the facility failed to be administered in a manner that enables it to use its resources (facility's operating budget) effectively and efficiently when the facility failed to ensure all bills were paid in a timely manner to prevent credit holds and delays in maintenance of the fire and rescue system. The facility census was 44. Review showed the facility did not provide policy and procedure regarding bill pay.1. During an interview on 01/18/26, at 9:52 A.M., the Maintenance Director said the following:-The fire and safety system, including sprinklers, was serviced by Marmic Fire and Rescue;-The only current concern with the system is an air pressure leak; -Marmic provided inspection and maintenance services quarterly.During an interview on… […]

• No harm, potential for more than minimal, widespreadF835Apr 12, 2025

  Based on observation, interview, and record review, the facility failed to ensure the facility was administered in an effective and efficient manner to ensure the highest practical well-being of all residents when the facility failed to pay their bills in a timely manner for a generator that was being utilized resulting in the generator being removed. The facility census was 54. Review showed the facility did not provide a policy regarding timeliness of payments to companies providing services. 1. […]