Prairie Mission Retirement Village

In the surveyor’s words

From the most serious findings on record at Prairie Mission Retirement Village, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 21, 2023

  The facility reported a census of 24 residents. Based on observation, interview and record review, the facility failed to store, prepare, and serve food under sanitary conditions to prevent the spread of food borne illnesses to the residents of the facility. Findings included: - An environmental tour of the kitchen on 06/19/23 at 08:37 AM, revealed the following concerns: 1. The dry storage room had a box of eight loaves of bread resting directly on the floor. 2. One reach-in refrigerator contained food debris across on the bottom shelf. 3. One reach-in freezer contained food debris across on the bottom shelf. On 06/20/23 at 01:20 PM, Dietary staff BB confirmed the reach-in refrigerator and reach-in freezer contained food debris on the bottom shelves. […]

• No harm, potential for more than minimal, widespreadF880Jan 26, 2022

  The facility reported a census of 29 residents. Based on observation, interview and record review, the facility failed to provide sanitary glucometer (a device used to calculate blood sugar levels cleaning for four Residents (R)11, R15, R22 and R7, failed to provide sanitary cleaning of nebulizer (equipment use to deliver inhaled medication by aerosolization) components for two residents (R) 22 and R20 and failed to ensure proper cleaning techniques of a resident bathroom to prevent the spread of infection. Findings included: - Observation on 01/25/22 at 10:42 AM, revealed Licensed Nurse G, obtained blood glucose (blood sugar) with the multi resident use glucometer from resident (R) 11. […]

• No harm, potential for more than minimal, widespreadF881Jan 26, 2022

  The facility reported a census of 29 residents. Based on interview and record review, the facility failed to ensure principles of antibiotic stewardship would be followed by nursing staff to ensure antibiotics used in a safe and effective manner to prevent unnecessary side effects of antibiotics and antibiotic resistance in an ongoing, proactive manner. Findings included: -Review of the Infection Control Log for tracking and trending infections from January 2021 through January 2022, revealed lack of Infection Control Logs for January 2021 thru April 2021. The Infection Control logs reviewed lacked complete data for analysis of adherence with an evidenced-based surveillance criterion to define infections and effectiveness of the facility's antibiotic stewardship program. […]

• No harm, potential for more than minimal, patternF689Mar 13, 2025

  The facility reported a census of 26 residents with 12 residents sampled, including nine residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to provide appropriate, safe transfers for one Resident (R) 27, failed to ensure safe transport for two residents R16 and R5 while in their wheelchair, R 6, regarding leaving medications in his room and R 11, regarding inappropriate interventions following a fall. Findings included: - Review of Resident (R)16's electronic medical record (EMR) revealed a diagnosis of dementia (progressive mental disorder characterized by failing memory, confusion). […]

• No harm, potential for more than minimal, patternF689Mar 31, 2021

  The facility reported a census of 42 residents, with three of the five residents identified with elopement risks, reviewed for elopement. Based on observation, interview, and record review, the facility failed to provide adequate supervision to prevent one residents (R)1 of the three residents reviewed for possible elopement, from leaving the facility without staff knowledge. R1 wearing a Wander Guard bracelet left the facility without staff knowledge, with the staff failure to respond for approximately five minutes, when the Wander Guard and door alarms at the Chapel exit door sounded and came across the pager alert. Any of the five residents identified for elopement risk could have exited without staff knowledge. […]