Prairie Ridge Care Center

In the surveyor’s words

From the most serious findings on record at Prairie Ridge Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880May 2, 2024

  Based on observation, infection control policy, clinical record review and staff interview, the facility failed to use universal infection control measures and Enhanced Barrier Precautions (EBP) during a drainage of a Foley bag, wound care, and during a peg tube feeding for 3 out of 6 residents reviewed for infection control (Resident #4, #30 and #83). The facility reported a census of 81 residents. Findings Included: 1. Observation on 5/1/24 at 1:14 PM for Resident #4 showed Staff A, Certified Nurse Assistant (CNA), sanitized hands, donned gloves, placed the urine colander with the barrier on the floor, then placed an alcohol wipe packet directly on the floor. […]

• No harm, potential for more than minimal, patternF758Apr 24, 2025

  Based on clinical record review and staff interview the facility failed to identify non-pharmacological interventions, targeted behaviors and side effects related to high risk medications in 5 out of 18 sampled residents reviewed (Resident #13, #21, #25, #32 and #44). The facility reported a census of 83 residents. Findings include: 1. The Minimum Data Set (MDS) assessment dated [DATE] for Resident #21 documented diagnoses of anxiety disorder and depression. The MDS showed the Brief Interview for Mental Status (BIMS) score of 99, which indicated severe cognitive impairment. Review of Active Orders for Resident #21 revealed the following orders: a. Celexa (antidepressant medication) 20 milligrams (mg) daily with an order date of 2/27/25 b. […]

• No harm, potential for more than minimal, patternF803Apr 24, 2025

  Based on observation, policy review, document review and staff interview the facility failed to follow the menu and prepare food to meet the nutritional needs for 25 of 83 residents reviewed. The facility reported a census of 83 residents. Findings include: Continuous observation of lunch meal service on 4/23/25 from 11:35 AM - 12:00 PM revealed no bread or margarine served to the residents that resided at [NAME] Run Cottage. Review of document titled, Diets revealed 25 residents resided at [NAME] Run Cottage. Review of document titled, facility Fall / Winter 2024-2025 Wednesday Week 1 Menu documented bread and margarine to be served at lunch meal. […]

• No harm, potential for more than minimal, patternF812Apr 24, 2025

  Based on observation, staff interview, and policy review the facility failed to prepare food in accordance with professional standards by not completing appropriate hand hygiene during meal preparation. The facility reported a census of 83 residents. Findings include: An observation on 4/23/25 at 9:00 AM revealed Staff E, [NAME] completed hand hygiene, obtained 5 portions of Swiss steak from the oven, placed them in them the processor, mechanical soft Swiss steaks removed from food processor and measured to 3 cups, reviewed puree sheet, serving sized determined to be #8. Staff E obtained 5 bowels from the cabinet and placed her ungloved fingers into 3 bowls and two ungloved fingers into 2 bowls with the other hand. […]

• No harm, potential for more than minimal, patternF880Apr 24, 2025

  Based on observation, record review, policy review, and staff interview the facility failed to provide appropriate infection prevention practices when providing personal care to a resident and when providing care to a residents on enhanced barrier precautions (EBH) for 4 of 12 residents reviewed (Resident #15, #27, #33 and #45). The facility reported a census of 83 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] documented Resident #33 had a Brief Interview for Mental Status (BIMS) of 13 indicating no cognitive impairment. […]