Prairie View Home

In the surveyor’s words

From the most serious findings on record at Prairie View Home, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF867Aug 8, 2024

  Based on observation, interview and review of the Quality Assurance Plan, the facility failed to establish written policies for resident care regarding the Comfort Care/End of Life program, or fall prevention/safe transfer techniques. The facility reported a census of 36 residents. Findings include: 1) A review of the Resident Matrix found that the facility had 8 residents on the End of Life/Comfort Care/Palliative program. According to a Comfort Cares document, dated 10/3/22 at 11:25 AM, Resident #23 and the family, requested comfort cares related to emphysema and Chronic Obstructive Pulmonary Disease (COPD). […]

• No harm, potential for more than minimal, patternF812Nov 16, 2023

  Based on observations, staff interviews, and a professional dietician interview the facility failed to ensure food was prepared under sanitary conditions and failed to prevent cross contamination of food. The facility identified a census of 44 residents. Findings included: The facility's Week 1 menu identified the following items as part of the planned menu for the lunch meal on 11/15/23 for pureed diets: Roast beef Mashed potatoes Gravy Roasted Carrots Strawberry Shortcake Biscuit Bread and margarine Milk Observation on 11/15/23 from 11:15 AM to 12:09 PM, revealed Staff A, Cook, removed a tray of dish cups from the cupboard, placed the tray on the counter, then slid the tray to the back of the counter. Staff A used the same counter area to place and look through meal tickets. […]

• No harm, potential for more than minimal, isolatedF689Aug 8, 2024

  Based on observation, interview and record review the facility failed to provide safe transfer techniques for 2 of 2 residents reviewed. Staff failed to use a gait belt when transferring Resident #6 from the whirlpool chair to the wheel chair. The resident became weak and fell to the floor. In an observation, Resident #21 was transferred from the wheel chair to the whirlpool chair without the use of a gait belt. The facility reported a census of 36 residents. Findings include: 1) According to the Minimum Data Set (MDS) dated [DATE], Resident #6 had a Brief Interview for Mental Status (BIMS) score of 12 (moderate cognitive deficits). The resident required substantial assistance with sit to stand, toilet transfers, and tub transfers. […]

• No harm, potential for more than minimal, isolatedF757Aug 8, 2024

  Based on observation, interview and record review the facility failed to ensure that residents were free from unnecessary medication for 1 of 6 reviewed. Resident #23 had an as needed (PRN) order for morphine dated October of 2022. The indications for use included; shortness of breath, comfort, end of life and restlessness. On 2/20/24, staff used the medication when Resident #23 had neck pain. The facility reported a census of 36 residents. Findings include: According to the Minimum Data Set (MDS) dated [DATE], Resident #23 had a Brief Interview for Mental Status (BIMS) of 10 (moderate cognitive ability). She was independent with sit to standing, toilet transfer and required set up assistance with toileting hygiene and upper body dressing. […]

• No harm, potential for more than minimal, isolatedF804Nov 16, 2023

  Based on review of the planned menu, observation, and staff interviews the facility failed to serve the proper amount of pureed foods to residents that required a pureed diet. The facility identified a census of 44 residents. Findings included: The facility's Week 1 menu identified the following items as part of the planned menu for the lunch meal on 11/15/23 for pureed diets: Roast beef Mashed potatoes Gravy Roasted Carrots Strawberry Shortcake Biscuit Bread and margarine Milk Observation on 11/15/23 at 10:36 PM, revealed Staff A, Cook, pureed 7 servings of roast beef, roasted carrots and biscuits. Staff A reported she planned to serve the roast beef and biscuits with a #8 size scoop. […]