Prairie Village Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Prairie Village Nursing and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727May 3, 2024

  Based on interview and record review, the facility failed to ensure services of an RN (Registered Nurse) were available at least 8 consecutive hours a day, seven days a week for one of seven days reviewed. (Facility) Findings include: On 5/1/24 at 3:30 P.M., the review of nurse staffing from 4/20/24 through 4/26/24 indicated there was no RN coverage for 8 consecutive hours on 4/21/24. During an interview on 5/2/24 at 9:03 A.M., the DON (Director of Nursing) indicated he had an RN scheduled for 4/21/24 but she called in sick and was replaced with an LPN (Licensed Practical Nurse). […]

• No harm, potential for more than minimal, patternF553May 12, 2025

  Based on interview and record review, the facility failed to ensure the resident's right to participate in the development and implementation of the resident's plan of care for 5 of 5 residents reviewed for care plan conferences. Care plan conferences were not completed quarterly. (Resident 24, Resident 8, Resident 41, Resident 1, Resident 14) Findings include: 1. On 5/7/25 at 1:34 P.M., Resident 24's clinical record was reviewed. Diagnoses included, but were not limited to, anxiety, depression, and Bipolar disorder. The most recent Quarterly Minimum Data Set (MDS) assessment, dated 2/25/25, indicated a moderate cognitive impairment. […]

• No harm, potential for more than minimal, patternF921May 12, 2025

  Based on observation, interview, and record review, the facility failed to provide a safe environment for 1 of 2 halls reviewed for hot water. The water temperature in resident areas exceeded 120 degrees Fahrenheit. (100 hall, 200 hall) Finding includes: On 5/6/25 between 1:35 P.M. and 1:50 P.M., the following water temperatures were obtained: room [ROOM NUMBER] (shared bathroom with room [ROOM NUMBER]) 122 degrees Fahrenheit room [ROOM NUMBER] (private bathroom) 126 degrees Fahrenheit room [ROOM NUMBER] (shared bathroom with room [ROOM NUMBER]) 126 degrees Fahrenheit On 5/6/25 between 2:02 P.M. […]

• No harm, potential for more than minimal, patternF657May 3, 2024

  Based on interview and record review, the facility failed to ensure quarterly care plan conferences were completed for 3 of 5 residents reviewed for unnecessary medications and 1 of 3 residents reviewed for falls. (Resident 22, Resident 2, Resident 13, Resident 1) Findings include: 1. On 5/2/24 at 6:22 A.M., Resident 22's clinical record was reviewed. Diagnosis included, but was not limited to, epilepsy. The most recent Quarterly MDS (Minimum Data Set) Assessment, dated 2/28/24, indicated Resident 22 was cognitively intact. The most recent care plan conference was completed 9/6/23. 2. On 5/1/24 at 9:06 A.M., Resident 2's clinical record was reviewed. Diagnosis included, but was not limited to, blindness. […]

• No harm, potential for more than minimal, patternF761May 3, 2024

  Based on observation, interview, and record review the facility failed to ensure proper storage of medications in 1 of 2 medication carts and 1 of 1 medication storage rooms. The narcotic box was not locked in a medication cart, unlabeled and expired medications where in the treatment cart. (100/400 Hall medication cart, treatment cart in E wing medication storage room) Finding includes: On 5/1/24 at 2:27 P.M., the narcotic box of the 100/400 Hall medication cart was observed unlocked. […]