Western Prairie Senior Living LLC

In the surveyor’s words

From the most serious findings on record at Western Prairie Senior Living LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF759Dec 3, 2025

  The facility had a census of 33 residents. The sample included 12 residents. Based on observation, interview, and record review the facility failed to ensure a medication error rate of less than five percent when 25 medication administration opportunities were observed with two medication errors identified for Resident (R) 10. This resulted in a medication error rate of eight percent.Findings included:- R10's Physician Orders, date ordered 11/21/24, recorded an order for budesonide suspension (an inhaled medication) 0.25 milligrams (mg)/ 2 milliliters (ml) vial, inhale orally via nebulizer (a device that changes liquid medication into a mist easily inhaled into the lungs) two times a day related to interstitial pulmonary disease (a disorder that causes progressive scarring of lung tissue)… […]

• No harm, potential for more than minimal, widespreadF812Dec 3, 2025

  The facility reported a census of 33 residents, and one main kitchen. Based on observation, record review and interview the facility failed to prepare and serve food under sanitary conditions to prevent potential for food borne bacteria.Finding included:- On 12/01/25 at 07:35 AM, the initial tour of the kitchen revealed a 50-pound bag of rice unsealed and sitting on the bottom shelf in dry storage. The following items did not have an open date: food coloring, a gallon of corn syrup, a bottle of vanilla, a gallon of milk, and a gallon of thousand island dressing. On 12/01/25 at 07:35 AM, observation of the refrigerator revealed a bag of sliced cheese unsealed, and a mixed salad with no date or label. […]

• No harm, potential for more than minimal, widespreadF727Dec 7, 2023

  The facility reported a census of 39 residents. Based on interview and record review, the facility failed to staff the facility with a Registered Nurse (RN) for eight consecutive hours each day, as required. Findings included: - The facility's time sheets, schedules, and staff posting, reviewed from 07/01/22 through 06/30/2023, the last four quarters, revealed the following dates without the required eight consecutive hours of registered nurse (RN) staff: July of 2022: 07/02-04/22, 07/09/22, 07/16-17/22, 07/23-24/22, and 07/30-31/22. August of 2022: 08/06/22, 08/13/22, 08/20-21/22, and 08/27-28/22. September of 2022: 09/03/22, 09/10-11/22, 09/18/22, and 09/24/22. October of 2022: 10/08-09/22, 10/15-16/22, and 10/29-30/22. November of 2022: 11/05-06/22, 11/12/22, and 11/19-20/22. […]

• No harm, potential for more than minimal, widespreadF851Dec 7, 2023

  The facility reported a census of 39 residents. Based on interview and record review, the facility failed to electronically submit to Centers for Medicare and Medicaid Services, (CMS) complete and accurate direct care staffing information, including information for agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS {i.e., Payroll Base Journal (PBJ)}, related to licensed nursing staff coverage 24 hours a day and Registered Nurse (RN) coverage for eight consecutive hours each day. […]

• No harm, potential for more than minimal, widespreadF880Dec 7, 2023

  The facility reported a census of 39 residents with 12 residents sampled. Based on observation, interview, and record review, the facility failed to maintain an effective infection control program with the failure of staff, failed to clean a full body mechanical lift between resident uses, to change gloves and perform hand hygiene between phases of incontinence care and to perform hand hygiene between resident room contacts when delivering laundry to resident rooms. This deficient practice has the potential to lead to cross contamination between residents and negatively affect every resident in the facility. […]