Inspection Reports for
PRAIRIE WINDS Assisted Living

603 WEST 6TH STREET, DONIPHAN, NE, 68832

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 1.5 deficiencies/year

Deficiencies are regulatory findings recorded during state inspections.

64% better than Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2013
2017
2018
2019

Occupancy

Latest occupancy rate 89% occupied

Based on a December 2017 inspection.

Occupancy rate over time

70% 77% 84% 91% 98% 105% Jan 1970 Nov 2013 Dec 2017

Notice

Capacity: 35 Deficiencies: 0 Date: Apr 10, 2019

Visit Reason
This document serves as a licensure renewal verification for Prairie Winds Assisted-Living Facility and includes the occupancy permit issued by the Nebraska State Fire Marshal.

Findings
The facility is licensed as an assisted-living facility with a total licensed capacity of 35 beds. The occupancy permit confirms compliance with fire safety codes as of the inspection date.

Report Facts
Total licensed beds: 35 Renewal expiration date: Apr 30, 2020

Employees mentioned
NameTitleContext
Joyce CantrellAdministratorNamed as facility administrator on renewal application
Brandon LubkeDeputy State Fire MarshalInspected the facility for occupancy permit

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jan 29, 2019

Visit Reason
An unannounced visit was conducted to investigate a complaint at Prairie Winds on January 29, 2019, involving multiple allegations including staff competency, grievance handling, medication administration, pest control, resident neglect, and service provision.

Complaint Details
The investigation addressed allegations that the facility failed in several areas including staff competency, grievance handling, medication administration, pest control, resident neglect, and service provision. All allegations were found to be unsubstantiated as the facility was in compliance with regulatory requirements.
Findings
The facility was found to be in compliance with all related regulatory requirements for each allegation investigated, including staff competency, grievance handling, medication administration, pest control, protection from neglect, and provision of services as agreed upon in the resident service agreement.

Employees mentioned
NameTitleContext
Connie VogtProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Nov 6, 2018

Visit Reason
An unannounced visit was conducted to investigate a complaint at Prairie Winds on November 6, 2018, by representatives of the Department of Health and Human Services Division of Public Health.

Complaint Details
The complaint allegations included failure to protect residents from abuse, failure to address grievances/complaints, failure to ensure an effective pest control program, failure to ensure a sanitary environment, and failure to ensure foods/meals meet nutritional needs. All allegations were found to be unsubstantiated with the facility in compliance.
Findings
The investigation found the facility was in compliance with all related regulatory requirements regarding abuse protection, grievance/complaint handling, pest control, sanitary environment, and nutritional needs of residents.

Report Facts
Pest control heat treatments: 4

Employees mentioned
NameTitleContext
Connie VogtProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS

Inspection Report

Complaint Investigation
Census: 31 Deficiencies: 3 Date: Dec 5, 2017

Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Prairie Winds on December 5-6, 2017, by representatives of the Department of Health and Human Services Division of Public Health. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.

Complaint Details
The complaint investigation addressed multiple allegations including failure to protect residents from abuse, medication errors, failure to meet assisted living criteria, privacy violations, misappropriation, grievance resolution, resident care planning participation, staffing sufficiency, dietary requirements, and medication administration errors. All allegations were found to be unsubstantiated with the facility in compliance except for noted deficiencies in training, consumer satisfaction, and food safety.
Findings
The investigation found the facility to be in compliance with all allegations related to abuse, medication administration, resident criteria, privacy, misappropriation, grievance resolution, resident participation in care planning, staffing, dietary requirements, and medication orders. However, deficiencies were found related to ongoing training for medication aides, lack of a consumer satisfaction survey, and food safety issues with uncovered dumpsters and improper storage of pans.

Deficiencies (3)
Facility failed to ensure medication aides completed education on physical and mental special care needs of residents.
Facility failed to develop and perform a resident satisfaction survey.
Facility failed to ensure dumpsters outside kitchen and back doors were covered and pans were stored properly in the kitchen.
Report Facts
Facility census: 31 Number of Medication Aides: 5

Employees mentioned
NameTitleContext
Joyce CantrellAdministratorInterviewed regarding training and consumer satisfaction deficiencies
Dan TaylorRN, Training CoordinatorSigned the inspection report
Sandy FowlerRNNamed as responsible for correction of training deficiency
Anita HarlanDietary SupervisorNamed as responsible for correction of food safety deficiency

Inspection Report

Complaint Investigation
Census: 28 Deficiencies: 3 Date: Nov 12, 2013

Visit Reason
An unannounced visit was conducted to investigate a complaint survey at Prairie Winds on November 12-13, 2013, following allegations regarding failure to provide agreed services, insufficient staff, unsanitary kitchen, failure to meet retention criteria, medication administration issues, and medication storage violations.

Complaint Details
The complaint investigation was triggered by allegations that the facility failed to provide services as agreed, had insufficient staff, failed to maintain a sanitary kitchen, failed to meet retention criteria, failed to ensure medications were given according to the Five Rights, failed to report medication errors, failed to complete treatments, failed to ensure medical devices were ordered by a practitioner, and failed to store medications according to manufacturer recommendations. The investigation substantiated violations related to medication storage and kitchen sanitation but found no violations related to other allegations.
Findings
The investigation found no violations related to service agreements, staffing sufficiency, medication administration errors, treatment completion, medical device orders, or retention criteria. However, violations were found related to medication storage, specifically outdated medications stored in medication carts and improper storage of insulin, and unsanitary kitchen conditions with grease and debris accumulation.

Deficiencies (3)
Facility failed to ensure outdated medications were not stored in medication carts ready for administration for eight residents.
Unopened insulin bottles were not properly dated and stored according to manufacturer recommendations.
Food contact surfaces of the stove and deep-fat fryer and cooking equipment/utensils were not clean and free of debris, grease, and dried food particle accumulation.
Report Facts
Resident census: 28 Outdated medications: 8 Medication doses: 28 Tylenol doses: 14 Capsules: 30 Ibuprofen tablets: 12 Claritin tablets: 15 Tramadol tablets: 30

Employees mentioned
NameTitleContext
Frances ProkopRegistered NurseSurveyor who conducted complaint investigation
Susan GriepenstrohRegistered NurseSurveyor who conducted complaint investigation
Joyce CantrellOwner/AdministratorNamed in statement of compliance letter
Eve LewisProgram ManagerSigned cover letters and correspondence related to inspection

Document

Capacity: 35 Deficiencies: 0 Date: APP2023

Visit Reason
The documents serve to verify and renew the assisted-living facility license for Prairie Winds, including ownership and occupancy information.

Findings
No inspection findings or deficiencies are reported; the documents confirm licensure renewal and occupancy permit details.

Report Facts
Total licensed beds: 35 Renewal license expiration date: Expires 4/30/2024 as shown on the renewal card.

Employees mentioned
NameTitleContext
Amber WiechmanAdministratorNamed as facility administrator on the renewal application.
Gene UdenAuthorized RepresentativeSigned the renewal application and listed as a shareholder with 20% interest.
Jonathan SmithAuthorized RepresentativeSigned the renewal application and listed as a shareholder with 20% interest.
Judy LautenschlagerShareholder with 20% interest.
Laveda RathmanShareholder with 20% interest.
Jon SmithShareholder with 20% interest.
Lisa NielsenShareholder with 20% interest.

Notice

Capacity: 35 Deficiencies: 0 Date: APP2025

Visit Reason
The document serves as a renewal application and verification of licensure for Prairie Winds Assisted Living, confirming the facility meets statutory requirements and is licensed through the indicated expiration date.

Findings
The documents confirm the facility's licensure renewal status, ownership information, and occupancy permit with a maximum capacity of 35 beds. No inspection findings or deficiencies are reported.

Report Facts
Total licensed beds: 35 Renewal license fees: 950

Employees mentioned
NameTitleContext
Amber WiechmanAdministratorNamed on renewal application form.
Gene UdenAuthorized RepresentativeSigned renewal application and listed as shareholder.
Jonathan SmithAuthorized RepresentativeSigned renewal application and listed as shareholder.
Judy LautenschlagerListed as shareholder who owns and directs the assisted living.
Jon SmithListed as shareholder who owns and directs the assisted living.
Lisa NielsenListed as shareholder who owns and directs the assisted living.

Notice

Census: 31 Capacity: 35 Deficiencies: 0 Date: APP2018

Visit Reason
This document serves as a licensure renewal application and verification for the assisted-living facility Prairie Winds, confirming its licensed status and capacity.

Findings
The documents confirm the facility's licensure renewal with a licensed capacity of 35 beds and a current census of 31 residents. Ownership and administrative details are provided, along with a fire marshal occupancy permit.

Report Facts
Licensed Capacity: 35 Current Census: 31 Renewal Expiration Date: Renewal expiration date stated as 4/30/2019 on license renewal card.

Employees mentioned
NameTitleContext
Joyce CantrellAdministratorNamed as facility administrator and authorized representative on renewal application.
Jonathan SmithNamed as authorized representative and shareholder with 16.665% interest.

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