Deficiencies (last 3 years)
Deficiencies (over 3 years)
4.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
21% worse than North Dakota average
North Dakota average: 3.9 deficiencies/year
Deficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Sep 24, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to residents' rights, medication administration, infection control, and immunization policies at Hatton Prairie Village nursing home.
Findings
The facility was found deficient in ensuring residents' rights to request or refuse treatment, accurate transcription of physician orders for medications, adherence to infection prevention and control practices during wound care, and proper administration and documentation of pneumococcal immunizations. All deficiencies were assessed as causing minimal harm or potential for actual harm affecting a few residents.
Deficiencies (4)
Failed to ensure the resident's right to request, refuse, and/or discontinue treatment and to accurately reflect code status in medical records for Resident #29.
Failed to follow professional standards for medication transcription, resulting in incorrect Warfarin dosing orders for Resident #6.
Failed to follow infection control practices during dressing change for Resident #12, including improper glove use and lack of hand hygiene.
Failed to provide and document pneumococcal immunization for Resident #5 as per CDC guidelines.
Report Facts
Residents sampled for advance directives: 13
Residents sampled for medication review: 5
Residents sampled for infection control: 2
Residents sampled for immunizations: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative staff member (#2) | Confirmed failure to obtain updated physician's order for Resident #29 and verified failure to provide pneumococcal immunization for Resident #5 | |
| Nurse (#3) | Observed failing to follow infection control practices during dressing change for Resident #12 | |
| Nurse (#4) | Incorrectly transcribed Warfarin order for Resident #6 | |
| Nurse (#5) | Failed to verify Warfarin order before changing it in the electronic medical record for Resident #6 |
Inspection Report
Routine
Deficiencies: 8
Date: Sep 5, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident transfer notifications, bed hold policies, resident assessments, care plan accuracy, supervision to prevent accidents, food safety, and infection control practices at Hatton Prairie Village nursing home.
Findings
The facility was found deficient in multiple areas including failure to provide timely written transfer and bed hold notices to residents and representatives, incomplete significant change status assessments, inaccurate Minimum Data Set coding, failure to update care plans to reflect current resident status, inadequate supervision leading to elopement risk, improper food storage in the kitchen, and failure to follow infection control protocols during resident care.
Deficiencies (8)
Failed to provide resident or representative a written notice of transfer and a copy to the State Long Term Care Ombudsman for 1 of 1 resident reviewed for hospital transfer.
Failed to provide resident or representative a written bed hold notice including reserve bed amount for 1 of 1 resident reviewed for hospital transfer.
Failed to complete a significant change status assessment (SCSA) for 1 of 1 supplemental resident who elected hospice services.
Failed to ensure accurate coding of the Minimum Data Set (MDS) for 3 of 13 sampled residents.
Failed to review and revise care plans to reflect residents' current status for 5 of 13 sampled residents and 1 supplemental resident.
Failed to ensure adequate supervision and monitoring to prevent elopement for 1 of 1 sampled resident.
Failed to ensure food is stored in accordance with professional standards and in a sanitary environment in the main kitchen.
Failed to follow infection control standards related to hand hygiene, glove use, and enhanced barrier precautions for 2 of 5 sampled residents and 1 supplemental resident.
Report Facts
Residents sampled: 13
Supplemental residents sampled: 1
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 3
Residents affected: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative staff member (#1) | Confirmed failure to provide written transfer and bed hold notices | |
| Administrative nurse (#7) | Confirmed failure to complete significant change status assessment and MDS coding errors | |
| Administrative nurse (#1) | Confirmed failure to update care plans and supervise resident to prevent elopement; confirmed infection control expectations | |
| Maintenance staff member (#3) | Unaware of kitchen air conditioning issue causing contamination risk |
Inspection Report
Deficiencies: 1
Date: Oct 5, 2023
Visit Reason
The inspection was conducted to assess compliance with professional standards of quality in the nursing facility, specifically related to care provided following unwitnessed falls.
Findings
The facility failed to provide care in accordance with professional standards for one resident who experienced unwitnessed falls, including failure to perform required neurological assessments and follow-up on an out-of-range blood pressure reading.
Deficiencies (1)
Failure to perform neurological assessments and follow-up on out-of-range blood pressure after unwitnessed falls for Resident #13.
Report Facts
Residents sampled: 13
Blood pressure reading: 171
Blood pressure reading: 78
Employees mentioned
| Name | Title | Context |
|---|---|---|
| administrative nurse (#1) | Confirmed failure to continue neurological assessments and follow-up on blood pressure |
Inspection Report
Deficiencies: 1
Date: May 15, 2023
Visit Reason
The inspection was conducted following a facility-reported incident involving a contracted staff member who discharged a firearm inside the nursing home motel room, raising concerns about staff training and policy compliance.
Findings
The facility failed to complete new employee orientation for one contracted staff member, specifically omitting review of the gun/firearms prohibition policy. The staff member brought a gun into the facility, discharged it accidentally, and attempted to conceal the damage. The facility lacks a contracted employee onboarding policy or checklist.
Deficiencies (1)
Failure to complete new employee orientation for one contracted staff member, including review of firearms prohibition policy.
Report Facts
Residents Affected: 2
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