Inspection Reports for
Prairie Heights Healthcare
400 8th Ave NW, Aberdeen, SD, 57401
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
1.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
48% better than South Dakota average
South Dakota average: 3.3 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Deficiencies: 1
Date: Jul 31, 2025
Visit Reason
The inspection was conducted to evaluate the accuracy of Payroll Based Journal (PBJ) data submission to CMS for Federal Fiscal Quarter 2 (January, February, and March 2025).
Findings
The provider failed to ensure the PBJ data was submitted accurately to CMS, with the Q2 data submission not accepted due to an error. Interviews revealed lack of awareness and incomplete information regarding the submission error.
Deficiencies (1)
F0851: The provider failed to electronically submit complete and accurate direct care staffing information based on payroll and other verifiable data for Federal Fiscal Quarter 2. The Q2 PBJ data submission was not accepted by CMS due to an error.
Report Facts
Federal Fiscal Quarter: 2
Deficiencies cited: 1
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Oct 24, 2024
Visit Reason
The inspection was conducted based on a complaint report from the South Dakota Department of Health alleging medication errors, improper wound assessment documentation, and unlicensed practice by certified medication aides at Prairie Heights Healthcare.
Complaint Details
The complaint was filed anonymously with the South Dakota Department of Health on 10/4/24. It alleged medication errors, inaccurate wound assessment documentation, and certified medication aides performing outside their scope. The complaint was substantiated by interviews, record reviews, and policy evaluations.
Findings
The facility failed to ensure professional standards of quality in medication administration, wound assessment documentation, and scope of practice adherence by certified medication aides. A significant medication error occurred when the director of nursing administered the wrong insulin to a resident. Additionally, wound assessments were documented late or inaccurately, and certified medication aides performed tasks beyond their licensed scope.
Deficiencies (2)
F 0658: The director of nursing did not follow medication administration rights or facility policy when administering insulin to resident 1. The director also failed to document a wound assessment timely for resident 4 and two certified medication aides performed duties outside their certified skill set.
F 0760: The facility failed to keep resident 1 free from a significant medication error when the director of nursing administered an incorrect insulin dose, giving 55 units of Humalog instead of 62 units of Lantus.
Report Facts
Insulin dosage error: 7
Blood glucose readings: 215
Blood glucose readings: 143
Blood glucose readings: 115
Blood glucose readings: 123
Blood glucose readings: 118
BIMS score: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DON B | Director of Nursing | Named in medication error involving incorrect insulin administration and failure to document wound assessment timely. |
| CMA C | Certified Medication Aide | Documented pain and psychotropic medication assessments outside scope of practice. |
| CMA D | Certified Medication Aide | Documented antipsychotic medication side effects and pain assessments outside scope of practice. |
Inspection Report
Routine
Deficiencies: 2
Date: Mar 7, 2024
Visit Reason
The inspection was conducted to assess compliance with healthcare regulations, focusing on care plan accuracy and kitchen sanitation standards at Prairie Heights Healthcare.
Findings
The provider failed to remove outdated code status information from resident care plans, causing potential confusion. Additionally, the kitchen and rehabilitation kitchenette were found to have multiple sanitation deficiencies including grease buildup, food residue, and improper storage practices.
Deficiencies (2)
F 0657: The provider failed to remove outdated code status information from 9 of 62 resident care plans, listing both Full Code and Do Not Resuscitate (DNR) statuses, potentially causing confusion.
F 0812: The provider failed to maintain clean and sanitary conditions in the kitchen and rehab kitchenette, including grease buildup on appliances, sticky substances in refrigerators, and improper storage of scoops in bulk food containers.
Report Facts
Residents with outdated code status: 9
Resident care plans reviewed: 62
Employees mentioned
| Name | Title | Context |
|---|---|---|
| F | Registered Nurse (RN) | Interviewed regarding advanced directives and code status process |
| C | Social Services Designee (SSD) | Interviewed about updating resident care plans and code status information |
| E | Minimum Data Set (MDS) Coordinator | Interviewed about care plan updates and code status expectations |
| B | Director of Nursing | Interviewed about care plan update responsibilities and expectations |
| A | Administrator | Interviewed about awareness and approval of care plan code status information |
| D | Food Services Manager (FSM) | Interviewed about kitchen cleaning responsibilities and logs |
| G | Cook | Interviewed about cleaning schedules and practices |
| I | Dietary Aide (DA) | Interviewed about daily cleaning tasks and log compliance |
| H | Dietary Aide (DA) | Interviewed about cleaning tasks and log compliance |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: May 10, 2023
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at Prairie Heights Healthcare.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Feb 8, 2023
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at Prairie Heights Healthcare.
Findings
No health deficiencies were found during the inspection.
Viewing
Loading inspection reports...
