Inspection Report
Follow-Up
Deficiencies: 0
Dec 10, 2025
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-11-18.
Findings
All deficiencies have been corrected as of the compliance date of 2025-12-10, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Renewal
Census: 28
Deficiencies: 7
Nov 18, 2025
Visit Reason
The inspection was a Re-Licensure survey with complaint investigations conducted at Prairie Homestead Assisted Living on 11/17/25 and 11/18/25.
Findings
The survey identified multiple deficiencies including failure to develop and revise negotiated service agreements reflecting residents' service needs and outside services, failure to complete assessments for residents self-administering medications, improper documentation of selected medications for self-administration, medication administration by a Certified Medication Aide with a lapsed certification, and improper storage of residents' self-administered medications. Additionally, employee records lacked timely verification of licensure for a newly hired licensed nurse.
Complaint Details
The visit included complaint investigations KS00196683 as part of the re-licensure survey.
Severity Breakdown
SS=E: 5
SS=D: 1
SS=F: 1
Deficiencies (7)
| Description | Severity |
|---|---|
| Failure to ensure negotiated service agreements described services residents received based on their functional capacity and service needs, including outside services such as podiatry. | SS=E |
| Failure to review and revise negotiated service agreements following significant changes in residents' service needs related to skilled nursing and therapy services. | SS=E |
| Failure to complete assessments by a licensed nurse for residents self-administering medications to ensure safe and accurate self-administration. | SS=E |
| Failure to include selected medications residents chose to self-administer in the negotiated service agreement. | SS=D |
| Failure to ensure only licensed nurses or certified medication aides administered medications; a CMA administered medications with a lapsed certification. | SS=E |
| Failure to ensure medications self-administered by residents were stored in a place accessible only to the resident, licensed nurses, and medication aides. | SS=E |
| Failure to have evidence of licensure verification for a newly hired licensed nurse prior to working at the facility. | SS=F |
Report Facts
Census: 28
Number of sampled residents: 3
Number of focused record reviews: 2
Date of expired CMA certification: Jul 26, 2025
Date of CMA reactivation: Aug 5, 2025
Date hired for Licensed Nurse C: Oct 28, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director A | Executive Director | Named in relation to failure to ensure proper medication administration and licensure verification. |
| Administrative Nurse B | Administrative Nurse | Interviewed regarding deficiencies related to negotiated service agreements, medication assessments, and medication administration. |
| Certified Medication Aide E | Certified Medication Aide | Named for administering medications with a lapsed certification. |
| Licensed Nurse C | Licensed Nurse | Named for lack of licensure verification upon hire. |
Inspection Report
Renewal
Deficiencies: 0
Nov 17, 2025
Visit Reason
The document is a Plan of Correction related to a Re-Licensure survey with complaint investigations conducted at an Assisted Living facility on 11/17/25 and 11/18/25.
Findings
The citations represent findings from the Re-Licensure survey and complaint investigations conducted at the facility on the specified dates.
Complaint Details
The visit included complaint investigations identified as KS00196683.
Inspection Report
Follow-Up
Deficiencies: 0
May 6, 2024
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-04-09.
Findings
All deficiencies have been corrected as of the compliance date of 2024-05-04, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Renewal
Deficiencies: 0
Apr 8, 2024
Visit Reason
The document is a Plan of Correction related to a Re-Licensure Survey conducted for an Assisted Living facility on April 8 and 9, 2024.
Findings
The Plan of Correction references findings from the Re-Licensure Survey but does not detail specific deficiencies or findings within this document.
Inspection Report
Renewal
Census: 29
Deficiencies: 3
Apr 8, 2024
Visit Reason
The inspection was a Re-Licensure Survey conducted on 04/08/2024 and 04/09/2024 for Prairie Homestead Assisted Living facility.
Findings
The survey identified multiple deficiencies including failure to document all incidents and symptoms for a resident, improper food storage practices, and non-compliance with tuberculosis screening guidelines for residents and new employees.
Severity Breakdown
SS=D: 1
SS=F: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure documentation of all incidents, symptoms, and other indications of illness or injury including date, time, action taken, and results for one resident related to increased edema and medication changes. | SS=D |
| Failure to store all food under safe and sanitary conditions; observed unsealed and undated food items in the freezer. | SS=F |
| Failure to comply with tuberculosis guidelines including lack of TB symptom screening and two-step TB skin tests for one resident and five newly hired employees. | SS=F |
Report Facts
Census: 29
Sampled residents: 3
Newly hired employees reviewed: 5
Inspection Report
Follow-Up
Deficiencies: 0
Jan 12, 2023
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2022-12-15.
Findings
All deficiencies have been corrected as of the compliance date of 2023-01-10, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Report Facts
Previous deficiencies cited: 1
Inspection Report
Re-Inspection
Census: 30
Deficiencies: 3
Dec 15, 2022
Visit Reason
The inspection was a resurvey conducted on 12/14/22 and 12/15/22 to assess compliance with previously identified deficiencies at Prairie Homestead Assisted Living.
Findings
The facility failed to ensure that Resident 115's Negotiated Service Agreement included bed rails despite their use, and failed to have licensed nurse assessments regarding bed rail use and safety for Residents 115 and 116. Additionally, the facility did not maintain evidence of certification checks for four certified medication aides upon hire.
Severity Breakdown
SS=D: 2
SS=F: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Resident 115's Negotiated Service Agreement did not describe the provision of bed rails despite their documented use. | SS=D |
| Licensed nurse assessments for bed rail use, safety, and restraint status were not completed for Residents 115 and 116. | SS=D |
| Employee records lacked evidence of certification checks for four certified medication aides upon hire. | SS=F |
Report Facts
Census: 30
Number of sampled residents: 3
Number of certified staff lacking certification evidence: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nurse B | Licensed Nurse | Confirmed bed rail use and lack of bed rail assessments for Residents 115 and 116 |
| Administrative Staff A | Administrative Staff | Confirmed lack of registry check dates for certified medication aides C, D, E, and F |
Inspection Report
Plan of Correction
Deficiencies: 0
Dec 14, 2022
Visit Reason
The document represents a plan of correction following a resurvey of the assisted living facility conducted on 12/14/22 and 12/15/22.
Findings
The plan of correction addresses findings from the resurvey conducted on the specified dates; no specific deficiencies or findings are detailed in this document.
Inspection Report
Renewal
Deficiencies: 0
Mar 18, 2021
Visit Reason
The licensure resurvey was conducted on 03-17-21 and 03-18-21 at the assisted living facility to assess compliance for license renewal.
Findings
The inspection resulted in a finding of no deficiency citations.
Inspection Report
Routine
Deficiencies: 0
Jul 7, 2020
Visit Reason
The special infection control survey for COVID-19 was conducted at the facility on July 7, 2020.
Findings
The survey resulted in findings of no deficiency citations.
Inspection Report
Renewal
Deficiencies: 0
Mar 8, 2018
Visit Reason
The licensure resurvey of the assisted living facility was conducted on 3/7/18 and 3/8/18 as part of the renewal process.
Findings
The inspection resulted in no deficiency citations being found at the facility.
Inspection Report
Renewal
Deficiencies: 0
Apr 13, 2016
Visit Reason
The licensure resurvey of the assisted living facility was conducted on 4/12/16 and 4/13/16 as part of the renewal process.
Findings
The inspection resulted in no deficiency citations being found at the facility.
Inspection Report
Renewal
Deficiencies: 0
Apr 10, 2014
Visit Reason
The licensure resurvey of Prairie Homestead Assisted Living was conducted to assess compliance and determine if any deficiency citations were warranted.
Findings
The inspection resulted in a finding of no deficiency citations on 4-10-14.
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