Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Prairie Ridge Care Center during CMS and state inspections, most recent first.
Twenty-five residents were not served bread or margarine at lunch as required by the posted menu. Staff interviews revealed that bread was not included on the menu sign, was not sent from the kitchen, and was not pureed for those on modified diets. Dietary and administrative staff confirmed the expectation that bread and butter should have been served to all residents, and facility policy required adherence to the planned menu.
Staff failed to perform appropriate hand hygiene during meal preparation, including handling bowls and food with ungloved hands and not washing hands between tasks, contrary to facility policy and professional standards.
Staff failed to consistently use Enhanced Barrier Precautions, such as gowns and gloves, during high-contact care activities for residents with wounds or indwelling medical devices, and did not perform proper hand hygiene during medication administration. These lapses occurred during wound care, catheter care, tube feeding, and medication administration, despite facility policy and CDC guidance requiring these infection control measures.
A resident reported that food was sometimes served cold, and observation confirmed that several food items were served below the expected temperature standard. Staff who did not usually serve meals took food temperatures after service and did not record them, and the facility lacked a written policy on food holding temperatures.
A facility failed to report an alleged abuse incident involving a resident with dementia, where a CNA was accused of spraying the resident's face with a showerhead. The incident was not reported to the Iowa Department of Inspections & Appeals and Licensing (DIAL) within the required timeframe, as the DON believed it was a miscommunication and no abuse occurred. This oversight violated the facility's policy on timely reporting of abuse allegations.
The facility failed to use universal infection control measures and Enhanced Barrier Precautions (EBP) during the care of three residents. A CNA did not follow proper hand hygiene and glove use protocols while draining a Foley bag, an LPN performed wound care without using EBP, and another LPN administered medications and formula through a feeding tube using only gloves as EBP. Staff interviews revealed a lack of awareness and understanding of EBP, and the facility opted not to implement EBP measures, believing they were not mandatory.
Failure to Follow Menu and Serve Required Bread and Margarine at Lunch
Penalty
Summary
During a lunch meal service, 25 residents residing in [NAME] Run Cottage were not served bread or margarine as required by the facility's posted menu for that day. Continuous observation confirmed that neither bread nor margarine was provided to these residents. Staff interviews revealed inconsistencies in the process: the Assistant Activities Director did not include bread on the menu sign and did not offer it to residents, and the kitchen did not send bread for the meal. Additionally, a staff member responsible for preparing pureed diets admitted to not pureeing bread for residents requiring such diets, stating she felt the menu already had enough items and typically followed the menu only if she deemed it necessary. Further interviews with dietary and nursing staff confirmed that bread was inconsistently sent and offered, with some staff indicating it was only provided every other day. The Certified Dietary Manager and the Administrator both acknowledged that the facility's expectation was for bread and butter to be served to all residents, including those on pureed diets, and that the menu should have been followed as written. Review of facility policy and menu documents confirmed that bread and margarine were required components of the meal, and the failure to serve them resulted in the residents not receiving meals that met their planned nutritional needs.
Failure to Perform Proper Hand Hygiene During Food Preparation
Penalty
Summary
Staff E failed to follow professional standards for hand hygiene during meal preparation. Observations showed that after completing hand hygiene, Staff E handled multiple bowls by placing ungloved fingers inside them before serving food, and repeated this process with both mechanical soft and pureed Swiss steak. Staff E also handled bowls and food items with gloved and ungloved hands without performing hand hygiene between tasks, such as after removing gloves and before touching ready-to-eat foods. These actions occurred while preparing and serving various food items, including Swiss steak, peas, and peach pie, for residents. Interviews with the Certified Dietary Manager and the Administrator confirmed that facility expectations and policy require hand hygiene before and after gloving, after contact with contaminated surfaces, and before handling food or clean equipment. The facility's hand washing policy, effective 12/29/23, specifies that food employees must clean their hands and exposed portions of their arms immediately before engaging in food preparation and as often as necessary to prevent cross-contamination. The observed failure to adhere to these standards during food preparation led to the deficiency.
Failure to Implement Infection Prevention and Enhanced Barrier Precautions
Penalty
Summary
Surveyors identified multiple failures in infection prevention and control practices during the provision of personal care and medical device management for several residents. Staff did not consistently use Enhanced Barrier Precautions (EBP), such as donning gowns and gloves, during high-contact care activities for residents with indwelling medical devices or open wounds. For example, one resident with a suprapubic catheter and a stage 2 pressure ulcer was observed receiving care without staff wearing the required gown or gloves, despite the resident being at increased risk for infection. The resident had declined EBP, and the facility honored this choice after providing education and obtaining a signed risk agreement. Another resident with severe cognitive impairment and an unhealed stage 3 pressure ulcer received a wound dressing change from an LPN who did not use EBP. Similarly, a resident with an indwelling catheter had their catheter bag emptied by a CNA without the use of EBP. A resident with a feeding tube also received tube feeding administration without staff donning the appropriate barrier precautions, even though staff acknowledged awareness of EBP requirements for residents with medical devices. The facility's policy and CDC guidance both specify that EBP, including gown and glove use, is required for residents with wounds or indwelling medical devices during high-contact care activities. Additionally, staff failed to perform proper hand hygiene during medication administration. An RN was observed assisting multiple residents with medication and handling medication cups and water without performing hand hygiene between residents, despite the facility's policy requiring hand hygiene before and after each direct resident contact. These lapses in infection control practices were observed across several staff members and care activities, directly contravening facility policy and CDC recommendations.
Failure to Serve Food at Safe and Appetizing Temperatures
Penalty
Summary
The facility failed to provide food at an appetizing and safe temperature to one resident. Resident #17, who was cognitively intact as indicated by a BIMS score of 15, reported that food was sometimes served cold, though this occurred less than weekly. During an observation, lunch was served by the Assistant Activities Director, who did not typically serve meals. After the meal was served, food temperatures were taken and found to be below the facility's expected standard of 135 degrees for several items, with peas at 112 degrees and cauliflower at 119 degrees. The staff member acknowledged that the temperatures were not adequate and that she did not keep track of the food temperatures obtained. Further interviews revealed that the Certified Dietary Manager expected staff to check food temperatures prior to service and to ensure food was held at or above 135 degrees. The Administrator confirmed the expectation that food temperatures be maintained above 135 degrees until after meal service was completed. However, it was also noted that the facility did not have a written policy on food holding temperatures. The deficiency was identified through observation, resident and staff interviews, and review of facility practices.
Failure to Report Alleged Abuse in a Timely Manner
Penalty
Summary
The facility failed to report an allegation of abuse to the Iowa Department of Inspections & Appeals and Licensing (DIAL) within the required timeframe. The incident involved a resident with dementia, anxiety disorder, and non-traumatic brain dysfunction, who was reported to have been sprayed in the face with a showerhead by a CNA during a shower. The CNA allegedly did this in response to the resident's aggressive behavior. The incident was initially reported by another CNA to the Director of Nursing (DON) after overhearing a conversation about the event. The facility's investigation, led by the DON, involved interviews with the staff members involved. The CNA accused of the action stated that the water accidentally sprayed the resident's face due to the resident's movements and denied any intentional harm. Despite the facility's policy requiring immediate reporting of such allegations to DIAL, the DON decided not to report the incident, believing it to be a result of miscommunication among the CNAs and determining that no abuse had occurred. The facility's policy mandates that any allegations of abuse, neglect, or mistreatment be reported to the appropriate authorities within two hours if serious bodily injury is involved, or within 24 hours otherwise. The failure to report this incident to DIAL within the specified timeframe constitutes a deficiency in adhering to regulatory requirements. The DON later acknowledged the oversight and expressed an intention to report all future allegations of abuse to DIAL.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to use universal infection control measures and Enhanced Barrier Precautions (EBP) during the care of three residents. For Resident #4, a Certified Nurse Assistant (CNA) did not follow proper hand hygiene and glove use protocols while draining a Foley bag. The CNA placed an alcohol wipe packet directly on the floor, reused the same alcohol wipe multiple times, and did not wear a gown as required by EBP. The CNA also rearranged the resident's blanket without removing gloves or performing hand hygiene. The CNA reported a lack of knowledge about EBP requirements and had not received education on the matter. The Director of Nursing (DON) confirmed that the facility opted not to implement EBP measures, believing they were not mandatory and interfered with a home-like environment for residents. The facility's Catheter Care policy, last revised in August 2019, instructed staff to remove gloves and perform hand hygiene after emptying a catheter bag, which was not followed in this instance. For Resident #83, a Licensed Practical Nurse (LPN) performed wound care without using EBP. The LPN placed wound care supplies on the floor without a barrier and used gloved hands to balance on the floor, picking up supplies and continuing wound care without changing gloves. The LPN was unaware of any residents under EBP and did not follow proper infection control protocols. The Cottage Leader confirmed that wound care supplies should not be placed on the floor and that appropriate equipment was available for use. For Resident #30, an LPN administered medications and formula through a feeding tube using only gloves as EBP. The LPN did not use additional protective equipment such as gowns. Interviews with staff revealed a lack of awareness and understanding of EBP. The facility's policy on infection control, revised in April 2024, outlined the use of PPE during high-contact resident care activities to prevent the spread of multidrug-resistant organisms (MDROs). However, the DON stated that the facility did not implement EBP as they believed it was not mandatory and had reviewed residents who would meet the requirements for EBP, finding none colonized with an MDRO.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Orange City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Crown Pointe Estates Care Center | 7.1 mi | ★★★★★ | 0 | 0 |
| Pleasant Acres Care Center | 13.1 mi | ★★★★★ | 14 | 0 |
| Happy Siesta Health Care Center | 14.6 mi | ★★★★★ | 0 | 0 |
| Good Samaritan - Lemars | 15.6 mi | ★★★★★ | 3 | 0 |
| Sanford Senior Care Sheldon | 15.6 mi | ★★★★★ | 8 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.