Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Prairie Vista Village during CMS and state inspections, most recent first.
A resident with non-Alzheimer's dementia and mood disorder was receiving multiple psychotropic medications, including an antipsychotic and antidepressants, but the facility could not provide consent forms showing the resident or representative was informed about the risks, benefits, and alternatives. The only consent form available was signed for another resident, and the facility policy required collaboration with the resident or representative and information about the medication regimen's risks and benefits.
Inconsistent CPR/DNR code status documentation was found for one resident whose I-POST showed DNR while the EHR listed CPR/attempt resuscitation, and two other residents whose I-POST and EHR both showed DNR. Staff also used door magnets to show code status, including a shared room door with both green and red magnets, and an RN and LPN described multiple sources used to identify code status.
An LPN repeatedly documented PRN opioid pain meds for two cognitively intact residents with chronic pain, but both residents denied receiving the meds and said they slept through the night. The MARs showed the LPN was the only staff member documenting the PRNs, and the chart lacked supporting pain assessments, sleep impact details, non-pharmacologic interventions, or physician notification. Video review showed the LPN obtaining the pain meds and entering the residents’ rooms at the documented times.
A resident with dementia and total transfer dependence slid out of a mechanical lift sling during a wheelchair-to-bed transfer after staff used the wrong sling size. Staff reported the sling was already in the wheelchair, the resident became restless and grabbed the sling, and she then slipped through an opening created by the crossed leg straps. The RN and DON believed the sling was too large, and the resident’s care plan called for a medium/purple sling.
The facility was found deficient in food storage and handling practices. Observations revealed improperly stored food items in the refrigerator and freezer, such as unsealed and undated ham slices and unlabeled meat products. During a meal service, a dietary aide failed to follow proper hand hygiene and food handling procedures, wearing the same gloves for multiple tasks without changing them or performing hand hygiene. These actions were against the facility's policy and expectations for food service safety.
A resident with severe cognitive impairment experienced falls due to staff not following the care plan for transfers. The care plan required an EZ stand lift and two staff for transfers, but staff failed to adhere to these directives, resulting in falls. Interviews revealed confusion and lack of awareness among staff regarding the updated care plan.
Failure to Provide Psychotropic Medication Information and Consent
Penalty
Summary
The facility failed to ensure that one resident reviewed for medications was provided information and education regarding the risks and benefits of psychotropic medications, as well as choice of alternatives and options. Resident #36 had diagnoses including non-Alzheimer's dementia and mood disorder, with a BIMS score of 11 indicating moderate cognitive impairment. The resident's MDS coded use of high-risk medications including antipsychotic, antianxiety, and antidepressant medications, and the care plan noted daily psychotropic and antipsychotic use related to mood disorder and a history of alcohol dependence. The MAR for May 2026 documented orders for multiple psychotropic medications, including olanzapine 10 mg daily, olanzapine 5 mg as needed, mirtazapine 15 mg daily, trazodone 75 mg nightly, and melatonin 5 mg daily. A Psychoactive Medication Therapy Informed Consent form signed on 2/20/26 was provided for Resident #35 rather than Resident #36, and the facility could not provide any other consent forms. The Administrator stated on 5/21/26 that a plan would be developed to improve the process for ensuring consent forms under the new regulations. The facility policy stated that medication regimen and associated treatment goals involve collaboration with the resident or representative and include information about the risks and benefits of the medication regimen.
Inconsistent CPR/DNR Code Status Documentation
Penalty
Summary
The facility failed to ensure consistency in code status documentation and identifiers for 3 of 16 residents reviewed for advance directives. Resident #4 had an I-POST documenting DNR, signed by the resident and the medical provider, but the electronic record profile and order summary listed the code status as CPR/attempt resuscitation. Resident #36 and Resident #40 each had I-POST documents showing DNR with signature dates, and their electronic record profile and order summary also listed DNR. Observations on two dates revealed circled magnets on the shared door for Resident #36 and Resident #40, with a green circle used to designate CPR and a red circle used to designate DNR. An RN stated that resident code status was identified through the binder with I-POST documents, the electronic record, or the door magnets. An LPN stated that the electronic record profile and order summary were used for advance directives and that the door magnets also reflected code status, and identified the green magnet on the shared room door as indicating Resident #40's choice for CPR. The Administrator agreed that code status should be consistent to ensure residents' wishes are followed.
LPN Documented PRN Pain Medications That Residents Denied Receiving
Penalty
Summary
The facility failed to ensure two cognitively intact residents were free from exploitation when an LPN repeatedly documented PRN hydrocodone-acetaminophen administrations that the residents later denied receiving. Resident #10 had intact cognition, chronic right leg pain from a ruptured quadricep muscle, osteoarthritis of the knees, and scheduled opioid pain medication with PRN hydrocodone-acetaminophen available. Resident #18 also had intact cognition, chronic right knee pain related to a meniscus tear, osteoarthritis, osteoporosis, and decreased mobility, with scheduled opioid pain medication and PRN hydrocodone-acetaminophen available. Both residents were able to communicate their needs and were described as generally sleeping through the night. For Resident #10, the MAR showed multiple PRN hydrocodone-acetaminophen administrations in September and October, all entered by Staff E, with no other staff documenting those doses. The chart contained little or no supporting documentation for the PRN use, including no explanation of pain location, effect on sleep, non-pharmacological interventions, or physician notification despite repeated use. Resident #10 later stated they typically slept through the night, did not recall asking Staff E for PRN pain medication, and did not believe Staff E brought pain medication and took it away. Staff A reported noticing a pattern of PRN use by Staff E, including when Staff E worked day shift and later overnight shift. For Resident #18, the MAR also showed repeated PRN hydrocodone-acetaminophen administrations in September and October, all entered by Staff E, with no other staff documenting those doses. Several entries lacked a pain rating, and the record did not include further documentation about pain location, sleep impact, or non-pharmacological interventions. Resident #18 later stated they had constant knee pain but did not ask for additional pain medication at night and did not recall Staff E waking them or asking about pain. Staff F observed that the resident was receiving nighttime pain pills from Staff E and, after speaking with the resident, reported the resident denied needing or receiving those medications. Facility review of video footage showed Staff E obtaining resident pain medications and entering the residents’ rooms at the documented administration times, while the residents denied receiving the medications.
Incorrect Mechanical Lift Sling Used During Transfer
Penalty
Summary
The facility failed to protect a resident from an accident during a mechanical lift transfer when the correct sling size was not used. Resident #7 had dementia, was severely cognitively impaired for daily decision making, weighed 147 pounds, and was dependent on staff for all transfers. The care plan directed staff to use a mechanical lift with two staff members and, as updated, a medium/purple sling with a weight capacity of 125-200 pounds. During the incident, the resident was being transferred from a wheelchair to a bed when the resident slid out of the sling and landed on the floor on her back, with no signs or symptoms of pain or injury noted at the time. The facility’s investigation identified that the incorrect mechanical lift sling size had been used and that staff did not verify the correct sling size needed for the resident. Staff interviews described that the sling in use was already in the wheelchair, that the resident became restless and grabbed the sling, and that she then slid out through an opening created when the leg straps were crossed and hooked to the lift. The nurse responding to the incident believed the sling was too large for the resident, and the DON confirmed the sling color was not purple and may have been green, while also stating the resident had always used a medium sling for transfers.
Deficiencies in Food Storage and Handling Practices
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a survey. In the kitchen, the refrigerator contained improperly stored food items, including unsealed and undated ham slices sitting in their own juices, an open container of whipping cream without a label, and a sealed but unlabeled and undated bag of an unknown food product. The walk-in freezer also contained improperly stored items, such as unlabeled, undated, and unsealed bags of hamburger patties and meat chunks. These observations indicate a failure to follow the facility's policy, which requires all foods stored in the refrigerator or freezer to be covered, labeled, and dated. Additionally, during a breakfast meal service, a dietary aide was observed not following proper hand hygiene and food handling procedures. The aide wore gloves while checking food temperatures, handling serving utensils, and serving food, but did not change gloves between tasks or perform hand hygiene. The aide touched various surfaces, including menu slips and food items, with the same gloves, which is against the facility's expectations for food service. Interviews with staff confirmed that gloves should not be worn during food service, and hand hygiene should be performed before and after service, as well as when hands are visibly soiled.
Failure to Follow Care Plan Leads to Resident Falls
Penalty
Summary
The facility staff failed to adhere to the care plan for a resident, leading to improper transfer procedures and falls. The resident, who had severe cognitive impairment and required substantial assistance for transfers, experienced two incidents where the care plan was not followed. The first incident involved a CNA transferring the resident without a gait belt and with improper footwear, resulting in the resident's legs buckling and a fall. The second incident occurred when a CNA attempted a stand pivot transfer without using the required EZ stand lift and assistance of two staff, leading to the resident being lowered to the floor. The resident's care plan was revised to include the use of an EZ stand lift and assistance of two staff for all transfers, except for toileting, where a front-wheeled walker and assistance of one staff were to be used. Despite these directives, staff failed to follow the updated care plan, resulting in falls. The physical therapy discharge summary recommended the use of an EZ stand and two staff for transfers, but this was not consistently implemented by the staff. Interviews with staff revealed a lack of awareness and adherence to the updated care plan. Some staff relied on outdated pocket care plans, and there was confusion about the resident's transfer status. The CNA involved in the second incident did not realize the transfer status had changed and did not check the care plan, leading to the improper transfer. The facility's Director of Nursing confirmed that falls were investigated, and interventions were put in place, but the incidents highlighted a failure to consistently follow the care plan directives.
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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 Altoona
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Altoona Nursing And Rehabilitation Center | 1 mi | ★★★★★ | 20 | 0 |
| Parkridge Specialty Care | 2.9 mi | ★★★★★ | 13 | 0 |
| Valley View Village | 5.5 mi | ★★★★★ | 15 | 0 |
| Trinity Center At Luther Park | 6.8 mi | ★★★★★ | 17 | 1 |
| Azria Health Park Place | 7.5 mi | ★★★★★ | 18 | 1 |
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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 October 2026) and official state health department websites.