Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
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 Village Nursing And Rehabilitation during CMS and state inspections, most recent first.
The facility failed to ensure RN services were available for at least 8 consecutive hours a day, seven days a week. On one day, an RN called in sick and was replaced by an LPN, resulting in no RN coverage for the required hours. The DON confirmed the absence of a specific policy for RN coverage but stated that the facility followed state regulations.
The facility failed to complete quarterly care plan conferences for several residents, including those with epilepsy, blindness, and schizophrenia. The Social Services Director admitted to being unable to complete the conferences due to being out, and the Director of Nursing provided a policy indicating that each resident should have a comprehensive care plan developed and implemented based on the Resident Assessment Instrument (RAI) process.
The facility failed to ensure proper storage of medications, including an unlocked narcotic box and expired, unlabeled medications in a treatment cart. Staff interviews confirmed that these practices were against the facility's Medication Storage Policy.
The facility failed to ensure a safe and sanitary environment, with staff not donning PPE before care, uncovered wash basins and urinals, and improper storage of linens. A resident with severe conditions received wound care without required precautions, and staff showed a lack of adherence to infection control protocols.
The facility failed to respect the dignity and grooming preferences of two female residents by not shaving their legs on shower days, despite their requests. Both residents were cognitively intact and required assistance with ADLs, but their care plans for grooming were not followed.
A resident with chronic obstructive pulmonary disease was found with a Ventolin inhaler and an empty albuterol inhaler on his nightstand without a current physician's order, care plan, or assessment for self-administration. An LPN confirmed the lack of proper authorization and assessment, contrary to the facility's policy.
The facility failed to develop and implement comprehensive care plans for several residents, leading to deficiencies in medication management and fall prevention. One resident lacked a care plan for antiplatelet medication and had issues with oxygen therapy maintenance. Another resident was frequently observed without non-skid socks, increasing fall risk. A third resident also lacked a care plan for antiplatelet medication, despite being administered aspirin for heart health.
Failure to Ensure RN Coverage for Required Hours
Penalty
Summary
The facility failed to ensure the services of a Registered Nurse (RN) were available for at least 8 consecutive hours a day, seven days a week. Specifically, on 4/21/24, there was no RN coverage for 8 consecutive hours. The Director of Nursing (DON) confirmed that an RN was scheduled for that day but called in sick and was replaced with a Licensed Practical Nurse (LPN). The DON acknowledged that there should be an RN in the building for the required hours and admitted that the facility did not have a specific policy for RN coverage but followed state regulations.
Failure to Complete Quarterly Care Plan Conferences
Penalty
Summary
The facility failed to ensure quarterly care plan conferences were completed for several residents. Resident 22, diagnosed with epilepsy and cognitively intact, had their most recent care plan conference on 9/6/23, despite a Quarterly MDS Assessment dated 2/28/24. Resident 2, diagnosed with blindness and whose cognition status could not be assessed, had their most recent care plan conference on 9/20/23, despite an Annual MDS Assessment dated 2/21/24. Resident 13, diagnosed with schizophrenia and cognitively intact, had their most recent care plan conference on 8/28/23, despite an Annual MDS Assessment dated 4/24/24. Resident 13 was unsure if care plan conferences were being held, and the Social Services Director (SSD) admitted to being unable to complete them due to being out. The SSD confirmed that care plan conferences should be done at least quarterly. Resident 1, diagnosed with anemia, thyroid disorder, and schizophrenia, had a Significant Change MDS indicating moderate cognitive impairment, but their clinical record lacked any care plans before or after 9/20/23. The SSD confirmed that care plan conferences should be completed quarterly. The Director of Nursing (DON) provided a policy indicating that each resident should have an interdisciplinary comprehensive person-centered care plan developed and implemented based on the Resident Assessment Instrument (RAI) process. The facility's failure to adhere to this policy resulted in the identified deficiencies.
Improper Storage of Medications
Penalty
Summary
The facility failed to ensure proper storage of medications in one of two medication carts and one medication storage room. Specifically, the narcotic box in the 100/400 Hall medication cart was observed to be unlocked. Additionally, the treatment cart in the E Hall medication storage room contained two unlabeled 15-gram bottles of nystatin topical powder with expired dates, two opened but undated bottles of ammonium lactate lotion, three expired tubes of clotrim betameth cream, and two tubes of medihoney gel from residents who had passed away. These observations were made during a survey on 5/1/24. During interviews, a Registered Nurse confirmed that the narcotic cart should be locked when not in use, and a Licensed Practical Nurse indicated that expired medications or those from deceased residents should be removed and either returned to the pharmacy or disposed of. The facility's Medication Storage Policy, revised on 8/7/23, mandates that Schedule II-V Controlled Substances be stored in a separate compartment within locked medication carts and that expired or contaminated medications be stored separately until destroyed or returned. The policy also requires that medications be labeled properly and dated when opened.
Infection Control Deficiencies
Penalty
Summary
The facility failed to ensure a safe and sanitary environment to help prevent the development and transmission of diseases and infections. During multiple observations, staff did not don personal protective equipment (PPE) before performing care. Uncovered wash basins, urinals, and a plunger were found in various locations, including on the floor and hanging on trashcans. Linens were also found uncovered in a bathroom. These observations were made in the rooms of several residents, including Resident 1, Resident 34, Resident 41, and Resident 45, indicating a widespread issue with infection control practices. Resident 45, who had diagnoses including congestive heart failure, diabetes mellitus type II with bilateral foot ulcers, and pressure ulcers on the left foot, was observed receiving wound care without the staff wearing gowns, despite Enhanced Barrier Precautions (EBP) being indicated. The resident's clinical record and physician's orders required specific wound care procedures, including the use of gowns and gloves for high-contact activities. However, staff failed to adhere to these precautions, and the Infection Preventionist confirmed that EBP should have been followed. Additionally, the facility's policies on the storage and handling of urinals and linens were not followed. Uncovered and soiled urinals with strong odors were found hanging on trashcans, and clean linens were improperly stored in resident rooms and bathrooms. Interviews with staff, including the Housekeeping Supervisor and Infection Preventionist, revealed a lack of knowledge and adherence to proper infection control protocols. The facility's policies clearly stated the need for proper storage and handling to prevent the spread of infection, but these were not implemented effectively.
Failure to Respect Resident Dignity and Grooming Preferences
Penalty
Summary
The facility failed to ensure that two female residents were treated with respect and dignity by not shaving their legs on their shower days, despite their requests. Resident 14 reported during a Resident Council Meeting that staff would not shave her legs in the shower, which prevented her from wearing shorts. She mentioned that she had asked several times, but the CNAs would promise to return and never did. Resident 14's clinical record indicated she was cognitively intact and required extensive assistance for various activities of daily living (ADLs). Her care plan included assistance with bathing and grooming as needed per her preference, but this was not adhered to in practice. Similarly, Resident 31 indicated during the same Resident Council Meeting that staff did not have time to shave her legs while they were standing at the desk talking. She mentioned that she wanted her legs shaved but was told by staff that they didn't have time on shower days. Resident 31's clinical record also showed she was cognitively intact and required supervision and extensive assistance for ADLs. Her care plan included similar interventions for bathing and grooming. Interviews with a QMA and a CNA revealed that while they did shave residents who needed it, they did not always fulfill specific requests, such as shaving women's legs, unless explicitly asked. The facility's Resident Rights Policy emphasized recognizing residents' rights at all times, which was not upheld in these instances.
Failure to Assess Resident for Self-Administration of Medications
Penalty
Summary
The facility failed to ensure that a resident who was self-administering medications was properly assessed for their capability to do so. Resident 13, who has a diagnosis of chronic obstructive pulmonary disease, was observed with a Ventolin inhaler and an empty albuterol inhaler on his nightstand. The resident indicated that he used the inhaler twice a day. However, there was no current physician's order allowing the resident to self-administer the medication, no care plan related to self-administration, and no assessment of the resident's ability to self-administer medications. Licensed Practical Nurse (LPN) 5 confirmed that Resident 13 had an order for as-needed Ventolin but noted that the order did not specify that the inhaler could be kept at the bedside. The facility's policy on self-administration of medications requires an interdisciplinary team assessment and a physician's order specifying the resident's ability to self-administer medications. Additionally, all bedside medications are required to be stored in a secured location, which was not the case for Resident 13.
Deficiencies in Care Plan Implementation and Medication Management
Penalty
Summary
The facility failed to develop and implement comprehensive person-centered care plans for several residents, leading to deficiencies in medication management and fall prevention. Resident 13, who was on oxygen therapy and antiplatelet medication, did not have a care plan for the antiplatelet medication. Additionally, the oxygen concentrator filter was not cleaned, and the oxygen tubing was not changed as ordered. The resident's clinical record indicated the need for these interventions, but they were not consistently followed, as evidenced by the observations and interviews with staff members. Resident 2, diagnosed with cerebral palsy, diabetes mellitus type II, and blindness, was observed multiple times without non-skid socks, despite a care plan intervention requiring them. The resident was noted to frequently stand up without staff assistance, increasing the risk of falls. Staff interviews revealed that the resident often refused to wear the non-skid socks, but there was no consistent effort to ensure compliance with the care plan. Resident 16, with severe cognitive impairment and multiple diagnoses including chronic diastolic heart failure and atherosclerotic heart disease, also lacked a care plan for antiplatelet medication. The resident was administered aspirin for heart health, but this was not reflected in the care plan. The Director of Nursing confirmed the absence of a policy for following care plan interventions or provider orders, despite the facility's policy requiring comprehensive person-centered care plans for each resident.
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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 Washington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hillside Manor Nursing Home | 0.6 mi | ★★★★★ | 31 | 1 |
| Eastgate Manor Nursing And Rehabilitation | 1.3 mi | ★★★★★ | 0 | 0 |
| Villages At Oak Ridge, The | 1.9 mi | ★★★★★ | 1 | 0 |
| Amber Manor Care Center | 13.1 mi | ★★★★★ | 4 | 0 |
| Brickyard Healthcare - Petersburg Care Center | 13.5 mi | ★★★★★ | 13 | 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.