Below 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 Grand Plains Skilled Nursing By Americare during CMS and state inspections, most recent first.
A resident with dementia and a history of wandering entered another resident's room and struck a cognitively and physically impaired resident in the head, causing visible injury. The incident occurred despite prior documentation of the resident's behavioral risks and care plan interventions. Staff responded after hearing yelling, and the injured resident's wife reported previous incidents of the same resident entering the room. The event was not reported to the State Agency as required by policy.
A resident with dementia and a history of wandering and behavioral symptoms struck another resident and the resident's wife. Despite being placed on one-on-one observation, the resident continued to enter other residents' rooms, creating ongoing risk for further abuse. The facility's interventions did not effectively prevent additional opportunities for harm before the resident was transferred to a behavioral health unit.
A resident entered another resident's room and attempted to strike both the resident and his wife, resulting in a red mark and later bruising on the resident's face. Staff and administrative personnel were notified, and EMS and law enforcement responded, but the required report to the State Agency was not made within the mandated timeframe, in violation of facility policy.
Surveyors found that kitchen staff failed to properly store, label, and date multiple food items, including ham, chicken products, tater tots, and French fries, and also kept expired lemon juice in storage. The Kitchen Manager acknowledged these practices were not in line with facility policy, resulting in unsanitary food storage and preparation conditions.
Staff did not consistently use required gowns and gloves during high-contact care for residents on Enhanced Barrier Precautions, despite clear signage and available supplies. Observations included CNAs and a nurse providing care such as toileting, catheter care, and tube feeding without appropriate PPE, and a CNA failing to change gloves after perineal care before touching other surfaces. Staff acknowledged either lack of education or failure to follow established protocols.
The facility did not ensure proper maintenance and monitoring of the dishwasher's sanitizing equipment, as staff lacked chlorine test strips to verify sanitizer levels and did not keep written logs of daily tests. The kitchen manager was unaware of the absence of test strips, and the facility could not provide a policy for maintaining equipment.
A resident who was dependent on staff for care and had an indwelling urinary catheter was repeatedly observed with the catheter drainage bag exposed to public view through an uncovered window, without a privacy cover. Staff interviews confirmed that privacy covers were expected, and facility policy required protection of resident dignity and privacy.
During an inspection, four dumpsters were found with open lids and one missing a lid, leaving trash cans uncovered. The Kitchen Manager was unaware of the requirement to keep trash covered, and administrative staff noted the dumpsters were city property. The facility also lacked a policy for garbage and refuse handling, resulting in unsanitary conditions that could attract pests.
Failure to Prevent Resident-to-Resident Abuse Resulting in Harm
Penalty
Summary
A deficiency occurred when a resident with moderately impaired cognition and a history of wandering and physical behavioral symptoms entered another resident's room and struck that resident, who was cognitively and physically impaired, in the head. The incident took place in the early morning hours, and staff responded after hearing yelling. The resident's wife, who was present, reported that the aggressor had hit her and attempted to hit her husband. The injured resident was found with a red area on the left side of his forehead, and staff documented the event in the electronic health record and witness statements. Prior to the incident, the resident who initiated the altercation had documented behaviors including wandering, rejection of care, and physical symptoms directed toward others. The care plan for this resident included interventions such as staff developing rapport, anticipating needs, and monitoring for signs of discomfort or distress. Despite these interventions, the resident was able to enter another resident's room multiple times, as reported by the injured resident's wife, who had previously redirected the resident out of the room on several occasions without incident. On the day of the event, the resident's wife was unable to prevent the physical altercation, resulting in harm to both herself and her husband. The facility's investigation included multiple staff and administrative witness statements, some of which noted visible injuries to the resident, while others did not observe marks or bruising. Staff interviews confirmed that the protocol for suspected resident-to-resident abuse was to separate the residents, ensure safety, notify the nurse, and document the incident. However, the administrative staff acknowledged that the incident was not reported to the State Agency as required by facility policy. The deficiency was cited at a scope and severity of G, indicating actual harm and fear or anxiety for the resident involved.
Failure to Prevent Further Resident-to-Resident Abuse After Initial Incident
Penalty
Summary
The facility failed to initiate adequate protective actions to prevent further resident-to-resident abuse after an incident in which a resident with moderately impaired cognition and a history of wandering and behavioral symptoms entered another resident's room and struck both the resident and the resident's wife. The resident who committed the abuse had documented diagnoses including unspecified dementia and had previously exhibited wandering and physical behavioral symptoms directed towards others. Despite being placed on one-on-one observation following the incident, the resident continued to wander into other residents' rooms, creating ongoing potential for harm. Facility records and interviews revealed that the resident's care plan identified risks such as invading others' space and disruptions in common areas, but the interventions implemented did not prevent further opportunities for abuse. The facility's policy required removal of the accused resident from contact with others and supervision by staff until assessment and treatment options were determined. However, documentation showed that one-on-one observation was inconsistently provided, with the resident's wife at times assuming this role, and the resident continued to have access to other residents' rooms until eventual transfer to a behavioral health unit.
Failure to Timely Report Resident-to-Resident Abuse to State Agency
Penalty
Summary
The facility failed to report an allegation of resident-to-resident abuse to the State Agency as required by regulation. On the morning of the incident, staff heard yelling and found one resident in another resident's room, where the intruding resident was observed attempting to strike the other resident and his wife. The wife reported being struck, and the resident who was the target of the aggression was found with a red mark on his forehead, with later reports of facial bruising. Multiple staff witness statements confirmed the aggressive behavior, and the nurse on duty notified administrative staff, EMS, and law enforcement. However, the incident was not reported to the State Agency within the required timeframe. The facility's policy required notification of the State Agency within 24 hours of such incidents, or within two hours if the incident met the definition of a crime or resulted in serious bodily injury. Despite these requirements and the presence of physical evidence of injury, administrative staff did not report the incident to the State Agency. Interviews confirmed that the administrative staff was aware of the reporting requirements but failed to comply, resulting in a deficiency related to the timely reporting of suspected abuse.
Failure to Store and Label Food Items Properly in Kitchen and Storage Areas
Penalty
Summary
Surveyors observed multiple instances of improper food storage and labeling practices in the facility's main kitchen, refrigerator, and dry food storage areas during an initial tour with the Kitchen Manager. Specifically, they found an unsealed and undated bag of ham open to air in the walk-in freezer, as well as undated and unlabeled bags of chicken patties, chicken nuggets, tater tots, and French fries. Additionally, eight bottles of lemon juice were found to be expired. The Kitchen Manager confirmed that staff are expected to label and date opened food items and acknowledged that the observed issues with undated, unlabeled, and unsealed items were unacceptable. The facility's own policy requires all foods stored in the refrigerator or freezer to be covered, labeled, and dated, and to be rotated using a first-in, first-out system. These failures resulted in the facility not storing, preparing, and serving food in a sanitary manner, which could potentially lead to food-borne illness among residents.
Failure to Adhere to Enhanced Barrier Precautions and Proper PPE Use
Penalty
Summary
Staff failed to follow Enhanced Barrier Precautions (EBP) protocols during the care of residents identified as requiring these infection control measures. Multiple observations revealed that Certified Nurse Aides (CNAs) and a Licensed Nurse (LN) did not wear gowns as instructed by signage on residents' doors when providing close contact care, such as toileting, catheter care, and PEG tube feeding. Staff members admitted to not being educated on the need for gowns during certain procedures or acknowledged that they should have worn the appropriate personal protective equipment (PPE) but did not do so. Supplies for PPE were available in hallway closets, and signage was present, but staff did not consistently adhere to the protocols outlined in the facility's EBP policy. Additionally, improper hand hygiene and glove use were observed during resident care. For example, a CNA was seen cleaning a resident's perineal area and then touching the resident's head, pillow, blanket, and oxygen tubing without changing gloves. The CNA confirmed awareness of the correct procedure but failed to implement it. These lapses in infection control practices occurred despite the facility's policy requiring targeted gown and glove use during high-contact care activities for residents at risk of multidrug-resistant organism transmission.
Failure to Maintain Dishwasher Sanitizing Equipment and Monitoring
Penalty
Summary
The facility failed to ensure the availability and proper maintenance of essential equipment in the kitchen, specifically related to the dishwasher's sanitizing function. During observation, the kitchen manager was found making sanitizer water that registered at 50 parts per million, but was unable to provide chlorine test strips to verify the chlorine level in the dishwasher. Interviews revealed that dietary staff were expected to test the sanitizer level daily, but there was no written log documenting these tests, and staff were trusted to perform them as expected. The kitchen manager was unaware of how long the kitchen staff had been without chlorine testing strips, and staff had not reported this issue. Additionally, the facility was unable to provide a policy related to maintaining properly functioning equipment, and failed to maintain mechanical equipment in safe operating condition. No specific residents were directly mentioned as being affected in the report, and no relevant medical history or resident condition was provided.
Failure to Provide Privacy Cover for Indwelling Catheter Bag
Penalty
Summary
A deficiency was identified when a resident with a diagnosis of neuromuscular bladder, who was dependent on staff for all care, was observed multiple times with an indwelling urinary catheter drainage bag that lacked a privacy cover. The drainage bag was positioned facing a window with open blinds, making it visible to staff, the public, and individuals outside the facility. These observations occurred on several occasions, and the lack of a privacy cover was consistently noted. Interviews with facility staff, including a CNA, a licensed nurse, and an administrative nurse, confirmed that the expectation was for all indwelling catheter drainage bags to have privacy covers. The facility's policy on promoting and maintaining resident dignity also required that residents be treated with respect and that their privacy be protected. The failure to provide a privacy cover for the catheter drainage bag resulted in a lack of privacy and dignity for the resident.
Improper Garbage Disposal and Unsanitary Dumpster Conditions
Penalty
Summary
The facility failed to properly maintain and dispose of garbage and refuse in a sanitary manner, as observed during an inspection of the outside trash dumpsters. Four dumpsters were found with lids in the open position, and one dumpster was missing its lid entirely, resulting in trash cans not being completely covered. The Kitchen Manager stated she was unaware of the requirement to keep trash covered, and administrative staff indicated that the dumpsters belonged to the city. Additionally, the facility did not have a policy in place regarding the handling and disposal of garbage and refuse. These actions and inactions led to unsanitary conditions that could attract pests.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 65 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Pratt
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pratt Health And Rehab | 0.6 mi | ★★★★★ | 6 | 0 |
| Hilltop Manor Nursing Center | 15.7 mi | ★★★★★ | 22 | 1 |
| Haviland Operator, Llc | 21.5 mi | ★★★★★ | 5 | 0 |
| Leisure Homestead At Stafford | 21.8 mi | ★★★★★ | 32 | 0 |
| The Wheatlands Health Care Center | 32.4 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.