Above average — CMS composite of the measures below.
A standard survey is most likely before around December 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 Hatton Prairie Village during CMS and state inspections, most recent first.
A resident with intact cognition had conflicting code status documentation in the chart: a physician order listed full code, while the face sheet and code status form showed DNR/DNI. The record lacked the current code status, and an admin staff member confirmed that an updated physician order had not been obtained to match the resident's stated wishes.
A resident with atrial fibrillation had a faxed anticoagulation clinic order for Warfarin 7.5 mg on Monday and Friday and 5 mg on the other days, but the EHR was entered as 7.5 mg on Monday and Tuesday and 5 mg on the other five days. Staff confirmed one nurse incorrectly transcribed the order and another nurse failed to verify it before changing it in the EHR.
Infection Control Failure During Wound Care: During a dressing change for a resident with a pressure ulcer and an order for daily coccyx dressing changes, an RN entered with gloves and a gown, handled the door with gloved hands, placed dressing supplies on the resident’s bed instead of a clean field, removed the old dressing, and then measured and cleansed the wound without changing gloves. The RN later changed gloves without hand hygiene, used a pen from the resident’s nightstand, touched the resident’s phone, and applied medicated powder to the resident’s groin.
A resident consented to receive the pneumonia vaccine, but the immunization record did not show that the pneumococcal vaccine was administered. CDC guidance reviewed by surveyors supported the vaccine recommendation, and an administrative nurse confirmed the facility failed to provide the immunization.
The facility failed to update care plans for several residents, impacting communication and continuity of care. A resident with a new STEMI diagnosis, another on insulin and blood thinners, and a resident with wandering behaviors had incomplete care plans. Additionally, two residents on hospice and one on long-term antibiotics lacked updated care plans. An administrative nurse acknowledged these deficiencies.
The facility failed to maintain proper food storage and sanitation standards in the main kitchen. Observations revealed icicles dripping from freezer fans onto steak strips and water from an air conditioning unit running down a wall, splashing onto a countertop. A maintenance staff member was unaware of the air conditioning issue, highlighting a lapse in communication or oversight.
A facility failed to provide a written notice of transfer to a resident or their representative and did not send a copy to the State LTC Ombudsman. This was identified during a review of the facility's policy, which requires written notification and copies sent to the Ombudsman. An administrative staff member confirmed the lack of documentation for a hospital transfer.
A facility failed to provide a written bed hold notice to a resident or their representative during a hospital transfer. The facility's policy requires informing residents and their representatives about the bed hold policy and charges prior to hospitalization or therapeutic leave. However, the medical record lacked evidence of such notice, and an administrative staff member confirmed this oversight.
A facility failed to complete a significant change in status assessment (SCSA) for a resident who elected hospice services, as required by the RAI User's Manual. The resident's medical record showed the election of hospice services, but the necessary SCSA was not completed within the required timeframe. This oversight was confirmed by an administrative nurse.
The facility failed to accurately code the MDS for three residents, missing a PTSD diagnosis for one and omitting medications for two others. Interviews confirmed these errors, indicating discrepancies in documenting residents' conditions and treatments.
A facility failed to assess and monitor a resident with dementia for elopement risk, despite multiple indications of wandering and intent to leave. The resident, who had a history of restlessness and agitation, was observed outside the building, and staff had to bring her back inside. The facility lacked documentation of required elopement risk assessments, leading to inadequate supervision and monitoring.
The facility failed to follow infection control policies, including hand hygiene and enhanced barrier precautions (EBP). CNAs did not perform hand hygiene after glove removal or between glove changes during resident care. Additionally, a CNA did not use EBP when assisting a resident with an indwelling urinary catheter, despite a sign indicating the need for EBP. An administrative nurse confirmed the expectation for staff to adhere to these protocols.
Inaccurate Code Status in Resident Record
Penalty
Summary
The facility failed to ensure one resident's right to request, refuse, and/or discontinue treatment was honored when the resident's medical record did not reflect the current code status. Review of the resident's record showed intact cognition on the quarterly MDS. A physician's order signed on 05/21/25 indicated code level I, meaning all available reasonable technology would be used in the event of cardiac or respiratory arrest. However, the resident's demographic face sheet and code status form, signed by the resident and a facility representative on 08/27/25, identified the resident as DNR/DNI. The medical record therefore lacked the current code status for the resident, and an administrative staff member confirmed during interview on 09/24/25 at 11:40 a.m. that staff failed to obtain an updated physician's order to reflect the resident's code status.
Incorrect Warfarin Order Transcription
Penalty
Summary
The facility failed to follow professional standards of practice for 1 of 5 sampled residents reviewed for unnecessary medications. Resident #6 had diagnoses including atrial fibrillation. A faxed order from the anticoagulation clinic stated Warfarin 7.5 mg every Monday and Friday and 5 mg on all other days, but the resident’s electronic medical record later showed Warfarin 7.5 mg on Monday and Tuesday and 5 mg on the other five days. During interview, an administrative staff member stated a nurse incorrectly transcribed the anticoagulation clinic order onto a physician’s order sheet as 7.5 mg on Monday and Tuesday instead of Monday and Friday. The administrative staff member also confirmed that another nurse failed to verify the order before changing it in the EHR.
Infection Control Failure During Wound Care
Penalty
Summary
Failure to follow infection control standards occurred during a dressing change for Resident #12, who had a pressure ulcer present on admission and a current physician’s order for daily and as-needed Mepilex dressing changes to the coccyx. The facility policy for clean dressing changes required hand hygiene, creation of a clean field, opening the dressing pack, putting on a first pair of disposable gloves to remove the soiled dressing, disposing of those gloves, putting on a second pair of disposable gloves, cleansing the wound, and applying dressings. During observation of the dressing change, Nurse #3 entered the room wearing a gown and gloves, opened and closed the resident’s door with gloved hands, and placed a clean Mepilex dressing and an open saline wipe packet on the resident’s bed. The nurse removed the old dressing, discarded it, and without changing gloves measured the wound, cleansed it with the saline wipe, and applied a new Mepilex dressing. The nurse then removed gloves and, without performing hand hygiene, put on new gloves, used a pen from the resident’s nightstand to record wound measurements, touched the resident’s phone, and applied medicated powder to the resident’s groin. An administrative staff member stated staff were expected to establish a clean field, change gloves from dirty to clean, and perform hand hygiene between glove changes.
Failure to Provide and Document Pneumococcal Immunization
Penalty
Summary
Develop and implement policies and procedures for flu and pneumonia vaccinations was cited after survey review found the facility failed to ensure a resident was offered the pneumococcal immunization. Record review showed Resident #5 had a 2023-2024 Vaccination Season form signed by the resident, resident representative, and facility representative indicating consent to receive the pneumonia vaccine, but the immunization record did not document that the pneumococcal vaccine was actually administered. Review of CDC guidance confirmed pneumococcal vaccination is recommended for adults age 65 years or older who have not previously received a dose of PCV13, PCV15, PCV20, or PCV21, or whose vaccination history is unknown. An administrative nurse verified in interview that the facility failed to provide Resident #5's pneumococcal immunization.
Failure to Update Care Plans for Residents
Penalty
Summary
The facility failed to review and revise care plans to reflect the current status of six residents, which limited staff's ability to communicate needs and ensure continuity of care. Resident #4 returned from hospitalization with a new diagnosis of STEMI and medication changes, but their care plan lacked updates regarding these changes. Resident #13's care plan did not include information about their insulin and blood thinner medications. Resident #15, who had a physician's order for a wanderguard due to wandering and exit-seeking behaviors, also had an incomplete care plan lacking relevant interventions. Additionally, Resident #30, admitted on hospice services with liver cancer, had a care plan that did not address hospice care or the cancer diagnosis. Resident #32, who was on long-term antibiotic therapy for an eye condition, had a care plan missing related problems, goals, and interventions. Lastly, Resident #35, who elected hospice services, had a care plan that did not reflect this change. An administrative nurse acknowledged the deficiencies in the care plans during interviews, indicating an expectation for staff to update care plans following changes in residents' conditions.
Food Storage and Sanitation Deficiency
Penalty
Summary
The facility failed to ensure food storage and preparation areas met professional standards, leading to potential contamination risks. During an observation of the main kitchen, it was noted that the walk-in freezer had two fans with icicles dripping onto an open pail of steak strips, which could lead to microbial contamination. Additionally, in the kitchen preparation and serving area, water from an air conditioning unit was observed running down the wall adjacent to the countertop. Dietary staff attempted to manage this by taping aluminum foil to the wall to direct the water into a plastic collection receptacle, but water was still splashing outside the receptacle onto the countertop. A maintenance staff member interviewed was unaware of the air conditioning issue, indicating a lack of communication or oversight in maintaining a sanitary environment.
Failure to Provide Transfer Notice
Penalty
Summary
The facility failed to provide a written notice of transfer to a resident or their representative, and did not send a copy of the notice to the State Long Term Care Ombudsman. This deficiency was identified during a review of the facility's policy on Transfer and Discharge of Residents, which mandates that residents and their representatives be notified in writing of any transfer, with copies sent to the Ombudsman. The incident involved a hospital transfer of a resident on June 17, 2024, where the medical record lacked evidence of the required written notice. An administrative staff member confirmed during an interview that the facility did not provide the necessary documentation to the resident, their representative, or the Ombudsman.
Failure to Provide Bed Hold Notice
Penalty
Summary
The facility failed to provide a written bed hold notice to a resident or their representative during a hospital transfer. The facility's policy, dated November 2016, requires informing residents, legal representatives, and interested family members about the bed hold policy, including the bed-hold charge, prior to any hospitalization or therapeutic leave. However, upon review of the medical record for a resident who was transferred to a hospital, there was no evidence that a written bed hold notice or the reserve bed hold amount was provided. An administrative staff member confirmed this oversight during an interview.
Failure to Complete SCSA for Hospice Election
Penalty
Summary
The facility failed to complete a significant change in status assessment (SCSA) for a resident who elected hospice services. According to the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, an SCSA is required when a terminally ill resident enrolls in a hospice program, with the assessment reference date (ARD) needing to be within 14 days from the effective date of the hospice election. A review of the resident's medical record revealed that the resident elected hospice services on July 3, 2024, but the facility did not complete the required SCSA. This deficiency was confirmed during an interview with an administrative nurse, who acknowledged the oversight in completing the SCSA following the resident's election to hospice services.
Inaccurate MDS Coding for Diagnoses and Medications
Penalty
Summary
The facility failed to ensure accurate coding of the Minimum Data Set (MDS) for three residents, which is crucial for reflecting their current status and needs. For one resident, the care plan identified Post-Traumatic Stress Disorder (PTSD) as a current diagnosis, supported by psychiatry notes. However, the annual MDS did not include this diagnosis, indicating a discrepancy between the resident's documented medical condition and the MDS coding. Additionally, two other residents' MDS assessments were inaccurately coded regarding their medication use. One resident had a physician's order for clopidogrel, an antiplatelet medication, but the significant change in status assessment MDS did not reflect this. Another resident had been receiving doxycycline, an antibiotic, since a specified date, yet the quarterly MDS failed to code this medication. Interviews with administrative nurses confirmed these coding errors, highlighting a lapse in accurately documenting residents' medication regimens.
Failure to Assess and Monitor Elopement Risk
Penalty
Summary
The facility failed to ensure adequate supervision and monitoring for a resident with a known risk of elopement, leading to an incident where the resident left the facility unsupervised. The resident, who had been diagnosed with dementia and exhibited restlessness and agitation, had a documented history of wandering and expressing a desire to leave the facility. Despite these behaviors, the facility did not conduct an assessment of the resident's elopement risk upon admission or after the resident's elopement incident. The resident's medical records indicated multiple instances where the resident expressed intentions to leave the facility, including attempts to go outside and statements about leaving. On one occasion, the resident was observed outside the building, and staff had to bring her back inside. The facility's policy required assessments for elopement risk, but there was no documentation of such assessments for this resident, highlighting a failure to implement and monitor individualized interventions to prevent elopement.
Infection Control Deficiencies in Hand Hygiene and EBP
Penalty
Summary
The facility failed to adhere to its infection control policies, specifically regarding hand hygiene, glove use, and enhanced barrier precautions (EBP). Observations revealed that a certified nurse aide (CNA) did not perform hand hygiene after removing gloves while assisting a resident with toileting. Another CNA failed to perform hand hygiene between glove changes during perineal care for a resident who had an incontinent bowel movement. After completing the care, the CNA did not wash hands before applying a clean brief and adjusting the resident's clothing. Additionally, the facility did not follow EBP protocols for a resident with an indwelling urinary catheter. A CNA entered the resident's room and used a mechanical stand lift without donning a gown and gloves, as required by the facility's EBP policy. This oversight occurred despite the presence of a sign indicating the need for EBP outside the resident's room. An administrative nurse confirmed that staff were expected to follow the established policies and procedures for infection control.
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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 Hatton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Northwood Deaconess Health Cnt | 8.8 mi | — | 0 | 0 |
| Luther Memorial Home | 11.3 mi | ★★★★★ | 3 | 0 |
| Good Samaritan Society - Larimore | 20 mi | — | 28 | 0 |
| Sanford Hillsboro Care Center | 24.5 mi | ★★★★★ | 0 | 0 |
| Woodside Village | 24.8 mi | ★★★★★ | 4 | 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.