Above average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Heights Healthcare during CMS and state inspections, most recent first.
PBJ staffing data for Q2 was not accepted by CMS because of a submission error. The administrator confirmed the data had been sent to a contracted submission company but was rejected, and an accounting clerk was unaware the Q2 submission had not been accepted. The facility’s PBJ schedule required timely submission and review of validation reports before the CMS deadline.
The facility faced deficiencies in medication administration and documentation. The DON administered the wrong type of insulin to a resident due to improper storage, and failed to document a wound assessment accurately. Additionally, two CMAs performed tasks outside their scope, documenting pain and psychotropic medication assessments without proper training or oversight.
A resident with moderate cognitive impairment received an incorrect dose of insulin due to a mix-up by the DON, who administered 55 units of Humalog instead of the prescribed 62 units of Lantus. The error occurred because both insulin pens were stored together with one label. The resident's blood sugar levels were monitored, and no hypoglycemia was observed.
PBJ Staffing Data Submission Not Accepted by CMS
Penalty
Summary
The provider failed to ensure PBJ staffing data was submitted accurately to CMS for Federal Fiscal Quarter 2, covering January, February, and March 2025. During interviews, the administrator stated the data had been submitted to the contracted submission company but there had been an error, and later confirmed the submission had not been accepted by CMS because of that error. An accounting clerk was interviewed and stated she was not aware that the Q2 data submission had not been accepted by CMS. Review of the facility’s PBJ Preparation and Submission Schedule showed that PBJ data was due by 11:59 p.m. EST on the 45th calendar day after the end of the reporting quarter, with the Q2 due date listed as May 15, and that validation reports were to be reviewed during the second business week of the submission month before the CMS deadline.
Medication Administration and Documentation Deficiencies
Penalty
Summary
The report identifies several deficiencies in the administration of medication and documentation practices at the facility. The Director of Nursing (DON) failed to adhere to the rights of medication administration and the facility's insulin administration policy. Specifically, the DON administered 55 units of Humalog insulin instead of the prescribed 62 units of Lantus insulin to a resident. This error was attributed to both insulin pens being stored in the same baggie with one label, leading to the mix-up. The resident's blood sugar levels were monitored following the error, and no signs of hypoglycemia were observed. Additionally, the DON did not document a wound assessment for another resident at the time of completion and failed to identify it as a late entry when it was eventually documented. The DON was not present in the facility when the resident returned from the hospital, yet she documented the assessment as if it had been completed at that time. This discrepancy highlights a failure in accurate and timely documentation practices. Furthermore, two certified medication aides (CMAs) were found to have performed tasks outside their certified skill set. They documented assessments for pain and psychotropic medication side effects, which are tasks that require nursing judgment and are not within the scope of practice for unlicensed medication aides. The DON was unaware of these actions until informed by one of the CMAs during the survey, indicating a lack of oversight and training regarding the scope of practice for CMAs.
Significant Medication Error Involving Insulin Administration
Penalty
Summary
The provider failed to keep a resident free from a significant medication error when the Director of Nursing (DON) administered an incorrect dose of insulin. The incident involved a resident with moderate cognitive impairment who required insulin injections for diabetes management. On the specified date, the DON mistakenly administered 55 units of Humalog, a fast-acting insulin, instead of the prescribed 62 units of Lantus, a long-acting insulin. This error was attributed to both insulin pens being stored in the same baggie with one label, leading to the mix-up. Following the error, the on-call provider was notified, and the resident's blood sugar levels were monitored hourly for four hours. The resident's blood glucose levels remained stable, and no signs of hypoglycemia were observed. The facility's insulin administration policy required verification of the type of insulin, dosage, and method of administration before administration, which was not adhered to in this case. The incident was documented in the medication error report, but it was not initially reported or counted as a medication error.
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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 Aberdeen
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avera Mother Joseph Manor Retirement Community | 0.5 mi | ★★★★★ | 9 | 0 |
| Aberdeen Health And Rehab | 1.1 mi | ★★★★★ | 13 | 1 |
| Bethesda Home Of Aberdeen | 1.6 mi | ★★★★★ | 7 | 0 |
| Avantara Groton | 19.1 mi | ★★★★★ | 11 | 0 |
| Prince Of Peace Care Center | 37.1 mi | ★★★★★ | 6 | 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.