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 View Healthcare Center during CMS and state inspections, most recent first.
Two nurses failed to initiate CPR for a resident with Full Code status who was found unresponsive, despite clear facility policy and the resident's advanced directive requiring life-sustaining measures. The resident, who had advanced cervical cancer and a history of significant bleeding, was discovered deceased with no resuscitation efforts made by staff present, in direct violation of established procedures.
A CNA assisted a resident by pushing her wheelchair without ensuring the foot pedals were in use, causing the resident's foot to become trapped and injured when the wheelchair wheel rolled over it. The incident was not immediately reported, and the resident later required emergency evaluation for knee pain. The resident had multiple comorbidities and was cognitively intact at the time of the event.
The facility did not procure food from approved or satisfactory sources and failed to store, prepare, distribute, and serve food according to professional standards, as identified during the survey.
Two residents using CPAP machines did not have their equipment properly cleaned or stored, as staff were unaware of cleaning requirements and no orders or documentation existed for this task. The facility's policies did not address CPAP care, and manufacturer instructions for cleaning were not implemented.
The facility did not promptly report suspected abuse, neglect, or theft, nor did it communicate the results of its investigation to the proper authorities as required.
A resident with moderate cognitive impairment and a history of dementia was allowed to leave facility grounds unsupervised on two occasions, despite care plan requirements for staff accompaniment and facility policies mandating documentation and investigation of elopement events. Staff failed to maintain supervision, did not document or report the incidents, and did not consistently enforce protocols for resident safety, resulting in the resident being found off facility property without staff knowledge.
A resident with multiple sclerosis and arthritis was injured during a transfer using a facility van's hydraulic wheelchair lift. The CNA failed to lock the wheelchair wheels and positioned the resident facing the van's interior. Despite instructions, the resident attempted to grab the lift's bar, causing a fall. The CNA, who was on the lift with the resident, also fell, leading to injuries. The lift was in good working condition, but safety protocols were not followed.
The provider failed to follow food safety guidelines, resulting in outdated food items, improper storage, and unsanitary conditions in the kitchen and dining areas. Observations revealed limescale buildup, rust, and dust in various areas, along with expired food items and improperly labeled juices. Interviews with staff indicated a lack of adherence to cleaning schedules and food storage policies, with no policy for cleaning the dishwasher.
A long-term care facility was found deficient in maintaining resident dignity and respect. Staff failed to knock before entering rooms, used inappropriate pet names, and conducted undignified transfers without proper equipment. Loud and disrespectful interactions were observed in the dining room, and there was no policy on resident dignity.
Failure to Initiate CPR for Full Code Resident
Penalty
Summary
Two registered nurses, the social services director and the interim director of nursing, failed to initiate cardiopulmonary resuscitation (CPR) for a resident who was found unresponsive, despite the resident being designated as Full Code/Full treatment. Upon discovery, the resident was pale, ashen, cool to the touch, had no visible movement, and was without a pulse. There was a significant amount of blood on the bed linens, and the resident was ultimately confirmed deceased. Staff present did not follow the facility's CPR policy, which required initiation of life-sustaining measures for residents with Full Code status. The resident had a history of cervical cancer, suspected to be stage IV with possible liver metastasis, and had experienced post-menopausal bleeding for several months prior to admission. Her care plan included an advanced directive specifying Full Code/Full Resuscitative measures in the event of cardiac arrest. Despite this, no life-sustaining measures were initiated by the immediate staff upon finding her unresponsive. Interviews revealed that staff were aware of her code status but made the decision not to start CPR, with one staff member stating that she did not want to "mutilate her body like that." Additional interviews indicated that some staff, including a CNA, had not received current CPR training, though all licensed nurses were required to be CPR certified. The facility's policy outlined that CPR should be initiated for residents with Full Code status unless specific conditions were present, such as dependent lividity or decomposition, which were not documented in this case. The failure to initiate CPR was a direct violation of both the resident's documented wishes and the facility's established policy.
Failure to Ensure Safe Wheelchair Transport Results in Resident Injury
Penalty
Summary
A certified nursing assistant (CNA) failed to follow facility guidelines for wheelchair use when assisting a resident who was self-propelling in her wheelchair. The CNA pushed the resident's wheelchair without ensuring the foot pedals were in use, despite the facility's practice of following American Healthcare Association guidelines for wheelchair safety. The foot pedals had been rotated to the sides of the wheelchair and were not being used at the time of the incident. As the CNA pushed the resident around a hallway corner, the resident's right foot became lodged under the wheelchair, resulting in the right front wheel rolling over her foot. The resident called out for the CNA to stop due to pain. The incident was not immediately reported to nursing staff by either the CNA or the resident. The resident later experienced pain and an inability to bear weight on her right leg during a therapy session, which led to notification of the nurse and subsequent medical evaluation. The resident, who was cognitively intact and had a history of chronic kidney disease, peripheral vascular disease, morbid obesity, and frequent falls, was transferred to the emergency department for assessment. Imaging revealed degenerative changes in the knee but no fractures. The resident was provided with a knee immobilizer for comfort. The facility did not have a specific policy on wheelchair use but indicated adherence to external guidelines, and the incident highlighted a failure to ensure safe wheelchair transport and adequate supervision to prevent accidents.
Failure to Meet Food Procurement and Handling Standards
Penalty
Summary
The facility failed to procure food from sources that are approved or considered satisfactory and did not store, prepare, distribute, and serve food in accordance with professional standards. This deficiency was identified during the survey process, indicating that the facility did not meet regulatory requirements for food safety and handling. No additional details about specific residents, staff, or events are provided in the report.
Failure to Ensure Proper Cleaning and Storage of CPAP Equipment
Penalty
Summary
Surveyors identified that two residents who required the use of CPAP machines did not have proper infection control practices in place for cleaning and storing their equipment. Both residents had brought their own CPAP machines upon admission and were using them nightly. Observations revealed that one resident's CPAP mask was left on top of the machine, while the other's was on her pillow. The cognitively intact resident reported that she previously cleaned both her and her roommate's CPAP equipment daily at home but was unable to do so in the facility due to physical limitations and lack of supplies. She also stated that staff only assisted with adding distilled water and appeared unaware of the need to clean the CPAP equipment, which had become noticeably smelly. Review of both residents' medical records showed no documentation of CPAP mask or tubing cleaning, and there were no nursing orders for this task on their treatment administration records. Interviews with the DON and administrator confirmed the absence of such orders and acknowledged that the facility's policies did not address CPAP cleaning. Manufacturer instructions for the CPAP equipment specified regular cleaning to prevent germ growth, but the facility had not provided cleaning instructions or included CPAP care in their respiratory or aerosolized care policies.
Failure to Timely Report Suspected Abuse, Neglect, or Theft
Penalty
Summary
The facility failed to timely report suspected abuse, neglect, or theft and did not report the results of the investigation to the proper authorities. This deficiency was identified based on the facility's lack of prompt action in notifying the appropriate agencies when an incident of suspected abuse, neglect, or theft occurred. The report indicates that the required notifications and investigation results were not communicated as mandated.
Failure to Provide Adequate Supervision and Prevent Resident Elopement
Penalty
Summary
A resident with a history of cognitive impairment, depression, and dementia was involved in two separate incidents where she left the facility grounds without appropriate staff supervision. On one occasion, the resident, who had a BIMS score indicating moderate cognitive impairment, was allowed to participate in an outside activity under the supervision of an activities assistant. During this activity, she informed the assistant that she wanted to see an event on the other side of the facility and subsequently walked out of staff sight. She was later found by another staff member walking around the back of the facility. Her care plan at the time required her to be accompanied by staff or a responsible party when leaving the facility, and she was identified as needing supervision when outside. The incident was reported, and her care plan was updated to reflect her increased risk for elopement. A second incident occurred when the same resident was found at an apartment building across the street from the facility, having left without staff knowledge or supervision. Although she had signed out earlier in the day for a different time, there was no documentation of her leaving the facility at the time of the incident, nor was there any record of exit-seeking behavior or interventions in her medical record. Staff interviews revealed that the resident was not permitted to leave the property unsupervised, and staff were instructed not to report or document the incident. The resident's care plan and outside activity agreements required her to remain on facility property unless accompanied by family or staff, and to notify staff when leaving, but these protocols were not followed or enforced during the incident. Further review showed inconsistencies in the resident's risk assessments and care planning, including a BIMS score that changed significantly after the incident and a lack of documentation regarding her elopement. The facility's policies required documentation and investigation of elopement events, as well as regular evaluation and updating of care plans for residents at risk of wandering or elopement. However, these procedures were not adhered to, and the incident was not reported to the state agency or the resident's representative in a timely manner. Staff and family interviews confirmed that the resident required more supervision than was provided, and that facility protocols for monitoring and documenting her whereabouts were not consistently implemented.
Resident Injured During Unsafe Wheelchair Lift Transfer
Penalty
Summary
The deficiency involved a failure to ensure the safe transfer of a resident using a hydraulic wheelchair lift from a facility van, resulting in the resident sustaining injuries. The incident occurred when a certified nurse aide (CNA) was transferring the resident, who had been diagnosed with a urinary tract infection and was experiencing cognitive decline, back to the facility from the emergency room. Despite multiple instructions to keep his hands in his lap, the resident attempted to grab onto the lift's bar, causing the platform to move and resulting in both the resident and the CNA tipping backward over the lift. The resident, who had a medical history of multiple sclerosis and arthritis, was not properly secured during the transfer. The CNA did not lock the wheelchair wheels, and the resident was positioned facing the van's interior rather than the recommended outward direction. As the lift was being lowered, the resident tried to stand up, leading to a loss of balance and the subsequent fall. The CNA, who was on the lift with the resident, also fell, exacerbating the situation. The facility's documentation and interviews revealed that the wheelchair lift was in good working condition at the time of the accident, and the CNA's actions were not in line with the safety procedures outlined in the lift's operator manual. The manual specified that wheelchair brakes should be locked, and the lift attendant should not ride on the platform with the passenger. The incident highlighted a lapse in following established safety protocols, contributing to the resident's injuries.
Food Safety and Sanitation Deficiencies in Kitchen and Dining Areas
Penalty
Summary
The provider failed to implement and follow necessary food safety guidelines for the storage, labeling, and cleanliness of food items and kitchen areas. Observations revealed significant issues in the kitchen and dining areas, including a buildup of limescale and rust on the water dispenser and ice machine, outdated food items in storage cabinets, and visible dust, food crumbs, and hair in various areas such as the plate warmer drawers and beneath the serving equipment. The ceiling vents above the food prep area were also covered in dust, and the gas range and flattop grill equipment were soiled with layers of burnt food and solidified grease. Further inspection of the kitchen revealed improperly stored food items, such as a bottle of lemon juice concentrate and a brick of margarine left at room temperature, despite manufacturer instructions to refrigerate after opening. The walk-in cooler contained expired sour cream and cottage cheese, and pitchers of juice with mismatched or missing labels. The dishwasher room was found to have significant grime buildup, with the dishwasher itself coated in limescale and food particles. Interviews with kitchen staff and the dietary manager highlighted a lack of awareness and adherence to cleaning schedules and food storage policies. The cook admitted to using the flattop grill as a prep table and struggled to clean the grease trap drawer due to solidified grease. The dietary manager was unaware of the expired foods and the state of the dishwasher, and there was no policy for cleaning the dishwasher. The cleaning checklists had not been filled out for some time, and the validity of the checklists could not be confirmed, indicating a systemic issue with maintaining cleanliness and food safety standards.
Deficiencies in Resident Dignity and Respect
Penalty
Summary
The report identifies several deficiencies related to the dignity and respect of residents in a long-term care facility. Staff members failed to knock and ask permission before entering a resident's room, as observed when a certified nurse aide (CNA) entered a resident's room without knocking, interrupting a conversation. Additionally, a resident was not referred to by their preferred nickname, instead being called 'grandma' by a CNA, which was not in accordance with the resident's care plan. In the dining room, staff interactions were observed to be loud and undignified. CNAs were seen yelling across the room to each other and discussing residents in front of them and others. One CNA was noted to have transferred a resident from a wheelchair to a dining chair in an undignified manner, without using a gait belt and without locking the wheelchair brakes. The same CNA also failed to provide incontinence care to a resident before transferring them, and did not perform hand hygiene after touching the resident's soiled clothing. The facility lacked a policy on resident dignity, and interviews with staff revealed a lack of adherence to expected practices for maintaining resident dignity and privacy. Staff were expected to knock before entering rooms, use gait belts for transfers, and avoid using pet names unless consented to by the resident. The director of nursing services confirmed these expectations and acknowledged that some staff had not improved their interactions despite previous discussions.
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What surveyors actually found near you
We read the 17 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
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Woonsocket
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Weskota Manor Inc | 14.2 mi | ★★★★★ | 3 | 0 |
| Avantara Huron | 20.8 mi | ★★★★★ | 14 | 1 |
| Avera Brady Health And Rehab | 26.5 mi | ★★★★★ | 3 | 0 |
| Firesteel Healthcare Center | 26.8 mi | ★★★★★ | 6 | 0 |
| Aurora Brule Nursing Home Inc | 31.1 mi | ★★★★★ | 0 | 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.