Average — CMS composite of the measures below.
The next survey window likely opens around April 2027
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 Prescott Nursing And Rehab Community during CMS and state inspections, most recent first.
A resident with multiple diagnoses, including bipolar disorder and sleep apnea, was prescribed trazodone 25 mg at HS for sleep, but the chart lacked a sleep assessment, sleep care plan, monitoring of sleep patterns, or evidence that nonpharmacological interventions were tried first. The cognitively intact resident said they were a night owl, did not really have sleep problems, and did not know they were receiving a psychotropic for sleep; staff could not provide documentation supporting the indication or signed consent.
The facility failed to ensure the correct Hoyer sling size was determined and used for resident transfers. Three residents had care plans listing XL slings even though manufacturer guidance indicated a large sling based on weight, and surveyors observed CNAs using slings with trim colors that did not match the documented size. Interviews showed CNAs did not know the sling size system, there was no posted color-to-size chart, and staff gave inconsistent answers about who selected and documented sling size.
An LPN administered a resident’s meds via G-tube without checking tube placement first. The resident was cognitively intact, received more than half of total calories through tube feeding, and had orders for meds to be given via G-tube or by mouth with flushes before and after administration. Facility policy required licensed nurses to verify tube placement before feedings and before giving medications, and the DON stated the expectation was to check residual before medication administration.
A CNA emptied a resident’s Foley drainage bag without placing a barrier under the graduate container, and staff did not sanitize mechanical lifts after use. One resident had a urinary catheter, a history of UTI, and enhanced barrier precautions, while another transfer involved a Hoyer lift that was left unsanitized after use with one resident and then used again for a second resident. Staff and the DON stated lifts should be wiped with antimicrobial wipes after each use.
Unnecessary Trazodone Use Without Sleep Assessment or Monitoring
Penalty
Summary
The facility did not ensure one resident was free from unnecessary psychotropic medication use or chemical restraint. A resident with diagnoses including bipolar disorder, obstructive sleep apnea, acute and chronic respiratory failure with hypoxia, asthma, manic episode, mood disorder, and anxiety disorder was prescribed trazodone 25 mg at bedtime for sleep. The resident was cognitively intact, scored 15/15 on the BIMS, and stated they were a night person who usually stayed up until 2 or 3 in the morning and did not really have difficulty sleeping at the facility. The resident also stated they did not think they were receiving medication for sleep and was not informed that trazodone was being used for that purpose. The record did not show a completed sleep assessment, a care plan addressing insomnia or sleep disturbance, or monitoring of sleep patterns or medication effectiveness. Facility staff could not identify documentation supporting the need for trazodone or evidence that nonpharmacological interventions were tried before the medication was started. The DON stated the facility had to give the resident something to help them sleep and that nights were rough, while the RN could not find a sleep assessment or monitoring of hours slept and was unsure of the indication for trazodone. The resident’s chart also lacked signed consent for trazodone.
Incorrect Hoyer Sling Sizes Used for Resident Transfers
Penalty
Summary
The facility did not ensure residents remained free of possible accidental hazards when it failed to determine the correct mechanical full body lift sling size and did not ensure staff were using the correct sling size for transfers. The deficiency involved 3 of 7 residents reviewed, including residents who were transferred with Hoyer lifts and whose care plans listed sling sizes that did not match the manufacturer’s sizing guidance. The report states that the manufacturer’s instructions identified sling sizes by trim color and weight range, and that the correct sling size should be determined by a licensed clinician based on the resident assessment and manufacturer instructions. For one resident, the care plan identified an XL full body lift sling, but the resident weighed 236.8 lbs and the manufacturer’s guidance indicated a large sling should be used. Survey observation found the resident seated in a wheelchair with a blue sling with purple trim under him, and a CNA stated that the sling would be used to transfer him into his chair. For another resident, the care plan also listed an XL sling, but the resident weighed 244.2 lbs and the manufacturer’s guidance indicated a large sling should be used. Survey observation found that resident seated on a blue sling with purple trim, and the CNA stated that the sling was used for transfers. For the third resident, the care plan listed an XL sling for Hoyer transfers, but the resident weighed 230 lbs and the manufacturer’s guidance indicated a large sling should be used. Survey observation found a blue sling with green trim in the resident’s chair, and a CNA stated that was the sling used with that resident. Interviews showed CNAs did not know the correct sling sizes, believed slings were universal or relied on fit by visual judgment, and stated there was no posted chart identifying which trim color matched which size. Staff also gave inconsistent responses about who determined sling size, with PT and nursing staff stating different roles were responsible for selecting and documenting the sling size.
G-tube Placement Not Verified Before Medication Administration
Penalty
Summary
The facility did not ensure appropriate treatment and services were provided to prevent complications for one resident receiving enteral nutrition through a gastrostomy tube. The resident, R26, was admitted with a diagnosis of placement of a gastrostomy tube following surgery for a right hemicolectomy. The resident’s admission MDS dated 02/06/2026 showed a BIMS score of 15/15, indicating the resident was cognitively intact, and that 51% of total calories were received through tube feeding. The care plan was updated on 04/10/26 to reflect the resident’s ability to eat orally, and physician orders dated 03/10/26 directed that all medications be given via G-tube or by mouth, with a 30 cc flush before and after medication administration. On 05/12/2026 at 9:54 AM, an LPN administered the resident’s medications via G-tube without checking placement before giving the medications. During interview later that day, the LPN stated, "Are we supposed to do that?" The DON was interviewed during the same interaction and stated that the expectation would be to check residual prior to medication administration. The facility policy titled, Care and Treatment of Feeding Tubes, states that licensed nurses will monitor and check that the feeding tube is in the right location and that tube placement will be verified before beginning a feeding and before administering medications.
Failure to Sanitize Equipment and Use Barrier During Foley Drainage
Penalty
Summary
The facility did not provide a sanitary environment to help prevent the development and transmission of communicable diseases and infections for 2 of 14 residents, including R4 and R7. R4 was admitted with diagnoses including abnormal gait and mobility, weakness, spinal disc disorder, and urinary retention and obstruction. R4’s care plan noted a history of UTI, a urinary catheter increasing infection risk, enhanced barrier precautions related to Fournier’s Gangrene wounds, urinary catheter, and new colostomy, and the need for 2 staff assist with an EZ stand for transfers. During observation, CNA E emptied R4’s Foley catheter bag without placing a barrier such as a paper towel on the floor under the drainage bag and graduated container, despite the facility procedure and nursing assistant curriculum describing that step. The surveyor also observed CNA D and CNA E transfer R4 with an EZ stand mechanical lift and leave the lift unsanitized afterward. CNA F stated lifts should be sanitized after every use, but sometimes staff lacked purple wipes. CNA D later stated premium adult washcloths were used when purple wipes were not available, and the DON stated staff should wipe lifts with antimicrobial wipes after every use in residents’ rooms. In a separate observation, CNA D used a Hoyer lift to transfer R6, then took the lift out of the room and left it in the hallway without wiping it down, went to the dirty utility room and then to the nurse’s station without hand hygiene, and later used the same lift to transfer R7. CNA D stated the Hoyer should have been sanitized after use, and the DON stated the expectation was to sanitize the Hoyer after each use.
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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 Prescott
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Augustana Care Hastings Health And Rehabilitation | 4.4 mi | ★★★★★ | 2 | 1 |
| Regina Senior Living | 4.5 mi | ★★★★★ | 10 | 0 |
| Norris Square | 10 mi | ★★★★★ | 5 | 0 |
| Kinnic Health And Rehabilitation Center | 11.3 mi | ★★★★★ | 0 | 0 |
| St Therese Of Woodbury Llc | 12.2 mi | ★★★★★ | 10 | 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.