Prairie Manor Care Center

Penalties

• Feb 14, 2024 — Fine ($43,300)
• Feb 14, 2024 — Payment Denial · payment denial 7 days

Inspection findings

1. Jul 2, 2025 Health · 5 findings
   • Not serious Scope/severity D

     F0582 Resident Rights Deficiencies

     Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

     Corrected Aug 1, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Aug 1, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jul 25, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jul 25, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Jul 25, 2025 · CMS fire safety

2. Jul 2, 2024 Health · 7 findings
   • Not serious Scope/severity E

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Jul 26, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jul 26, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jul 26, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0742 Quality of Life and Care Deficiencies

     Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

     Corrected Jul 26, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jul 26, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jul 24, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Jul 24, 2024 · CMS fire safety

3. Mar 13, 2024 MDH complaint investigation · 1 finding
   • Severity not stated

     H54829723C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

4. Feb 14, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Mar 15, 2024 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Mar 15, 2024 · CMS health inspection

5. Sep 13, 2023 Fire Safety · 2 findings
   • Not serious Scope/severity C Complaint

     E0039 Emergency Preparedness Deficiencies

     Conduct testing and exercise requirements.

     Corrected Nov 8, 2023 · CMS fire safety

   • Not serious Scope/severity D Complaint

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Nov 8, 2023 · CMS health inspection

6. Apr 18, 2023 MDH complaint investigation · 1 finding
   • Severity not stated

     H54821161C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

7. Sep 1, 2022 MDH complaint investigation · 1 finding
   • Severity not stated

     H54824010C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

8. Sep 14, 2021 MDH complaint investigation · 1 finding
   • Severity not stated

     H5482033C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

9. Aug 28, 2020 MDH complaint investigation · 1 finding
   • Severity not stated

     H5482028C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

Owners and managers (as published by CMS)

• JOHNSON, DOUGLAS — corporate director, NOT APPLICABLE, since 01/01/2015
• MANGES, ROGER — corporate director, NOT APPLICABLE, since 01/01/2023
• MASON, JOSEPH — corporate officer, NOT APPLICABLE, since 03/13/2019
• MASON, JOSEPH — operational/managerial control, NOT APPLICABLE, since 01/08/2018
• MASON, JOSEPH — adp of the snf, NOT APPLICABLE, since 01/08/2018
• NEWMAN, WILLIAM — corporate director, NOT APPLICABLE, since 01/01/2017
• PETERSON, JULIE — corporate director, NOT APPLICABLE, since 01/01/2016
• PETERSON, MARIANNE — operational/managerial control, NOT APPLICABLE, since 02/15/2011
• PETERSON, MARIANNE — adp of the snf, NOT APPLICABLE, since 02/15/2011
• RUDLONG, SHADRICK — corporate director, NOT APPLICABLE, since 01/01/2016
• WIPFLI LLP — operational/managerial control, NOT APPLICABLE, since 12/31/2024
• WIPFLI LLP — adp of the snf, NOT APPLICABLE, since 12/31/2024