Prairieview Lutheran Home

Penalties

• Dec 2, 2025 — Fine ($22,335)
• Dec 2, 2025 — Fine ($22,335)
• Nov 5, 2025 — Fine ($36,000)
• Nov 5, 2025 — Payment Denial · payment denial 1 days
• May 14, 2025 — Fine ($8,372)
• May 14, 2025 — Payment Denial · payment denial 15 days
• Apr 26, 2024 — Payment Denial · payment denial 89 days

Inspection findings

1. Dec 2, 2025 Health · 2 findings
   • Serious Scope/severity G Complaint

     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 Dec 19, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0692 Quality of Life and Care Deficiencies

     Provide enough food/fluids to maintain a resident's health.

     Corrected Dec 19, 2025 · CMS health inspection

2. Nov 5, 2025 Health · 5 findings
   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Nov 21, 2025 · 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 Nov 21, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     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 Nov 21, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0711 Nursing and Physician Services Deficiencies

     Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

     Corrected Nov 22, 2025 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0944 Administration Deficiencies

     Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

     Corrected Nov 28, 2025 · CMS health inspection

3. Jun 11, 2025 Health · 1 finding
   • Serious Scope/severity G Complaint

     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 Jun 24, 2025 · CMS health inspection

4. May 14, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Jun 5, 2025 · CMS health inspection

   • Serious Scope/severity G Complaint

     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 Jun 24, 2025 · CMS health inspection

5. Feb 11, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Mar 5, 2025 · CMS health inspection

6. Nov 15, 2024 Health · 4 findings
   • Not serious Scope/severity D

     F0692 Quality of Life and Care Deficiencies

     Provide enough food/fluids to maintain a resident's health.

     Corrected Dec 10, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0697 Quality of Life and Care Deficiencies

     Provide safe, appropriate pain management for a resident who requires such services.

     Corrected Dec 10, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Dec 10, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Dec 30, 2024 · CMS fire safety

7. Jul 30, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from the wrongful use of the resident's belongings or money.

     Corrected Aug 20, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Aug 20, 2024 · CMS health inspection

8. Apr 26, 2024 Health · 1 finding
   • Serious Scope/severity G Complaint

     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 10, 2024 · CMS health inspection

9. Sep 29, 2023 Fire Safety · 10 findings
   • Not serious Scope/severity F

     E0039 Emergency Preparedness Deficiencies

     Conduct testing and exercise requirements.

     Corrected Nov 30, 2023 · CMS fire safety

   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Oct 12, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Oct 12, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0133 Construction Deficiencies

     Install a two-hour-resistant firewall separation.

     Corrected Oct 30, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0291 Egress Deficiencies

     Install emergency lighting that can last at least 1 1/2 hours.

     Corrected Oct 30, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Oct 15, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Oct 15, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Nov 30, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Oct 15, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Oct 15, 2023 · CMS fire safety

10. Aug 8, 2023 Health · 4 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 Aug 25, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0656 Resident Assessment and Care Planning Deficiencies

      Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      Corrected Aug 25, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0684 Quality of Life and Care Deficiencies

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

      Corrected Aug 25, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      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 25, 2023 · CMS health inspection

11. Oct 7, 2022 Fire Safety · 11 findings
    • Not serious Scope/severity F

      E0037 Emergency Preparedness Deficiencies

      Establish staff and initial training requirements.

      Corrected Nov 10, 2022 · CMS fire safety

    • Not serious Scope/severity D

      F0688 Quality of Life and Care Deficiencies

      Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

      Corrected Oct 25, 2022 · CMS health inspection

    • Not serious Scope/severity D

      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 Oct 25, 2022 · CMS health inspection

    • Not serious Scope/severity E

      F0710 Nursing and Physician Services Deficiencies

      Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

      Corrected Oct 25, 2022 · CMS health inspection

    • Not serious Scope/severity E

      F0761 Pharmacy Service Deficiencies

      Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      Corrected Oct 25, 2022 · CMS health inspection

    • Not serious Scope/severity F

      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 Oct 25, 2022 · CMS health inspection

    • Not serious Scope/severity E

      K0133 Construction Deficiencies

      Install a two-hour-resistant firewall separation.

      Corrected Dec 15, 2022 · CMS fire safety

    • Not serious Scope/severity F

      K0291 Egress Deficiencies

      Install emergency lighting that can last at least 1 1/2 hours.

      Corrected Nov 10, 2022 · CMS fire safety

    • Not serious Scope/severity E

      K0363 Smoke Deficiencies

      Install corridor and hallway doors that block smoke.

      Corrected Nov 10, 2022 · CMS fire safety

    • Not serious Scope/severity E

      K0372 Smoke Deficiencies

      Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      Corrected Nov 10, 2022 · CMS fire safety

    • Not serious Scope/severity E

      K0914 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

      Corrected Nov 10, 2022 · CMS fire safety

Owners and managers (as published by CMS)

• BENNER, DOUG — corporate director, NOT APPLICABLE, since 01/01/2020
• BOHLMANN, CHARLES — corporate director, NOT APPLICABLE, since 03/01/2022
• HENRICHS, JERRY — corporate director, NOT APPLICABLE, since 01/01/2022
• JENKINS, PATRICK — corporate director, NOT APPLICABLE, since 02/01/2022
• KOLBERG, MARCIE — corporate director, NOT APPLICABLE, since 05/01/2022
• KOLBERG, MARCIE — adp of the snf, NOT APPLICABLE, since 05/01/2022
• MOPARTHI, VENKETA — adp of the snf, NOT APPLICABLE, since 02/24/2025
• MOPARTHI, VENKETA — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• MUNSTERMAN, JODY — corporate director, NOT APPLICABLE, since 01/01/2022
• PETERSEN, JEFFREY — corporate officer, NOT APPLICABLE, since 12/01/2021
• PETERSEN, JEFFREY — adp of the snf, NOT APPLICABLE, since 12/01/2021
• PETERSEN, JEFFREY — operational/managerial control, NOT APPLICABLE, since 12/01/2024
• RITZMA, KRISTINE — corporate director, NOT APPLICABLE, since 01/01/2022
• WITHEFT, JUDY — corporate director, NOT APPLICABLE, since 03/01/2023