Grand Plains Skilled Nursing by Americare

Inspectors wroteThe facility reported a census of 51 residents. The sample included six residents who were reviewed for abuse. Based on observation, interview, and record review, the facility failed to ensure residents remained free from resident-to-resident abuse when, on 09/03/25 at approximately 05:00 AM, Resident (R)1 wandered into R2's room and struck R2, a cognitively and physically impaired resident, in the head.

Inspectors wroteThe facility reported a census of 51 residents. The sample included six residents who were reviewed for abuse. Based on observation, interview, and record review, the facility failed to initiate protective actions to prevent the opportunity for additional resident-to-resident abuse, as required. On 09/03/25 at approximately 05:00 AM, Resident (R)1 wandered into R2's room and struck R2, a cognitively and physically impaired resident, in the head. R1 was placed on one-on-one observation by facility staff; however, R1 continued to wander into other resident's rooms with the potential to harm other residents on the unit. (Refer to F600)

Inspectors wroteThe facility reported a census of 51 residents. The sample included six residents who were reviewed for abuse. Based on observation, interview, and record review, the facility failed to report an allegation of resident-to-resident abuse to the State Agency, as required. (Refer to F600)

Inspectors wroteThe facility reported a census of 49 residents. Based on observation, interview, and record review, the facility failed to store, prepare, and serve food in a sanitary manner to prevent possible food-borne illness to the residents of the facility.

Inspectors wroteThe facility identified a census of 49 residents. The sample included 13 residents. The facility identified residents on Enhanced Barrier Precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms that employ targeted gown and glove use during high contact care). Based on observations, interviews, and record review, the facility failed to ensure the EBP residents were cared for by staff using appropriate precautions. Further the facility failed to ensure staff used appropriate hand hygiene and glove changes with resident care. These deficient practices placed the residents at risk for infectious diseases.

Inspectors wroteThe facility reported a census of 49 residents. Based on observation, interview, and record review, the facility failed to ensure the availability of proper maintenance equipment for the dishwasher and appropriate monitoring to automatic sanitizing to maintain properly functioning equipment.

Inspectors wroteThe facility reported a census of 49 residents with 13 residents sampled. Based on observation, interview, and record review the facility failed to protect the privacy and dignity of Resident (R) 36 when the indwelling catheter bag was left with no privacy cover. These practices had the potential to lead to negative psychosocial effects related to dignity.

Inspectors wroteThe facility reported a census 49 residents. Based on observation, interview, and record review, the facility failed to maintain and/or dispose of garbage and refuse properly in a sanitary condition to prevent the harborage and feeding of pests.

Inspectors wroteThe facility had a census of 42 residents. The sample included 12 residents, with two reviewed for pressure ulcers/pressure injury (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction). Based on observation, record review and interview, the facility failed to implement interventions to prevent the development of a facility-acquired, right heel pressure ulcer for Resident (R)22 and R39 who were at risk for pressure injuries.

Inspectors wroteThe facility had a census of 42 residents. The sample included 12 residents. Based on observation, interview, and record review the facility failed to ensure the insulin (a hormone that lowers the level of glucose [a type of sugar] in the blood) for Residents (R) 4, R36, R29 and R147 was labeled in accordance with currently accepted professional standards with an open date or expiration date, failed to discard expired insulin, and failed to ensure refrigerated stock medications were not expired. This deficient practice placed residents at risk for treatment with expired or ineffective medication.

Inspectors wroteThe facility had a census of 42 residents. The sample included 12 residents. Based on record review and interview, the facility failed to provide Resident (R)20 and R21, or their representative, the completed Skilled Nursing Facility Advanced Beneficiary Notices (ABN) form 10055. This placed the resident, or their representatives at risk to make uninformed decisions about their skilled services and at risk to incur charges if exercising their right to appeal.

Inspectors wroteThe facility had a census of 42 residents. The sample included 12 residents, with two reviewed for skin conditions. Based on observation, record review, and interview, the facility failed to update Resident (R)39's care plan with interventions related to prevention of pressure injuries and failed to update R11's care plan with instructions to staff regarding hopsice care. This placed R39 at risk for further injuries to his skin due to uncommunicated or unmet needs and R11 at risk for unmet care needs

Inspectors wroteThe facility had a census of 42 residents. The sample included 12 residents. Based on record review and interview the facility failed to deliver mail on Saturdays.

Inspectors wroteThe facility reported a census of 38 residents with 12 included in the sample. Based on observation, interview, and record review, the facility failed to ensure the dignity of one resident who used a urinary catheter (tube inserted into the bladder to drain urine into a collection bag) by failing to place the urinary drainage bag in a dignity cover for Resident (R) 2.

Inspectors wroteThe facility census totaled 38 residents with 12 residents included in the sample. Based on observation, interview, and record review the facility failed to provide written notice to the State Ombudsman of the 01/15/22 facility-initiated hospitalization transfer of Resident (R)18.

Inspectors wroteThe facility census totaled 38 residents, with 12 residents included in the sample and one resident reviewed for discharge. Based on interview and record review the facility failed to develop a discharge summary which included a recapitulation of the resident's stay, a final summary of the resident's status, reconciliation of all pre-and post-discharge medications, and develop a post-discharge plan of care, including discharge instructions for Resident (R) 39.

Inspectors wroteThe facility had a census of 38 residents with 12 residents in the sample. Based on observation, interview, and record review the facility failed to perform blood sugar testing in a sanitary manner when Licensed Nurse (LN) D failed to clean the facility glucometer (instrument used to calculate blood glucose) after using it on an unidentified resident and/or before using it to test another Resident (R)20. The facility also failed to ensure staff handled R2's urinary catheter (insertion of a catheter into the bladder to drain the urine into a collection bag) in a sanitary manner.