The violations occurred when staff failed to properly follow procedures related to cardiopulmonary resuscitation and residents' advance directives — the written instructions that guide medical care when patients cannot make their own healthcare decisions.
Federal inspectors found the facility's staff did not adequately understand when to start CPR and when CPR should not be initiated based on residents' documented wishes and medical orders.
The inspection revealed gaps in staff knowledge about locating essential emergency equipment. Workers were unclear about where to find the crash cart and code status binder — critical resources needed during medical emergencies.
Prairie View's policy requires staff to identify during admission whether residents have advance directives or medical orders related to life-sustaining treatment. When such documents exist, copies must be kept in medical charts where physicians and care staff can access them.
The facility responded immediately after inspectors documented the violations. Administrators conducted mandatory CPR and Code Status Education training that covered the facility's CPR policy, equipment locations, and decision-making protocols for life-sustaining treatment.
Staff who were not present during the training session received the education by phone. Administrators created a post-test to verify workers understood the policies and procedures.
The facility also implemented daily audits of crash cart supplies and reviewed all licensed nurses' CPR certifications to ensure current and valid credentials.
Inspectors classified the violations as causing minimal harm or potential for actual harm, affecting few residents. The corrective actions satisfied federal requirements, and inspectors considered the noncompliance resolved as of the training date.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Prairie View Healthcare Center from 2025-11-26 including all violations, facility responses, and corrective action plans.