Prairie View Healthcare Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
important thing is to make sure the resident is safe and provide them dignity. 7. Interview on 11/5/25 at 1:35 p.m. with CNA F revealed wheelchair safety education was provided on 10/23/25 to all of the staff who work at the facility through Care Feed. There was also a group meeting where staff huddled together to discuss anything that needed to be shared amongst one another, she stated they had signed a form at that time indicating the education on wheelchair safety was received. She indicated that the facility purchased bags to be placed on the resident's wheelchairs for the pedals to be placed into when they are not being used and felt this was very beneficial and the residents really like them. She stated it helped keep track of the resident's wheelchair pedals, especially when a resident who self-propels themselves is not using them. 8.
Interview on 11/5/25 at 12:08 p.m. with RN, minimum data set coordinator (MDS) D revealed that the w/c audits will continue 3-5 times per week through 11/26/25. The results will be brought to quality assurance and performance improvement (QAPI) and it will be determined at that time if they need to be continued.
She stated that QUAPI is done every month on the last Wednesday of that month. 9. Interview and
observation on 11/5/25 at 12:16 p.m. with RN, SSD, C revealed she had developed an audit form to document observations of resident's wheelchair pedals and if they are being used appropriately. She had verified large bags had been purchased for all residents to place on the back of their wheelchairs to be used for foot pedals to be placed in if not being used. 10. Interview on 11/5/25 at 12:41 p.m. with physical therapy assistant ( PTA) revealed the facility works with a company called Nu Motion. An employee from the company came to the facility and measured resident 1 for a manual custom fit wheelchair. 11. Interview on 11/5/25 at 1:58 p.m. with CNA E revealed she believed resident 1 was struggling on 10/22/25 at 6:30 p.m. when she was self-propelling herself in her wheelchair going down the hallway. She stated she had come up from behind the resident's wheelchair and began to push her. She stated when she had turned the corner of the hallway, resident 1 had indicated to stop. CNA E indicated that the resident's care plan looked like she needed help. 12. Interview on 11/5/25 at 2:45 p.m. with administrator A revealed she had completed weekly wheelchair pedal audits 3-5 times per week to verify that all residents being transported
in wheelchairs had footrests securely attached and used them correctly to ensure safety and comfort for residents. The audits would be evaluated at the next QUAPI meeting and determined if she will need to continue with the audits. 13. Review of the provider's implemented guidelines associated with the American Healthcare associated correlated to assisted transfer with an assistive device. Preparation steps include:*Check the care plan.*Explain the procedure and ask about resident preferences.*Respect privacy and rights at all times.*Make sure the leg rests are out of the way.*Guidelines for pushing wheelchairs: Communication is key when pushing the wheelchair, and make sure the user is comfortable and secure in
the chair.*Be aware of the user's needs and preferences and adjust the wheelchair accordingly. 11. The provider's 10/20/25 implemented actions to ensure the deficient practice does not reoccur was confirmed
on 11/5/25 after record review revealed the facility had followed their quality assurance process, education was provided to all nursing care staff regarding wheelchair safety for locomotion and mobility and safety and comfort for residents, assessments and appropriate documentation of findings, interviews revealed staff understood the education provided regarding those topics, and a review of the provider's follow-up audits revealed substantial compliance. Based on the above information, noncompliance at F-F689 occurred
on 10/20/25. Based on the provider's implemented corrective action for the deficient practice confirmed on 11/5/25, the noncompliance is considered past noncompliance.
Event ID:
Facility ID:
If continuation sheet
PRAIRIE VIEW HEALTHCARE CENTER in WOONSOCKET, SD inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in WOONSOCKET, SD, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from PRAIRIE VIEW HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.